Original Article

Cardiovascular Disease Risk Factors among Migrant Seasonal Agricultural Workers: Comparison with Local Residents

Abstract

Background: Seasonal agricultural workers group is one of the most disadvantageous groups of working life in Turkey same as many other countries. We aimed to determine the status of cardiovascular disease risk factors among migrant seasonal agricultural workers (MSAW) and to compare obtained data with local residents.

Methods: This study cross-sectional study was conducted among MSAW in Eskisehir, Turkey and closest town residents in 2015 during agricultural season. These 455 MSAW were living in camps composed of 20 or more tents. Local residents sample composed of 532 local residents were reached at their houses by using random sampling method with data acquired from health organization records. Both groups were subjected to same questionnaire.

Results: The prevalence of overweight/obesity among MSAW women was 40.5%, hypertension 19.9%, diabetes 4.9% and hypercholesterolemia 6.5%. These prevalences were 68.0%, 38.6%, 13.9% and 20.8% respectively among local residents. The prevalence of smoking risk among local residents was 1.5 times more than MSAW. In addition, the prevalence of overweight/obese risk was 4 times more; hypertension risk 1.8 times more, diabetes risk 3.8 times more and hypercholesterolemia risk 2.7 times more among local residents than MSAW (P<0.05).

Conclusion: The prevalence of cardiovascular disease risk factors of MSAW was lower than local residents in the study groups. Even though health risks that MSAW faced were more linked with environment and life conditions, cardiovascular disease risk factors should not be ignored. Health services should be guided by considering obstacles that MSAW experienced in accessing health services.

1. Weathers AC, Garrison HG (2004). Chil-dren of migratory agricultural workers: the ecological context of acute care for a mobile population of immigrant children. Clin Pediatr Emerg Med, 5(2): 120-9.
2. Özbekmezci Ş, Sahil S (2004). Analysis of seasonal agricultural workers social, eco-nomic and housing problems. J Fac Eng Arch Gazi Univ, 19(3): 261-74.
3. Hurst P, Termine P, Karl M (2007). Agricul-tural workers and their contribution to sustaina-ble agriculture and rural development. 1st ed. ILO Publications. Geneva.
4. National Center for Farmworker Health. Farmworker Health Worksheet. http://www.ncfh.org/fact-sheets--research.html. Accessed June 22, 2019
5. Turkish Statistical Institute [Internet] Season-ally Adjusted Main Labor Force İndica-tors (2016). https://turkstatweb.tuik.gov.tr/Start.do
6. Selek Öz C, Bulut E (2013). The status of seasonal agrıcultural workers in Turkish Legislation. ÇSGB Labour World, 1(1): 94-111.
7. Villarejo D (2003). The health of U.S. hired farm workers. Annu Rev Public Health, 24: 175-93.
8. Quandt SA, Arcury TA, Rao P, et al (2004). Agricultural and residential pesticides in wipe samples from farmworker family residences in North Carolina and Virgin-ia. Environ Health Perspect, 112(3): 382-7.
9. Arcury TA, Quandt SA (2007). Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health, 28: 345-63.
10. Hansen E, Donohoe M (2003). Health is-sues of migrant and seasonal farmwork-ers. J Health Care Poor Underserved, 14(2):153-64.
11. Simsek Z, Koruk İ, Doni NY (2012). An operational study on implementation of mobile primary healthcare services for seasonal migratory farmworkers, Turkey. Matern Child Health J, 16(9): 1906-12.
12. UNICEF, World Health Organization (2012). Progress on Drinking-Water And Sanitation–2012. http://www.who.int/water_sanitation_health/monitoring/jmp2012/en/
13. Rautiainen RH, Reynolds SJ (2002). Mortality and morbidity in agriculture in the United States. J Agric Saf Health, 8(3): 259-76.
14. Donham KJ, Thelin A (2006). Agricultural medicine: occupational and environmental health for the health professions. 1st ed. Blackwell Publishing. Iowa.
15. Emmi KE, Jurkowski JM, Codru N, et al (2010). Assessing the health of migrant and seasonal farmworkers in New York State: Statewide Data 2003–2005. J Health Care Poor Underserved, 21(2): 448–63.
16. Rajjo T, Mohammed K, Rho J, et al (2018). On-the-farm cardiovascular risk screen-ing among migrant agricultural workers in Southeast Minnesota: a pilot prospective study. BMJ Open, 8(7):e019547.
17. Turkish Statistical Institute. Adrese Dayalı Nüfus Kayıt Sistemi. Avaible from: https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr.
18. Kalkınma Atölyesi (2014). Mevsimlik Gezici Tarım İşlerinde Çocuk İşçiliğiyle Yerel Düzeyde Mücadele Eskişehir İlinde Bitkisel Üretimde Çalişan Çocuklar 2014. http://humanistburo.org/dosyalar/humdosya/Eskisehir%20Ilinde%20Bitkisel%20Uretimde%20Calisan%20Cocuklar.pdf
19. Castañeda SF, Rosenbaum RP, Holscher JT, et al (2015). Cardiovascular disease risk factors among Latino migrant and sea-sonal farmworkers. J Agromedicine, 20(2): 95-104.
20. World Health Organization (2017). Cardio-vascular Diseases. http://www.who.int/mediacentre/factsheets/fs317/en/
21. Centers for Disease Control and Prevention (2015). Heart Disease Behaviour. https://www.cdc.gov/heartdisease/behavior.htm
22. Centers for Disease Control and Prevention (2017). Defining Adult Overweight and Obesity. https://www.cdc.gov/obesity/adult/defining.html
23. Ünal B, Ergör G, Horasan GD, et al (2013). Chronic diseases and risk factors survey in Tur-key. 1st ed. Republic of Turkey Ministry of Health, Publication No:909. Ankara.
24. Kaya M, Özgülnar N (2015). Qualitative overview of living conditions and health status of seasonal (mobile/temporary) agricultural workers in two housing units. Turk J Public Health, 13(2): 115-26.
25. Simsek Z, Ersin F, Kirmizitoprak E (2016). Development of the seasonal migrant ag-ricultural worker stress scale in Sanliurfa, Southeast Turkey. J Agromedicine, 21(1): 56-60.
26. Earle-Richardson GB, Brower MA, Jones AM, et al (2008). Estimating the occupa-tional morbidity for migrant and seasonal farmworkers in New York State: a com-parison of two methods. Ann Epidemiol, 18(1): 1-7.
27. Metintas S, Arikan İ, Kalyoncu C (2009). Awareness of hypertension and other cardiovascular risk factors in rural and urban areas in Turkey. Trans R Soc Trop Med Hyg, 103(8): 812-8.
28. Quandt SA, Arcury TA, Early J, et al (2004). Household food security among Latino farmworkers in North Carolina. Public Health Rep, 119(6):568-76.
29. Emiral GO, Onsuz MF, Metıntas S (2017). Evaluation of validity-reliability of Turkish version of the household food security survey short form. J Clin Anal Med, 8(Suppl 4): 284-8.
30. Öztaş D, Kurt B, Koç A, et al (2018). Living conditions, access to healthcare services, and occupational health and safety condi-tions of migrant seasonal agricultural workers in the Çukurova. J Agromedicine, 23(3):262-9.
31. Oommen AM, Abraham VJ, George K, et al (2016). Prevalence of risk factors for non-communicable diseases in rural &urban Tamil Nadu. Indian J Med Res, 144(3): 460-71.
32. Tareen MF, Shafique K, Mirza SS, et al (2011). Location of residence or social class, which is the stronger determinant associated with cardiovascular risk factors among Pakistani population? A cross sectional study. Rural Remote Health, 11(3): 1700.
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IssueVol 50 No 4 (2021) QRcode
SectionOriginal Article(s)
Published2021-04-05
DOI https://doi.org/10.18502/ijph.v50i4.5999
Keywords
Migrant Agriculture Cardiovascular disease Turkey

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How to Cite
1.
Ozturk Emiral G, Onsuz MF, Ozay O, İsikli B, Metintas S. Cardiovascular Disease Risk Factors among Migrant Seasonal Agricultural Workers: Comparison with Local Residents. Iran J Public Health. 50(4):747-755.