Evidence map›Paper›PMID 26036987›Full record

Trial reportJournal of exposure science & environmental epidemiology

Home-based community health worker intervention to reduce pesticide exposures to farmworkers' children: A randomized-controlled trial.

Alicia L Salvatore, Rosemary Castorina, José Camacho, Norma Morga, Jesús López, Marcia Nishioka, Dana B Barr, Brenda Eskenazi, Asa Bradman

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of exposure science & environmental epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Alicia L SalvatoreUniversity of Oklahoma Health Sciences Center College of Public Health, Oklahoma City, OK, USA.
Rosemary CastorinaCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, CA, USA.
José CamachoCenter for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), Clínica de Salud del Valle de Salinas, Salinas, CA, USA.
Norma MorgaCenter for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), Clínica de Salud del Valle de Salinas, Salinas, CA, USA.
Jesús LópezCalifornia Rural Legal Assistance, Salinas, CA, USA.
Marcia NishiokaBattelle Memorial Institute, Columbus, OH, USA.
Dana B BarrEmory University, School of Public Health, Atlanta, Georgia, USA.
Brenda EskenaziCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, CA, USA.
Asa BradmanCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, CA, USA.
Center for Environmental Health · USClinica de Salud del Valle de Salinas · USBattelle · USEmory University · USUniversity of California, Berkeley · US

Funding

Project C: Epigenetic Effects of DDT/E and PBDEs on PubertyP01ES009605 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI ESKENAZI, BRENDA · 1999 to 2015
$11.2M
Reducing pesticide exposures to farmworker children.R01ES011352 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI ESKENAZI, BRENDA · 2001 to 2005
$1.6M
NIEHS NIH HHS P01 ES009605NIEHS NIH HHS R01 ES011352NIEHS NIH HHS R01 ES11352
6 · The paper itself

Abstract

We conducted a randomized-controlled trial of a home-based intervention to reduce pesticide exposures to farmworkers' children in Monterey County, California (n=116 families). The intervention consisted of three home-based educational sessions delivered by community health workers in Spanish. Measurements of organophosphate (OP) insecticide metabolites in child urine (n=106) and pesticides in home floor wipes (n=103) were collected before and after the intervention. Median child urinary dialkyl phosphate (DAP) metabolite levels were slightly lower among the intervention group children at follow-up compared with baseline, albeit nonsignificantly. DAP metabolite levels in the control group children were markedly higher at follow-up compared with baseline. In adjusted models, intervention participation was associated with a 51% decrease in total DAP metabolite levels. Carbaryl, chlorpyrifos, cypermethrin, dacthal, diazinon, malathion, and trans-permethrin were commonly detected in the floor wipes. In adjusted models, intervention participation was significantly associated with a 37% decrease in trans-permethrin floor wipe levels in homes, but not OP or other agricultural pesticides. In summary, intervention group children had slightly reduced pesticide exposures, whereas child exposures were higher among the control group. Additional intervention studies evaluating methods to reduce pesticide exposures to farmworker families and children are needed.

Indexed as

Community Health WorkersAdultAgricultureCaliforniaChild, PreschoolEnvironmental ExposureFamily CharacteristicsFemaleHumansInsecticidesMaleOrganophosphate PoisoningOrganophosphatesPesticidesInsecticidesOrganophosphatesPesticides

Identifiers

PMID26036987
PMCPMC6380488
OpenAlexW1536260209

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.