Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis

Longitudinal studies using multi-level models to examine health inequalities in lower and middle income countries (LMICs) are rare. We explored socio-economic gradients in health among small farm members participating in a pesticide-related health and agriculture program in highland Ecuador.We profi...

Full description

Bibliographic Details
Main Authors: Cole, Donald C., Orozco, F.A., Ibrahim, S., Wanigaratne, S.
Format: Journal Article
Language:Inglés
Published: Springer 2011
Subjects:
Online Access:https://hdl.handle.net/10568/67710
_version_ 1855542703325970432
author Cole, Donald C.
Orozco, F.A.
Ibrahim, S.
Wanigaratne, S.
author_browse Cole, Donald C.
Ibrahim, S.
Orozco, F.A.
Wanigaratne, S.
author_facet Cole, Donald C.
Orozco, F.A.
Ibrahim, S.
Wanigaratne, S.
author_sort Cole, Donald C.
collection Repository of Agricultural Research Outputs (CGSpace)
description Longitudinal studies using multi-level models to examine health inequalities in lower and middle income countries (LMICs) are rare. We explored socio-economic gradients in health among small farm members participating in a pesticide-related health and agriculture program in highland Ecuador.We profiled 24 communities through key informant interviews, secondary data (percent of population with unsatisfied basic needs), and intervention implementation indicators. Pre (2005) and post (2007) surveys of the primary household and crop managers included common questions (education, age, and the health outcome - digit span scaled 0-10)) and pesticide-related practice questions specific to each. Household assets and pesticide use variables were shared across managers. We constructed multi-level models predicting 2007 digit span for each manager type, with staged introduction of predictor variables.376 household managers (79% of 2005 participants) and 380 crop managers (76% of 2005 participants) had complete data for analysis. The most important predictor of 2007 digit span was 2005 digit span: β (Standard Error) of 0.31(0.05) per unit for household and 0.17(0.04) for crop managers. Household asset score was next most important: 0.14(0.06) per unit for household and 0.14(0.05) for crop managers. Community percent with unsatisfied basic needs was associated with reductions in 2007 digit span: -0.04(0.01) per percent for household and -0.03(0.01) for crop managers.The important roles of life endowments and/or persistent neurotoxicity were exemplified by limited change in the health outcome. Gradients by household assets and community deprivation were indicative of ongoing, structural inequities within this LMIC.
format Journal Article
id CGSpace67710
institution CGIAR Consortium
language Inglés
publishDate 2011
publishDateRange 2011
publishDateSort 2011
publisher Springer
publisherStr Springer
record_format dspace
spelling CGSpace677102025-11-06T14:07:47Z Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis Cole, Donald C. Orozco, F.A. Ibrahim, S. Wanigaratne, S. health hazards pesticide actions small farms Longitudinal studies using multi-level models to examine health inequalities in lower and middle income countries (LMICs) are rare. We explored socio-economic gradients in health among small farm members participating in a pesticide-related health and agriculture program in highland Ecuador.We profiled 24 communities through key informant interviews, secondary data (percent of population with unsatisfied basic needs), and intervention implementation indicators. Pre (2005) and post (2007) surveys of the primary household and crop managers included common questions (education, age, and the health outcome - digit span scaled 0-10)) and pesticide-related practice questions specific to each. Household assets and pesticide use variables were shared across managers. We constructed multi-level models predicting 2007 digit span for each manager type, with staged introduction of predictor variables.376 household managers (79% of 2005 participants) and 380 crop managers (76% of 2005 participants) had complete data for analysis. The most important predictor of 2007 digit span was 2005 digit span: β (Standard Error) of 0.31(0.05) per unit for household and 0.17(0.04) for crop managers. Household asset score was next most important: 0.14(0.06) per unit for household and 0.14(0.05) for crop managers. Community percent with unsatisfied basic needs was associated with reductions in 2007 digit span: -0.04(0.01) per percent for household and -0.03(0.01) for crop managers.The important roles of life endowments and/or persistent neurotoxicity were exemplified by limited change in the health outcome. Gradients by household assets and community deprivation were indicative of ongoing, structural inequities within this LMIC. 2011-12 2015-07-30T06:21:26Z 2015-07-30T06:21:26Z Journal Article https://hdl.handle.net/10568/67710 en Open Access application/pdf Springer Cole, D.C.; Orozco, F.A.; Ibrahim, S.; Wanigaratne, S. 2011. Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis. International Journal for Equity in Health. (UK). ISSN 1475-9276. 10(54):10 p.
spellingShingle health hazards
pesticide actions
small farms
Cole, Donald C.
Orozco, F.A.
Ibrahim, S.
Wanigaratne, S.
Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title_full Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title_fullStr Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title_full_unstemmed Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title_short Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis
title_sort community and household socioeconomic factors associated with pesticide using small farm household members health a multi level longitudinal analysis
topic health hazards
pesticide actions
small farms
url https://hdl.handle.net/10568/67710
work_keys_str_mv AT coledonaldc communityandhouseholdsocioeconomicfactorsassociatedwithpesticideusingsmallfarmhouseholdmembershealthamultilevellongitudinalanalysis
AT orozcofa communityandhouseholdsocioeconomicfactorsassociatedwithpesticideusingsmallfarmhouseholdmembershealthamultilevellongitudinalanalysis
AT ibrahims communityandhouseholdsocioeconomicfactorsassociatedwithpesticideusingsmallfarmhouseholdmembershealthamultilevellongitudinalanalysis
AT wanigaratnes communityandhouseholdsocioeconomicfactorsassociatedwithpesticideusingsmallfarmhouseholdmembershealthamultilevellongitudinalanalysis