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Chronic low back pain among tobacco farmers in southern Brazil
Open accessAbstract
BACKGROUND: Despite tobacco farming involving intensive manual labor, chronic low back pain (CLBP) prevalence and associated factors are unknown among this occupational group. METHODS: This was a cross-sectional study conducted in southern Brazil. A random sample of tobacco farmers was interviewed. Socioeconomic and individual characteristics, occupational tasks, workloads, and comorbidities were investigated. Chronic low back pain prevalence was described in relation to independent variables, and associations were examined with Poisson regression. RESULTS: Chronic low back pain prevalence was 8·4%. Increasing age, rearing two or more species of livestock (PR 1·65), exposure to tasks that require heavy physical exertion (PR 2·00), working in awkward postures (PR 1·36), green tobacco sickness (GTS) (PR 1·63), pesticide poisoning (PR 2·37), and minor psychiatric disorders (PR 2·55) were associated with CLBP. CONCLUSIONS: This study found that CLBP is a relevant health problem among tobacco farmers and highlights understudied risk factors such as pesticide poisoning and GTS. Policies to minimize exposure to physiological and chemical workloads in tobacco planting to prevent CLBP are needed. Health professionals should be trained to diagnose and prevent acute low back pain episodes and thus prevent/minimize limitations and disabilities due to CLBP.
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“Most of these risk factors comprise, for example, financial pressures, high administrative workload, long working hours, high stress levels, part-time jobs off the farm, health problems and preceding work accidents.22–25”
From Clinical and cost-effectiveness of a guided internet-based Acceptance and Commitment Therapy to improve chronic pain-related disability in green professions (PACT-A): Study protocol of a pragmatic randomised controlled trial (2020) · cites this paper as [23]
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“In addition, they are exposed to risk factors for chronic pain, pain severity and mental disorders (eg, major depressive disorder (MDD)).”
From Clinical and cost-effectiveness of a guided internet-based Acceptance and Commitment Therapy to improve chronic pain-related disability in green professions (PACT-A): Study protocol of a pragmatic randomised controlled trial (2020) · cites this paper as [23]
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Cited by
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Agrotóxicos e seus impactos na saúde humana e ambiental: uma revisão sistemática
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A Review on Ergonomics in Agriculture. Part I: Manual Operations
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A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa
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Metadata
- Authors
- Meucci, R. D., Fassa, A. G., Faria, N. M. X., & Fiori, N. S.
- Affiliations
- Universidade Federal de Pelotas (BR)
- Corresponding author
- Meucci, Rodrigo D.
- Venue
- International Journal of Occupational and Environmental Health
- Publisher
- Informa UK Limited
- Published
- 2015-01
- Volume
- 21
- Issue
- 1
- Pages
- 66-73
- ISSN
- 1077-3525 (ISSN-L)
- 2049-3967
- PMC
- PMC4273522
- OpenAlex
- W2019351040
- Cited by
- 46
- References
- 36
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 2 · 2016: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Occupational and Environmental Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Safety in Workplaces
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Agriculture and Farm Safety
- Keywords
- chronic low back pain, tobacco farmers, occupational health, green tobacco sickness, pesticide poisoning, awkward postures, physical exertion, animal husbandry, mental illness, risk factors, southern Brazil
- MeSH terms
- Farmers, Adult, Aged, Agricultural Workers' Diseases, Brazil, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Risk Factors, Nicotiana, Prevalence, Low Back Pain, Young Adult, Chronic Pain
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