ArticleInternational journal of environmental research and public health2021
Long-Term Neurological and Psychological Distress Symptoms among Smallholder Farmers in Costa Rica with a History of Acute Pesticide Poisoning.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Worldwide unintentional acute pesticide poisonings: reassessing the occupational and non-occupational burden.Frontiers in public health · 2026Pooled it
- Educational Intervention Effects on Pesticide-Related Knowledge, Attitudes, Practices, Exposure, and Health Among Ugandan Smallholder Farmers: A Cluster Randomized Controlled Trial.International journal of public health · 2025Trial
- Knowledge and risk perception of pesticide exposure among smallholder farmers of Sembabule district, Uganda.African health sciences · 2026Article
- Acute poisoning and psychological trauma: Bridging emergency care to long-term mental health rehabilitation.World journal of psychiatry · 2025Review
- Pesticide Exposure in the Cultivation ofInternational journal of environmental research and public health · 2024Article
- Evaluating and Enhancing an Educational Intervention to Reduce Smallholder Farmers' Exposure to Pesticides in Uganda Through a Digital, Systematic Approach to Behavior Change: Protocol for a Cluster-Randomized Controlled Trial.JMIR research protocols · 2024Article
- Association of pesticide exposure with neurobehavioral outcomes among avocado farmworkers in Mexico.International journal of hygiene and environmental health · 2024Article
- Occupational Exposure to Pesticides as a Risk Factor for Sleep Disorders.International journal of environmental research and public health · 2023Article
- Potential protective effects of red grape seed extract in a rat model of malathion-induced neurotoxicity.Veterinary world · 2023Article
- Health Effects of Pesticide Exposure in Latin American and the Caribbean Populations: A Scoping Review.Environmental health perspectives · 2022Article
- Occupational and environmental pesticide exposure and associated health risks among pesticide applicators and non-applicator residents in rural Ethiopia.Frontiers in public health · 2022Article
- Differences in Knowledge, Awareness, Practice, and Health Symptoms in Farmers Who Applied Organophosphates and Pyrethroids on Farms.Frontiers in public health · 2022Article
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Authors and funding
7 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Studies suggest that acute pesticide poisonings (APP) may be linked with long-term neurological effects. To examine long-term neurological and psychological distress symptoms associated with having experienced an APP, we conducted a cross-sectional study of 300 conventional and organic smallholder farmers from Zarcero County, Costa Rica, May-August 2016. We collected self-reported data on sociodemographic characteristics, occupational history, pesticide exposure, APPs, neurological and psychological distress symptoms (using the Brief Symptom Inventory (BSI)). Adjusted logistic regression models were fit. A total of 14% of the farmers (98% male) reported experiencing at least one APP during their lifetime. Self-reported APP was associated with neurological symptoms during the 12 months prior to interview (e.g., fainting (Odds Ratio: 7.48, 95% Confidence Interval: 1.83, 30.74), shaking hands (3.50; 1.60, 7.60), numbness/tingling in hands or feet (3.23; 1.66, 6.32), insomnia (2.53; 1.34, 4.79), accelerated heartrate (2.42; 1.03, 5.47), dizziness (2.38; 1.19, 4.72), increased irritability/anger (2.37; 1.23, 4.55), low energy (2.33; 1.23, 4.46), and difficulty concentrating (2.01; 1.05, 3.85)). Farmers who reported an APP in the ten years prior to interview experienced increased odds of abnormal BSI scores for hostility (4.51; 1.16, 17.70) and paranoid ideation (3.76; 0.99, 18.18). Having experienced an APP may be associated with long-term neurological and psychological distress symptoms.
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