Abstract
Epidemiological profiles are key elements in preventive medicine and public health planning activities. There are no standard methods to identify these profiles. We explored the epidemiological profile of sugar cane workers in the municipality of Ginebra (Valle del Cauca, Colombia) using free lists of municipal morbidity data. We administered an instrument to 30 sugar cane workers, 15 health care workers and 15 people from the general community in order to compare the health problems experienced by the community. Sugar cane workers reported their own health problems and health professionals and community members served as informants for health problems in the general community. Respiratory problems were part of the morbidity profile of all groups evaluated, flu was part of the profile of the general community, and other respiratory problems were part of the profile of sugar cane workers and health personnel. Musculoskeletal problems were predominant only for sugar cane workers, and we found differences between the health problems expressed by the community and those reported by health personnel. The free lists method constitutes a quick, efficient, and useful tool to develop an approximation of an epidemiological profile and is easily interpreted, especially when typical and previously described occupational diseases are considered together with diseases associated with occupational groups. Epidemiological profiles based on free lists are useful to identify new opportunities for prevention strategies.
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References
Abreu, D. E., Moraes, L. A., Nascimento, E. N., & Oliveira, R. A. (2011). A produção da cana-de-açúcar no Brasil e a saúde do trabalhador rural. Revista Brasileira de Medicina do Trabalho, 9, 49–61. http://hdl.handle.net/11449/72967.
Alessi, N. P., & Navarro, V. L. (1997). Saúde e trabalho rural: O caso dos trabalhadores da cultura canavieira na região de Ribeirão Preto, São Paulo, Brasil. Cadernos de Saúde Pública,13(Supl 2), 111–121. https://doi.org/10.1590/S0102-311X1997000600010.
Barata, R. B. (2013). Epidemiology and public policies. Revista Brasileira de Epidemiologia,16, 3–17. https://doi.org/10.1590/S1415-790X2013000100001.
Biswas, G., Bhattacharya, A., & Bhattacharya, R. (2016). A review on the occupational health of sugar cane workers. International Journal of Biomedical Research,7, 568–570.
Blanco-Becerra, L. C., Pinzón-Flórez, C. E., & Idrovo, A. J. (2015). Estudios ecológicos en salud ambiental: Más allá de la epidemiología. Biomédica,35(Supl. 2), 191–206. https://doi.org/10.7705/biomedica.v35i0.2819.
Bousfield, W. A., & Barclay, W. D. (1950). The relationship between order and frequency of occurrence of restricted associative responses. Journal of Experimental Psychology,40, 643–647. https://doi.org/10.1037/h0059019.
Buechner, H. A., Prevatt, A. L., Thompson, J., & Blitz, O. (1958). Bagassosis; A review, with further historical data, studies of pulmonary function, and results of adrenal steroid therapy. American Journal of Medicine,25, 234–247. https://doi.org/10.1016/0002-9343(58)90030-5.
Ceccato, A. D. F., de Carvalho Junior, L. C. S., Cuissi, R. C., Monteschi, M., Oliveira, N. G., Padovani, C. R., et al. (2014). Absenteísmo por doença ocupacional de trabalhadores rurais no setor canavieiro. Cadernos de Saúde Pública,30, 2169–2176. https://doi.org/10.1590/0102-311x00026413.
Centers for Disease Control and Prevention and Health Resources and Services Administration. (2014). Integrated guidance for developing epidemiologic profiles: HIV prevention and Ryan White HIV/AIDS programs planning. Atlanta, GA: Centers for Disease Control and Prevention.
Dressler, W. W., Borges, C. D., Balieiro, M. C., & Dos Santos, J. E. (2005). Measuring cultural consonance: Examples with special reference to measurement theory in anthropology. Field Methods,17, 331–355. https://doi.org/10.1177/1525822X05279899.
Fernández-Niño, J. A., Luna-Orozco, K., Navarro-Lechuga, E., Flórez-García, V., Acosta Reyes, J., Solano, A., et al. (2018). Necesidades percibidas de salud por los migrantes desde Venezuela en el asentamiento de Villa Caracas—Barranquilla, 2018: Reporte de caso en salud pública. Revista Universidad Industrial de Santander. Salud,50, 203–209. https://doi.org/10.12873/revsal.v50n3-2018002.
Figueroa-Muñoz Ledo, A. A., Márquez-Serrano, M., Idrovo, A. J., & Allen-Leigh, B. (2014). Individual and community effectiveness of a cervical cancer screening program for semi-urban Mexican women. Journal of Community Health,39, 423–431. https://doi.org/10.1007/s10900-013-9802-x.
Fusch, P. I., & Ness, L. R. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20, 1408–1416. http://www.nova.edu/ssss/QR/QR20/9/fusch1.pdf.
Gascon, M., Kromhout, H., Heederik, D., Eduard, W., & van Wendel de Joode., B. (2012). Respiratory, allergy and eye problems in bagasse-exposed sugar cane workers in Costa Rica. Occupational and Environmental Medicine,69, 331–338. https://doi.org/10.1136/oemed-2011-100029.
Gordon, D. R., & Schnall, P. R. (2009). Beyond the individual: Connecting work environment and health. In P. R. Schnall, M. Dobson, & E. Rosskam (Eds.), Unhealthy work: Causes, consequences, cures (pp. 1–16). New York: Baywood Publishing Company.
Idrovo, A. J., Albavera-Hernández, C., & Rodríguez-Hernández, J. M. (2011). Social epidemiology of a large outbreak of chickenpox in the Colombian sugar cane producer region: A set theory-based analysis. Cadernos de Saúde Pública,27, 1393–1402. https://doi.org/10.1590/S0102-311X2011000700014.
Kennedy, S. M. (1994). When is a disease occupational? The Lancet,344, 4–5. https://doi.org/10.1016/s0140-6736(94)91041-3.
Kilduff, A., McKeown, K., & Crowther, A. (1998). Health needs assessment in primary care: The evolution of a practical public health approach. Public Health,112(3), 175–181. https://doi.org/10.1038/sj.ph.1900454.
McMichael, A. J. (1976). Standardized mortality ratios and the “healthy worker effect”: Scratching beneath the surface. Journal of Occupational Medicine,18, 165–168.
Omran, A. R. (1971). The epidemiologic transition. A theory of the epidemiology of population change. Milbank Memorial Fund Quarterly,49, 509–538. https://doi.org/10.2307/3349375.
Phoolchund, H. N. (1991). Aspects of occupational health in the sugar cane industry. Journal of the Society of Occupational Medicine,41, 133–136. https://doi.org/10.1093/occmed/41.3.133.
Rocha, F. L. R., Marziale, M. H. P., & Hong, O. S. (2010). Work and health conditions of sugar cane workers in Brazil. Revista da Escola de Enfermagem da Universidade de São Paulo,44, 978–983. https://doi.org/10.1590/S0080-62342010000400017.
Romeo, L., Dalle Molle, K., Zanoni, G., Peretti, A., Marangi, G., Conrado, L. G., et al. (2009). Respiratory health effects and immunological response to Thermoactinomyces among sugar cane workers in Nicaragua. International Journal of Occupational and Environmental Health,15, 249–254. https://doi.org/10.1179/oeh.2009.15.3.249.
Rossi Rocha, F. L., Palucci Marziale, M. H., & Cruz Robazzi, M. L. (2007). Poverty as a predisposing factor of illness tendencies in sugar cane workers. Revista Latino-Americana de Enfermagem,15(Spec), 736–741. https://doi.org/10.1590/s0104-11692007000700004.
Samuels, S. W. (1998). Philosophic perspectives: Community, communications, and occupational disease causation. International Journal of Health Services,28, 153–164. https://doi.org/10.2190/44mr-ypqf-kukp-npqy.
Schrauf, R. W., & Sanchez, J. (2010). Age effects and sample size in free listing. Field Methods,22, 70–87. https://doi.org/10.1177/1525822X09359747.
Smith, J. J. (1993). Using ANTHOPAC 3.5 and a spreadsheet to compute a free-list salience index. Field Methods,5, 1–3. https://doi.org/10.1177/1525822X9300500301.
Sutrop, U. (2001). List task and a cognitive salience index. Field Methods,13, 263–276. https://doi.org/10.1177/1525822X0101300303.
Thompson, E. C., & Juan, Z. (2006). Comparative cultural salience: Measures using free-list data. Field Methods,18, 398–412. https://doi.org/10.1177/1525822X06293128.
Weller, S. C. (2007). Cultural consensus theory: Applications and frequently asked questions. Field Methods,19, 339–368. https://doi.org/10.1177/1525822X07303502.
White, K. L., Williams, T. F., & Greenberg, B. G. (1961). The ecology of medical care. New England Journal of Medicine,265, 885–892. https://doi.org/10.1056/nejm196111022651805.
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Thank you to participants in the study for their collaboration during fieldwork.
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All procedures performed in this study were in accordance with the Colombian ethical standards and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Coronel-Sánchez, V.H., Álvarez-Pabón, Y., Esteban, L.Y. et al. Lay-Based Morbidity Profiles of Sugar Cane Workers: Testing a New Method Using Free Lists. J Primary Prevent 41, 39–49 (2020). https://doi.org/10.1007/s10935-019-00575-y
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DOI: https://doi.org/10.1007/s10935-019-00575-y