Pesticide Exposure, Neurobehavioral Symptoms, and Neurobehavioral Performance in Pesticide Applicator in West Java, Indonesia
(1) Department of Occupational Health and Safety, Faculty of Medicine and Health Sciences, Universitas Kristen Krida Wacana (UKRIDA), Jakarta, Indonesia
(2) Medical Undergraduate Study Program, Faculty of Medicine and Health Sciences Universitas Kristen Krida Wacana, Jakarta 11510, Indonesia
(3) Department of Occupational Health and Safety, Faculty of Medicine and Health Sciences, Universitas Kristen Krida Wacana (UKRIDA), Jakarta, Indonesia
(4) Department of Occupational Health and Safety, Faculty of Medicine and Health Sciences, Universitas Kristen Krida Wacana (UKRIDA), Jakarta, Indonesia
(5) Department of Occupational Health and Safety, Faculty of Medicine and Health Sciences, Universitas Kristen Krida Wacana (UKRIDA), Jakarta, Indonesia
Abstract
It was known that pesticide applicators are at risk of experiencing neurotoxicity and neurobehavioral alterations related to occupational pesticide exposure. This study aims to evaluate the association between pesticide exposure and the neurobehavioral performance of pesticide applicators in West Java, Indonesia where chemical pesticides were heavily used. We conducted a cross-sectional study in a vegetable farming center in West Java Province, Indonesia. A total of 88 pesticide applicators were included in the study on November 2022. A structured interviewer-administered questionnaire was used to obtain the participants’ characteristics. We performed the German Q18 questionnaire to screen the neurobehavioral symptoms and the WHO Neurobehavioral Core Test Battery (NCTB) for each participant to identify the neurobehavioral performance among pesticide applicators. Data were summarized descriptively and statistical analysis using chi-square and independent sample t-test was performed. We found that the most common neurobehavioral symptoms were symptoms related to memory, concentration, and fatigue. Poor neurobehavioral performance was found in 29.5% of participants and it was found to be associated with those grouped at age ≥ 44 years and categorized as having a high CEL. The pieces of evidence presented here suggest that neurobehavioral performance was associated with pesticide exposure.
Keywords
Full Text:
PDFReferences
Anger, W., Cassitto, M., Liang, Y., Amador, R., Hooisma, J., Chrislip, D., et al. 1993. Comparison of performance from three continents on the WHO-recommended neurobehavioral core test battery. Environmental Research, 62:pp. 125-147.
Anger, W. K. 2014. Reconsideration of the WHO NCTB strategy and test selection. Neurotoxicology, 45:pp. 224-31.
Antonangeli, L. M., Kenzhebekova, S. & Colosio, C. 2023. Neurobehavioral Effects of Low-Dose Chronic Exposure to Insecticides: A Review. Toxics, 11:pp. 192.
Baltazar, M. T., Dinis-Oliveira, R. J., De Lourdes Bastos, M., Tsatsakis, A. M., Duarte, J. A. & Carvalho, F. 2014. Pesticides exposure as etiological factors of Parkinson's disease and other neurodegenerative diseases--a mechanistic approach. Toxicol Lett, 230:pp. 85-103.
Damalas, C. A. & Koutroubas, S. D. 2018. Farmers' behaviour in pesticide use: A key concept for improving environmental safety. Curr Opin Environ Sci Health, 4:pp. 27–30.
De-Assis, M. P., Barcella, R. C., Padilha, J. C., Pohl, H. H. & Krug, S. B. F. 2021. Health problems in agricultural workers occupationally exposed to pesticides. Rev Bras Med Trab, 18:pp. 352-363.
Dosemeci, M., Alavanja, M. C., Rowland, A. S., Mage, D., Zahm, S. H., Rothman, N., et al. 2002. A quantitative approach for estimating exposure to pesticides in the Agricultural Health Study. Ann Occup Hyg, 46:pp. 245–60.
Eaton, D. L., Daroff, R. B., Autrup, H., Bridges, J., Buffler, P., Costa, L. G., et al. 2008. Review of the toxicology of chlorpyrifos with an emphasis on human exposure and neurodevelopment. Crit Rev Toxicol, 38 Suppl 2:pp. 1–125.
Fuhrimann, S., Farnham, A., Staudacher, P., Atuhaire, A., Manfioletti, T., Niwagaba, C. B., et al. 2021. Exposure to multiple pesticides and neurobehavioral outcomes among smallholder farmers in Uganda. Environ Int, 152:pp. 106477.
Gangemi, S., Miozzi, E., Teodoro, M., Briguglio, G., De Luca, A., Alibrando, C., et al. 2016. Occupational exposure to pesticides as a possible risk factor for the development of chronic diseases in humans (Review). Mol Med Rep, 14:pp. 4475–4488.
Ihrig, A., Triebig, G. & Dietz, M. 2001. Evaluation of a modified German version of the Q16 questionnaire for neurotoxic symptoms in workers exposed to solvents. Occupational and Environmental Medicine, 58:pp. 19-23.
Ismail, A. A., Bodner, T. E. & Rohlman, D. S. 2012. Neurobehavioral performance among agricultural workers and pesticide applicators: a meta-analytic study. Occup Environ Med, 69:pp. 457-64.
Joko, T., Dewanti, N. a. Y. & Dangiran, H. L. 2020. Pesticide Poisoning and the Use of Personal Protective Equipment (PPE) in Indonesian Farmers. J Environ Public Health, 2020:pp. 5379619.
Kang, S.-H., Kim, J.-H., Kim, I.-K., So, W.-Y. & Sung, D. J. 2015. The Effect of Smoking on Brain Wave Activity in Middle-Aged Men Measured by Electrocorticography. Iran J Public Health, 44:pp. 1288–1290.
Kori, R. K., Singh, M. K., Jain, A. K. & Yadav, R. S. 2018. Neurochemical and Behavioral Dysfunctions in Pesticide Exposed Farm Workers: A Clinical Outcome. Indian J Clin Biochem, 33:pp. 372-381.
Lee, S., Poet, T. S., Smith, J. N., Busby-Hjerpe, A. L. & Timchalk, C. 2010. Effect of in vivo nicotine exposure on chlorpyrifos pharmacokinetics and pharmacodynamics in rats. Chem Biol Interact, 184:pp. 449-57.
Leemans, M., Couderq, S., Demeneix, B. & Fini, J.-B. 2019. Pesticides with potential thyroid hormone-disrupting effects: a review of recent data. Front Endocrinol, 10:pp. 743.
Liem, J. F., Mansyur, M., Soemarko, D. S., Kekalih, A., Subekti, I., Suyatna, F. D., et al. 2021. Cumulative exposure characteristics of vegetable farmers exposed to Chlorpyrifos in Central Java – Indonesia; a cross-sectional study. BMC Public Health, 21:pp. 1066.
Liem, J. F., Subekti, I., Mansyur, M., Soemarko, D. S., Kekalih, A., Suyatna, F. D., et al. 2023. The determinants of thyroid function among vegetable farmers with primary exposure to chlorpyrifos: A cross-sectional study in Central Java, Indonesia. Heliyon, 9.
Liem, J. F., Suryandari, D. A., Malik, S. G., Mansyur, M., Soemarko, D. S., Kekalih, A., et al. 2022. The Role of CYP2B6*6 Gene Polymorphisms in 3,5,6-Trichloro-2-pyridinol Levels as a Biomarker of Chlorpyrifos Toxicity Among Indonesian Farmers. Journal of Preventive Medicine and Public Health, 55:pp. 280-288.
Maden, E. V. D., Wulansari, M. & Koomen, I. 2014. Occupational pesticide exposure in vegetable production: A literature and policy review with relevance to Indonesia. vegIMPACT.
Monnet-Tschudi, F., Zurich, M. G. & Honegger, P. 2007. Neurotoxicant-induced inflammatory response in three-dimensional brain cell cultures. Human & Experimental Toxicology, 26:pp. 339-346.
Pawestri, I. N. & Sulistyaningsih, E. 2021. Neurobehavioral performance of Indonesian farmers and its association with pesticide exposure: A cross-sectional study. Clin Epidemiology Glob Health, 11:pp. 100754.
Ross, S. M., Mcmanus, I. C., Harrison, V. & Mason, O. 2013. Neurobehavioral problems following low-level exposure to organophosphate pesticides: a systematic and meta-analytic review. Crit Rev Toxicol, 43:pp. 21-44.
Schott, J. M. 2017. The neurology of ageing: what is normal? Pract Neurol, 17:pp. 172-182.
Setyopranoto, I., Argo, I. W., Ramadhani, A. F., Dwianingsih, E. K., Tama, W. N., Gofir, A., et al. 2020. The Association between Pesticide Exposure and Neurological Signs and Symptoms in Farmers in Magelang District, Central Java, Indonesia. Open Access Macedonian Journal of Medical Sciences, 8:pp. 538-543.
Tiwari, S., Sapkota, N., Tiwari, S. & Sapkota, B. 2022. Association between pesticide exposure and neurobehavioral performance of agricultural workers: A cross-sectional study. Brain Behav, 12:pp. e2641.
Yuantari, M., Widianarko, B. & Sunoko, H. 2015. Analisis Risiko Pajanan Pestisida Terhadap Kesehatan Petani. Jurnal Kesehatan Masyarakat, 10:pp. 239-245.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.