ArticleThe international journal of occupational and environmental medicine2015
Green Tobacco Sickness among Thai Traditional Tobacco Farmers, Thailand.
Article in The international journal of occupational and environmental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 27 citations in OpenAlex.
- The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand.Tobacco induced diseases · 2025Article
- Perspectives of push-pull-mooring effects on a desire for switching to alternative crops among tobacco farmers in Thailand: A qualitative study.Tobacco induced diseases · 2024Article
- Deteriorating Quality of Life and a Desire to Stop Growing Tobacco Among Virginia and Burley Tobacco Farmers in Thailand.JCO global oncology · 2022Article
- Prevalence and Factors Associated with Musculoskeletal Disorders among Thai Burley Tobacco Farmers.International journal of environmental research and public health · 2022Article
- Use of cotinine biomarker in workers to detect green tobacco sickness.Revista latino-americana de enfermagem · 2019Article
- Green Tobacco Sickness Among Tobacco Harvesters in a Korean Village.Safety and health at work · 2018Article
- Profile of clinical information in medical records of tobacco farmers in Alagoas, Brazil.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT · 2017Article
- Global Burden of Green Tobacco Sickness in Farm Workers: A Systematic Review and Meta-Analysis of Prevalence, Gender Disparities, and Socio-Economic Determinants.Indian journal of occupational and environmental medicineReview
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundTraditional Thai tobacco (Nicotiana abacus L.) is known as a non-Virginia type whose mature leaf contains three to four times more nicotine than that of a Virginia type. As such, the process of Thai traditional tobacco production may lead to adverse health effects such as green tobacco sickness (GTS).
objectiveTo investigate the prevalence of GTS and risk factors related to GTS among Thai traditional tobacco farmers in Nan province, northern Thailand.
methods473 Thai traditional tobacco farmers from rural areas in Nan province were randomly selected and interviewed in person by means of questionnaires and environmental survey. Statistical analyses were used to identify potential risk factors for GTS.
resultsThe prevalence of GTS was 22.6% (95% CI 19.1% to 26.6%). Multivariate analysis showed various risk factors associated with GTS including gender of the farmer (ORadj 0.44, 95% CI 0.26 to 0.73), smoking (ORadj 4.36, 95% CI 1.41 to 13.47), skin rash (ORadj 0.36, 95% CI 0.19 to 0.68), wearing a wet suit (ORadj 1.91, 95% CI 1.12 to 3.23), process of curing tobacco leaves (ORadj 0.06, 95% CI 0.02 to 0.16), and watering tobacco plants (ORadj 0.42, 95% CI 0.25 to 0.72).
conclusionThe process of traditional Thai tobacco production can result in increased dermal exposure and can be considered a major risk factor for GTS. Body soaking during watering may further increase adverse health effects related to GTS.
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