Lay-Based Morbidity Profiles of Sugar Cane Workers: Testing a New Method Using Free Lists
Epidemiological profiles are key elements in preventive medicine and public health planning activities. There are no standard methods to identify these profiles. We explored the epidemiological profile of sugar cane workers in the municipality of Ginebra (Valle del Cauca, Colombia) using free lists of municipal morbidity data. We administered an instrument to 30 sugar cane workers, 15 health care workers and 15 people from the general community in order to compare the health problems experienced by the community. Sugar cane workers reported their own health problems and health professionals and community members served as informants for health problems in the general community. Respiratory problems were part of the morbidity profile of all groups evaluated, flu was part of the profile of the general community, and other respiratory problems were part of the profile of sugar cane workers and health personnel. Musculoskeletal problems were predominant only for sugar cane workers, and we found differences between the health problems expressed by the community and those reported by health personnel. The free lists method constitutes a quick, efficient, and useful tool to develop an approximation of an epidemiological profile and is easily interpreted, especially when typical and previously described occupational diseases are considered together with diseases associated with occupational groups. Epidemiological profiles based on free lists are useful to identify new opportunities for prevention strategies.
KeywordsHealth profile Sugar cane worker Respiratory diseases Occupational health
Thank you to participants in the study for their collaboration during fieldwork.
Compliance With Ethical Standards
Conflicts of Interest
The authors declare that they have no conflict of interest.
All procedures performed in this study were in accordance with the Colombian ethical standards and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Abreu, D. E., Moraes, L. A., Nascimento, E. N., & Oliveira, R. A. (2011). A produção da cana-de-açúcar no Brasil e a saúde do trabalhador rural. Revista Brasileira de Medicina do Trabalho, 9, 49–61. http://hdl.handle.net/11449/72967.
- Biswas, G., Bhattacharya, A., & Bhattacharya, R. (2016). A review on the occupational health of sugar cane workers. International Journal of Biomedical Research,7, 568–570.Google Scholar
- Buechner, H. A., Prevatt, A. L., Thompson, J., & Blitz, O. (1958). Bagassosis; A review, with further historical data, studies of pulmonary function, and results of adrenal steroid therapy. American Journal of Medicine,25, 234–247. https://doi.org/10.1016/0002-9343(58)90030-5.CrossRefPubMedGoogle Scholar
- Ceccato, A. D. F., de Carvalho Junior, L. C. S., Cuissi, R. C., Monteschi, M., Oliveira, N. G., Padovani, C. R., et al. (2014). Absenteísmo por doença ocupacional de trabalhadores rurais no setor canavieiro. Cadernos de Saúde Pública,30, 2169–2176. https://doi.org/10.1590/0102-311x00026413.CrossRefPubMedGoogle Scholar
- Centers for Disease Control and Prevention and Health Resources and Services Administration. (2014). Integrated guidance for developing epidemiologic profiles: HIV prevention and Ryan White HIV/AIDS programs planning. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
- Fernández-Niño, J. A., Luna-Orozco, K., Navarro-Lechuga, E., Flórez-García, V., Acosta Reyes, J., Solano, A., et al. (2018). Necesidades percibidas de salud por los migrantes desde Venezuela en el asentamiento de Villa Caracas—Barranquilla, 2018: Reporte de caso en salud pública. Revista Universidad Industrial de Santander. Salud,50, 203–209. https://doi.org/10.12873/revsal.v50n3-2018002.CrossRefGoogle Scholar
- Figueroa-Muñoz Ledo, A. A., Márquez-Serrano, M., Idrovo, A. J., & Allen-Leigh, B. (2014). Individual and community effectiveness of a cervical cancer screening program for semi-urban Mexican women. Journal of Community Health,39, 423–431. https://doi.org/10.1007/s10900-013-9802-x.CrossRefPubMedGoogle Scholar
- Fusch, P. I., & Ness, L. R. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20, 1408–1416. http://www.nova.edu/ssss/QR/QR20/9/fusch1.pdf.
- Gascon, M., Kromhout, H., Heederik, D., Eduard, W., & van Wendel de Joode., B. (2012). Respiratory, allergy and eye problems in bagasse-exposed sugar cane workers in Costa Rica. Occupational and Environmental Medicine,69, 331–338. https://doi.org/10.1136/oemed-2011-100029.CrossRefPubMedGoogle Scholar
- Gordon, D. R., & Schnall, P. R. (2009). Beyond the individual: Connecting work environment and health. In P. R. Schnall, M. Dobson, & E. Rosskam (Eds.), Unhealthy work: Causes, consequences, cures (pp. 1–16). New York: Baywood Publishing Company.Google Scholar
- Idrovo, A. J., Albavera-Hernández, C., & Rodríguez-Hernández, J. M. (2011). Social epidemiology of a large outbreak of chickenpox in the Colombian sugar cane producer region: A set theory-based analysis. Cadernos de Saúde Pública,27, 1393–1402. https://doi.org/10.1590/S0102-311X2011000700014.CrossRefPubMedGoogle Scholar
- Romeo, L., Dalle Molle, K., Zanoni, G., Peretti, A., Marangi, G., Conrado, L. G., et al. (2009). Respiratory health effects and immunological response to Thermoactinomyces among sugar cane workers in Nicaragua. International Journal of Occupational and Environmental Health,15, 249–254. https://doi.org/10.1179/oeh.2009.15.3.249.CrossRefPubMedGoogle Scholar