Journal of Preventive Medicine and Public Health

  • 제57권6호
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  • Pages.521-529
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  • 2024
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Is Farming a Risk Occupation for Cardio-cerebrovascular Diseases? A Scoping Review on Cardio-cerebrovascular Disease Risk in Farmers

  • Hyeonjun Kim (Department of Occupational and Environmental Medicine, Chonnam National University Medical School and Chonnam National University Hwasun Hospital) ;
  • Wongeon Jung (National Institute of Agricultural Sciences, Rural Development Administration) ;
  • Sunjin Jung (Department of Occupational and Environmental Medicine, Chonnam National University Medical School and Chonnam National University Hwasun Hospital) ;
  • Seunghyeon Cho (Department of Occupational and Environmental Medicine, Chonnam National University Hospital) ;
  • Inho Jung (Department of Occupational and Environmental Medicine, Chonnam National University Medical School and Chonnam National University Hwasun Hospital) ;
  • Hansoo Song (Department of Occupational and Environmental Medicine, Chosun University Hospital) ;
  • Ki-Soo Park (Department of Preventive Medicine, Gyeongsang National University College of Medicine) ;
  • Seong-Yong Yoon (Department of Occupational and Environmental Medicine, Soonchunhyang University Gumi Hospital) ;
  • Joo Hyun Sung (Department of Occupational and Environmental Medicine, Institute of Medical Science, Gyeongsangnamdo Environmental Health Center, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine) ;
  • Seok-Ju Yoo (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Won-Ju Park (Department of Occupational and Environmental Medicine, Chonnam National University Medical School and Chonnam National University Hwasun Hospital)
  • 투고 : 2024.06.16
  • 심사 : 2024.08.01
  • 발행 : 2024.11.30
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초록

Objectives: In Korea, cardio-cerebrovascular disease (CCVD) is recognized as an occupational disease when sufficient evidence of a work-related burden exists. In 2021, approximately 26.8% of the payments from occupational disease insurance under the Industrial Accident Compensation Insurance Act were allocated to CCVDs. However, due to the specific nature of insurance policies for farmers, CCVD is not acknowledged as an occupational disease in their case. Methods: We reviewed studies on the differences in the incidence, prevalence, and mortality rates of CCVDs between farmers and the general population or other occupations and described the exposure of farmers to risk factors for CCVDs. Results: Several studies showed that farming is a high-risk occupation for CCVDs, with the following risk factors: long working hours, night work, lack of holidays, and strenuous physical labor; physical factors (noise, cold, heat, humidity, and vibration); exposure to hazardous gases (diesel exhaust, carbon monoxide, hydrogen sulfide, carbon disulfide, nitrogen oxides, and polycyclic aromatic hydrocarbons), pesticides, and dust (particulate matter, silica, and organic dust); exposure to a hypoxic environment; and job-related stress. Social isolation and lack of accessible medical facilities also function as additional risk factors by preventing farmers from receiving early interventions. Conclusions: Farmers are exposed to various risk factors for CCVDs and are an occupation at risk for CCVDs. More studies are needed in the future to elucidate this relationship. This study lays the groundwork for future research to develop guidelines for approving CCVDs as occupational diseases among farmers.

키워드

과제정보

We would like to thank all the researchers who participated in the project for developing Korean farmers' guidelines for work-related diseases and customized health management systems. We are also grateful to members of the National Institute of Agricultural Sciences, Rural Development Administration for their assistance in the research.

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