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Potential Effects on Mental Health Status Associated with Occupational Exposure to Pesticides among Thai Farmers

Parichat Ong-Artborirak (), Waraporn Boonchieng, Yuwayong Juntarawijit and Chudchawal Juntarawijit
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Parichat Ong-Artborirak: Faculty of Public Health, Chiang Mai University, Chiang Mai 50200, Thailand
Waraporn Boonchieng: Faculty of Public Health, Chiang Mai University, Chiang Mai 50200, Thailand
Yuwayong Juntarawijit: Faculty of Nursing, Naresuan University, Phitsanulok 65000, Thailand
Chudchawal Juntarawijit: Faculty of Agriculture Natural Resources and Environment, Naresuan University, Phitsanulok 65000, Thailand

IJERPH, 2022, vol. 19, issue 15, 1-15

Abstract: Pesticide-related mental health issues in Thailand, an upper-middle-income country, are not well known. This study aimed to investigate the association between the history of occupational exposure to pesticides and the mental health of Thai farmers. A cross-sectional study was carried out in the areas around Chiang Mai, a large city in Northern Thailand, between June 2020 and January 2021. A total of 6974 farmers from six districts were interviewed to determine whether they regularly experienced symptoms related to mental health by the Self-Reporting Questionnaire (SRQ-20) as well as their lifetime history of agricultural pesticide exposure from 31 active ingredients and five functional categories: insecticides, herbicides, fungicides, rodenticides, and molluscicides. The cut-off of 6 was used to evaluate probable mental disorder. Most of the farmers under investigation were men (53.8%), with a mean age of 55.2 (11.7) years, and were involved mainly in the planting of rice, fruit, and vegetables. About 86.7% reported having used pesticides on their crops at some point in their lives—mostly glyphosate, paraquat, 2,4-D, methomyl, and carbofuran. All functional groups, as well as pesticide classes like organochlorines, organophosphates, and carbamates, were significantly associated with a higher risk of probable mental disorder based on exposure duration, frequency, personal protective equipment usage, and hygienic behavior. In a model with multiple pesticides, there was an association between mental disorder and exposure to endosulfan (AOR = 2.27, 95%CI = 1.26–4.08) and methyl parathion (AOR = 2.26, 95%CI = 1.26–4.06). Having previously reported pesticide poisoning symptoms was related to mental disorder (AOR = 7.97, 95%CI = 5.16–12.31), the findings provided evidence of pesticide exposure posing a risk to farmers’ mental health, particularly long-term and high-intensity exposure.

Keywords: pesticide; farmer; symptom; mental health; psychiatric disorder (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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