Abstract
The aim is to investigate and describe the health conditions of workers who are employed in precarious work settings in Mexico. Specifically, the study aims to provide insight on the health status of workers who are vulnerable due to the informal nature of their employment. Through the evaluation of three different scenarios of precarious employment (n = 110), including workers in mercury miner (workers A), brick-kilns (workers B), and quarries workers (workers C). The study analyzes clinical parameters to determine the workers' renal health condition and assesses their pulmonary function using spirometry. Multivariate analyses and Spearman correlation are performed to determine the contribution of length of service to workers' health parameters. Workers B have the highest incidence of clinical health alterations, with the highest BMI and prediabetes/diabetes index, albumin creatinine ratio, and eGFR. Moreover, pulmonary function parameters show a decrease in %FEV1/FVC in workers B and C compared to workers A, while workers A demonstrate a more significant decrease in %FEV1. Additionally, a negative correlation is observed between the length of service in precarious work settings and lung parameters (r = –0.538, p < 0.001). In conclusion, this study highlights the need to address the issue of precarious employment in Mexico by improving working conditions, access to healthcare and promoting social protection for workers, which can reduce the number of work-related illnesses and deaths and ensure the safety and health of workers.
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References
Aghilinejad M, Naserbakht A, Naserbakht M, Attari G (2012) Silicosis among stone- cutter workers: a cross-sectional study. Tanaffos 11(2):38–41
Alberti G, Bessa I, Hardy K, Trappmann V, Umney C (2018) In, against and beyond precarity: work in insecure times. Work Employ Soc 32(3):447–457. https://doi.org/10.1177/0950017018762088
Barraza-Villarreal A, Escamilla-Nuñez MC, Schilmann A, Hernandez-Cadena L, Li Z, Romanoff L, Sjödin A, Del Río-Navarro BE, Díaz-Sanchez D, Díaz-Barriga F, Sly P, Romieu I (2014) Lung function, airway inflammation, and polycyclic aromatic hydrocarbons exposure in Mexican schoolchildren. J Occup Environ Med 56(4):415–419. https://doi.org/10.1097/JOM.0000000000000111
Benach J, Muntaner C (2007) Precarious employment and health: developing a research agenda. J Epidemiol Community Health 61(4):276–277. https://doi.org/10.1136/jech.2005.045237
Benach J, Benavides F, Platt S, Diez-Roux A, Muntaner C (2000) The health-damaging potential of new types of flexible employment: a challenge for public health researchers. Am J Public Health 90(8):1316–1317. https://doi.org/10.2105/AJPH.90.8.1316
Bhat MS, Afeefa QS, Ashok KP, Bashir AG (2014) Brick kiln emissions and its environmental impact: a review. J Ecol Nat Environ 6(1):1–11. https://doi.org/10.5897/JENE2013.0423
Bridges CC, Zalups RK (2017) The aging kidney and the nephrotoxic effects of mercury. J Toxicol Environ Health Part B 20(2):55–80. https://doi.org/10.1080/10937404.2016.1243501
Burki TK (2019) The true scale of artisanal mining. Lancet Respir Med 7(5):384–385. https://doi.org/10.1016/S2213-2600(19)30115-8
Cakmak S, Hebbern C, Cakmak JD, Dales RE (2017) The influence of polycyclic aromatic hydrocarbons on lung function in a representative sample of the Canadian population. Environ Pollut 228:1–7. https://doi.org/10.1016/j.envpol.2017.05.013
Camacho A, Van Brussel E, Carrizales L, Flores-Ramirez R, Verduzco B, Huerta SR, Leon M, Diaz-Barriga F (2016) Mercury mining in Mexico: I. Community engagement to improve health outcomes from artisanal mining. Ann Glob Health 82(1):149–155. https://doi.org/10.1016/j.aogh.2016.01.014
Chapman CL, Hess HW, Lucas RAI, Glaser J, Saran R, Bragg-Gresham J, Wegman DH, Hansson E, Minson CT, Schlader ZJ (2021) Occupational heat exposure and the risk of chronic kidney disease of nontraditional origin in the United States. Am J Physiol Regul Integr Comp Physiol 321(2):R141–R151. https://doi.org/10.1152/ajpregu.00103.2021
Charbotel B, Bergeret A, Hours M, Anzivino-Viricel L, Maitre A, Perdrix A, Perrodin Y (2003) Morbidity among municipal waste incinerator workers: a cross-sectional study. Int Arch Occup Environ Health 76(6):467–472. https://doi.org/10.1007/s00420-003-0430-0
Chen Y-H, Wu T-N, Liou S-H (2001) Obstructive Pulmonary function defects among Taiwanese firebrick workers in a 2-year follow-up study. J Occup Environ Med 43(11):969–975. https://doi.org/10.1097/00043764-200111000-00007
Coppeta L, Pietroiusti A, Policardo S, Mormone F, Balbi O, Tursi E, Baldi S, Plutoni E, Torriero A, Magrini A (2019) Pulmonary functionality among workers of a Central Italy waste-to-energy plant: a retrospective study. J Occup Med Toxicol 14(1):20. https://doi.org/10.1186/s12995-019-0241-1
Das B (2016) Assessment of respiratory symptoms and lung function values among the brick field workers of West Bengal, India. Arch Environ Occup Health 71(4):222–230. https://doi.org/10.1080/19338244.2015.1067177
Ferreira M (2016) Informal versus precarious work in Colombia: concept and operationalization. Prog Dev Stud 16(2):140–158. https://doi.org/10.1177/1464993415623128
Flores-Ramírez R, Pérez-Vázquez FJ, Medellín-Garibay SE, Aldrete AC, Vallejo-Pérez MR, de León-Martínez LD, Yáñez LC, Díaz-Barriga F (2018) Exposure to mixtures of pollutants in Mexican children from marginalized urban areas. Ann Glob Health 84(2):250–256. https://doi.org/10.29024/aogh.912
French SA, Tangney CC, Crane MM, Wang Y, Appelhans BM (2019) Nutrition quality of food purchases varies by household income: the SHoPPER study. BMC Public Health 19(1):231. https://doi.org/10.1186/s12889-019-6546-2
Gutiérrez LM, Llaca MC, Cervantes L, Velasquez Alva MC, Irigoyen ME, Zepeda M (2001) Overweight in elderly Mexican women of a marginal community. J Nutr Health Aging 5(4):256–258
Gutiérrez-Barcrrusa T (2016) The growth of precarious employment in Europe: concepts, indicators and the effects of the global economic crisis. Int Labour Rev 155(4):477–508. https://doi.org/10.1111/ilr.12049
Hansel TT, Barnes PJ (2009) New drugs for exacerbations of chronic obstructive pulmonary disease. Lancet 374(9691):744–755. https://doi.org/10.1016/S0140-6736(09)61342-8
Kamal A, Malik RN, Martellini T, Cincinelli A (2014) PAH exposure biomarkers are associated with clinico-chemical changes in the brick kiln workers in Pakistan. Sci Total Environ 490:521–527. https://doi.org/10.1016/j.scitotenv.2014.05.033
Kataria A, Trasande L, Trachtman H (2015) The effects of environmental chemicals on renal function. Nat Rev Nephrol 11(10):610–625. https://doi.org/10.1038/nrneph.2015.94
Kim I, Hur T (2009) Integration of working environment into life cycle assessment framework. Int J Life Cycle Assess 14(4):290–301. https://doi.org/10.1007/s11367-009-0087-3
Koranyi I, Jonsson J, Rönnblad T, Stockfelt L, Bodin T (2018) Precarious employment and occupational accidents and injuries – a systematic review. Scand J Work Environ Health 44(4):341–350. https://doi.org/10.5271/sjweh.3720
Lange P, Parner J, Vestbo J, Schnohr P, Jensen G (1998) A 15-year follow-up study of ventilatory function in adults with asthma. N Engl J Med 339(17):1194–1200. https://doi.org/10.1056/NEJM199810223391703
Lentini P, Zanoli L, Granata A, Signorelli SS, Castellino P, Dell’Aquila R (2017) Kidney and heavy metals - The role of environmental exposure (Review). Mol Med Rep 15(5):3413–3419. https://doi.org/10.3892/mmr.2017.6389
Leso V, Capitanelli I, Lops EA, Ricciardi W, Iavicoli I (2017) Occupational chemical exposure and diabetes mellitus risk. Toxicol Ind Health 33(3):222–249. https://doi.org/10.1177/0748233715624594
Leso V, Fontana L, Romano R, Gervetti P, Iavicoli I (2019) Artificial stone associated silicosis: a systematic review. Int J Environ Res Public Health 16(4):568. https://doi.org/10.3390/ijerph16040568
Leung CC, Yu ITS, Chen W (2012) Silicosis. The Lancet 379(9830):2008–2018. https://doi.org/10.1016/S0140-6736(12)60235-9
Levey AS, Stevens LA, Schmid CH, Zhang Y (Lucy), Castro AF, Feldman HI, Kusek JW, Eggers P, Van Lente F, Greene T, Coresh J (2009) A new equation to estimate glomerular filtration rate. Ann Intern Med 150(9):604. https://doi.org/10.7326/0003-4819-150-9-200905050-00006
Lewchuk W, Dassinger J (2016) Precarious employment and precarious resistance: “we are people still.” Stud Polit Econ 97(2):143–158. https://doi.org/10.1080/07078552.2016.1211397
Liao S-Y, Lin X, Christiani DC (2015) Occupational exposures and longitudinal lung function decline. Am J Ind Med 58(1):14–20. https://doi.org/10.1002/ajim.22389
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J, Force AET (2005) Standardisation of spirometry. Eur Respir J 26(2):319–338. https://doi.org/10.1183/09031936.05.00034805
Neghab M, Hosseinzadeh K, Hassanzadeh J (2015) Early liver and kidney dysfunction associated with occupational exposure to sub-threshold limit value levels of benzene, toluene, and xylenes in unleaded petrol. Saf Health Work 6(4):312–316. https://doi.org/10.1016/j.shaw.2015.07.008
Nordby K-C, Notø H, Eduard W, Skogstad M, Fell AK, Thomassen Y, Skare Ø, Bergamaschi A, Pietroiusti A, Abderhalden R, Kongerud J, Kjuus H (2016) Thoracic dust exposure is associated with lung function decline in cement production workers. Eur Respir J 48(2):331–339. https://doi.org/10.1183/13993003.02061-2015
Park JD, Zheng W (2012) Human exposure and health effects of inorganic and elemental mercury. J Prev Med Public Health 45(6):344–352. https://doi.org/10.3961/jpmph.2012.45.6.344
Pateda SM, Sakakibara M, Sera K (2018) Lung function assessment as an early biomonitor of mercury-induced health disorders in artisanal and small-scale gold mining areas in Indonesia. Int J Environ Res Public Health 15(11):14–23. https://doi.org/10.3390/ijerph15112480
Quinlan M, Mayhew C, Bohle P (2001) The global expansion of precarious employment, work disorganization, and consequences for occupational health: a review of recent research. Int J Health Serv 31(2):335–414. https://doi.org/10.2190/607H-TTV0-QCN6-YLT4
Raza A, Fiaz-Qamer M, Afsheen S, Adnan M, Naeem S, Atiq M (2014) Particulate matter associated lung function decline in brick kiln workers of Jalalpur Jattan, Pakistan. Pak J Zool 46(1):237–243
Rodríguez LHS, Rodríguez-Villamizar LA, Flórez-Vargas O, Fiallo YV, Ordoñez Á, Gutiérrez MDC (2016) No effect of mercury exposure on kidney function during ongoing artisanal gold mining activities in Colombia: a cross-sectional study. Toxicol Ind Health 33(1):67–78. https://doi.org/10.1177/0748233716659031
Rubery J, Grimshaw D, Keizer A, Johnson M (2018) Challenges and contradictions in the ‘Normalising’ of precarious work. Work Employ Soc 32(3):509–527. https://doi.org/10.1177/0950017017751790
Sehnbruch K, González P, Apablaza M, Méndez R, Arriagada V (2020) The Quality of Employment (QoE) in nine Latin American countries: a multidimensional perspective. World Dev 127:104738. https://doi.org/10.1016/j.worlddev.2019.104738
Shen M, Xing J, Ji Q, Li Z, Wang Y, Zhao H, Wang Q, Wang T, Yu L, Zhang X, Sun Y, Zhang Z, Niu Y, Wang H, Chen W, Dai Y, Su W, Duan H (2018) Declining pulmonary function in populations with long-term exposure to polycyclic aromatic hydrocarbons-enriched PM 2.5. Environ Sci Technol 52(11):6610–6616. https://doi.org/10.1021/acs.est.8b00686
Siddique R (2014) Utilization of industrial By-products in concrete. Procedia Eng 95:335–347. https://doi.org/10.1016/j.proeng.2014.12.192
Silva FG (2005) The aging kidney: a review – Part I. Int Urol Nephrol 37(1):185–205. https://doi.org/10.1007/s11255-004-0873-6
Sponholtz TR, Sandler DP, Parks CG, Applebaum KM (2016) Occupational exposures and chronic kidney disease: possible associations with endotoxin and ultrafine particles. Am J Ind Med 59(1):1–11. https://doi.org/10.1002/ajim.22541
Supriadi YN (2017) Social Security Contribution to Productivity and Wages in Labour Organization Perspective. IOP Conf Ser: Mater Sci Eng 180:012020. https://doi.org/10.1088/1757-899X/180/1/012020
Tandon S, Gupta S, Singh S, Kumar A (2017) Respiratory abnormalities among occupationally exposed, non-smoking brick kiln workers from Punjab, India. Int J Occup Environ Med 8(3):166–173. https://doi.org/10.15171/ijoem.2017.1036
Trinder P (1969) Determination of blood glucose using an oxidase-peroxidase system with a non-carcinogenic chromogen. J Clin Pathol 22(2):158–161. https://doi.org/10.1136/jcp.22.2.158
Weinstein JR, Anderson S (2010) The Aging Kidney: Physiological Changes. Adv Chronic Kidney Dis 17(4):302–307. https://doi.org/10.1053/j.ackd.2010.05.002
Zhou Y, Sun H, Xie J, Song Y, Liu Y, Huang X, Zhou T, Rong Y, Wu T, Yuan J, Chen W (2016) Urinary polycyclic aromatic hydrocarbon metabolites and altered lung function in Wuhan, China. Am J Respir Crit Care Med 193(8):835–846. https://doi.org/10.1164/rccm.201412-2279OC
Zhuang P, Lu H, Li Z, Zou B, McBride MB (2014) Multiple exposure and effects assessment of heavy metals in the population near mining area in South China. PLoS One 9(4):e94484. https://doi.org/10.1371/journal.pone.0094484
Al-Goblan AS, Al-Alfi MA, Khan MZ (2014) Mechanism linking diabetes mellitus and obesity. Diabetes, metabolic syndrome and obesity: targets and therapy 7:587–591. https://doi.org/10.2147/DMSO.S67400
ATSDR. Agency for Toxic Substances and Disease Registry (1999) Toxicological profile for Mercury
CCOHS. Canadian Center for Occupational Health and Safety (2022) Occupational Hygiene - Occupational Disease. Recovery October 10, 2022, from https://www.ccohs.ca/oshanswers/hsprograms/occ_hygiene/occ_disease.html
CDC (2003) NIOSH Spirometry Training Guide. DHHS (NIOSH) Publication Number 2004–154c
DNUE. Directorio Nacional de Unidades Económicas. (2019) Cantera. Instituto Nacional de Estadística y Geografía. Recovered September 27, 2019 from https://www.inegi.org.mx/app/mapa/denue/default.aspx
DNUE. Directorio Nacional de Unidades Económicas. (2020) Ladrillera. Instituto Nacional de Estadística y Geografía. Recovered April 11, 2020 from https://www.inegi.org.mx/app/mapa/denue/default.aspx
Drahokoupil J, Fabo B (2019) Outsourcing, offshoring and the deconstruction of employment: new and old challenges. In The Deconstruction of Employment as a Political Question (pp. 33–61). Springer International Publishing. https://doi.org/10.1007/978-3-319-93617-8_2
Erbe SO (2010) Technical, economical and organizational analysis of informal brick production In Tercera Chica, SLP Universidad Autónoma de San Luis Potosí MEXICO
Farzan SF, Chen Y, Trachtman H, Trasande L (2016) Urinary polycyclic aromatic hydrocarbons and measures of oxidative stress, inflammation and renal function in adolescents: NHANES 2003-2008. Environ Res, 144(Pt A):149–157. https://doi.org/10.1016/j.envres.2015.11.012
GKSPL (2016) Introduction to Brick Kilns & Specific Energy Consumption Protocol for Brick Kilns
ILO. International Labour Organization (2020) Informal employment. Recovered October 10, 2021, from https://www.ilo.org/global/topics/employment-promotion/informal-economy/lang--en/index.htm
ILO. International Labour Organization (2009) Health and life at work: a basic human right. International Labour Organization. Recovered October 10, 2021, from https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_108686.pdf
ILO. International Labour Organization (2010) ILO list of occupational diseases. Recovered October 10, 2021, from https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_125137.pdf
ILO. International Labour Organizaton (2011) Policies and regulations to combat precarious employment. Recovered October 10, 2021, from https://www.ilo.org/wcmsp5/groups/public/@ed_dialogue/@actrav/documents/meetingdocument/wcms_164286.pdf
INEGI. Instituto Nacional de Estadística Geografía e Informatica (2020) Encuesta Nacional de Ocupación y Empleo. Recovered November 2020 from https://www.inegi.org.mx/programas/enoe/15ymas/
Jeppsson J, Kobold U, Barr J, Finke A, Hoelzel W, Hoshino, T, Miedema K, Mosca A, Mauri P, Paroni R, Thienpont L, Umemoto M, Weykamp C (2002) Approved IFCC Reference Method for the Measurement of HbA1c in Human Blood. Clin Chem Lab Med 40(1):78–89 https://doi.org/10.1515/CCLM.2002.016
Marcinkiewicz A, Radomska A, Hanke W, Walusiak-Skorupa J (2017) Czy cukrzycę można traktować jako chorobę pośrednio związaną z pracą? [Can diabetes be treated as an indirectly work-related disease?]. Med pr 68(5):667–675. https://doi.org/10.13075/mp.5893.00584
OHCHR (2019) The human right to safe and healthy working conditions. The Office of the United Nations High Commissioner for Human Rights
OSHA (2002) Crystalline Silica Exposure (OSHA 3176)
Padilla RP. y cols (2005) Manual de espirometría. Manual de Entrenamiento En Espirometria. https://doi.org/10.1016/j.det.2007.06.017
Pérez-Herrera N, Díaz de León-Martínez L, Flores-Ramírez R, Barbier O, Ortega-Romero M, May-Euán F, Saldaña-Villanueva K, Perera-Rios J, Pérez-Vázquez FJ (2019) Evaluation of benzene exposure and early biomarkers of kidney damage in children exposed to solvents due to precarious work in Ticul, Yucatán, México. Ann Glob Health 85(1):94. https://doi.org/10.5334/aogh.2482
Rodgers G, Rodgers J (1989) Precarious jobs in labour market regulation: the growth of atypical employment in Western Europe. In International Labour Organization
Torres F, Rojas A (2018) Obesidad y salud pública en México: transformando el patrón hegemónico de oferta y demanda de alimentos. Problemas del desarrollo 49(193):145–169. https://doi.org/10.22201/iiec.20078951e.2018.193.63185
UN. United Nations. (2013) Minamata convention on mercury. Text and annexes. Recovered on September 29, 2019 from. https://mercuryconvention.org/sites/default/files/2021-06/Minamata-Convention-booklet-Sep2019-EN.pdf
UN. United Nations. (2020) The Sustainable Development Goals Report 2020. Recovered July 2021 from https://unstats.un.org/sdgs/report/2020/The-Sustainable-Development-Goals-Report-2020.pdf
UNDP. United Nations Development Programme (2015) Precarious jobs incite vulnerability in Latin America and Caribbean, UNDP says. Recovered from https://news.un.org/en/story/2015/06/503142
WHO. World Health Organization. (2021) Obesity and overweight. Recovered on September 2019 from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Yeomans KA, Golder PA (1982) The Guttman-Kaiser Criterion as a Predictor of the Number of Common Factors. J R Stat Soc. Series D (The Statistician) 31(3):221–229. https://doi.org/10.2307/2987988
Acknowledgements
We thank all the workers who participated in the study for their confidence in carrying out this work. We also thank the Laboratory of Medical Specialties of the faculty of medicine of the Autonomous University of San Luis Potosi for the support provided for the realization of the clinical analysis.
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Conceptualization: Francisco Javier Pérez-Vázquez and Fernando Díaz-Barriga; Methodology: Kelvin Saldaña-Villanueva, Karen Beatriz Méndez-Rodríguez, Blanca Nohemi Zamora-Mendoza and Alejandro Gómez-Gómez; Formal analysis and investigation: Kelvin Saldaña-Villanueva, Karen Beatriz Méndez-Rodríguez and Blanca Nohemi Zamora-Mendoza; Writing–original draft preparation: Kelvin Saldaña-Villanueva and Karen Beatriz Méndez-Rodríguez; Writing–review and editing: Francisco Javier Pérez-Vázquez; Funding acquisition: Fernando Díaz-Barriga; Resources: Francisco Javier Pérez-Vázquez; Supervision: Francisco Javier Pérez-Vázquez
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Saldaña-Villanueva, K., Méndez-Rodríguez, K.B., Zamora-Mendoza, B.N. et al. Health effects of informal precarious workers in occupational environments with high exposure to pollutants. Environ Sci Pollut Res 30, 76818–76828 (2023). https://doi.org/10.1007/s11356-023-27769-6
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DOI: https://doi.org/10.1007/s11356-023-27769-6