DOI QR코드

DOI QR Code

Chronic Respiratory Symptoms and Associated Factors among Fruit and Vegetable Workers in Addis Ababa, Ethiopia: A Comparative Cross sectional Study

  • Mulualem Gete Feleke (Department of nursing, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University) ;
  • Yidnekachew Alemu (School of Public Health, College of Medicine and Health Sciences, Addis Ababa University) ;
  • Meaza Gezu Shentema (School of Public Health, College of Medicine and Health Sciences, Addis Ababa University) ;
  • Samson Wakuma (School of Public Health, College of Medicine and Health Sciences, Addis Ababa University) ;
  • Zerihun Emiru (Diseases Prevention and Control, Addis Ababa City Administration Health Bureau) ;
  • Tesfaye Yitna Chichiabellu (Department of nursing, School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University)
  • 투고 : 2022.10.19
  • 심사 : 2023.07.19
  • 발행 : 2023.09.30

초록

Background: Fruit and vegetable market is an abundant source of bioaerosols. Exposure to organic and inorganic waste and long-term inhalation of bioaerosols during working hours leads to chronic respiratory symptoms. Hence, this study aimed to determine the prevalence of chronic respiratory symptoms and related factors among fruit and vegetable workers compared with the control group in Addis Ababa, Ethiopia. Methods and materials: A comparative cross-sectional study was conducted from 2020 to 2021. Data were entered in EpiData 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 25. Logistic regressions were computed to depict the data and related factors. The culture method was done to count and compare bacterial and fungal concentrations between fruit and vegetable workers and office workers. Results: In this study, the prevalence of chronic respiratory symptoms (PR = 2.87, 95% confidence interval [CI]: 1.772-4.66) was significantly higher among fruit and vegetable workers (46.7%) than controls (23.4%). Sex (adjusted odds ratio [AOR] = 2.11, 95% CI = 1.12-3.98), educational status (AOR = 1.34, 95% CI = 0.78-2.32), working hours per day (AOR = 3.91, 95% CI = 1.586-9.65), and working department (AOR = 3.20, 95% CI = 0.90-11.40) were associated with chronic respiratory symptoms. Bacterial and fungal concentrations were significantly higher in the air of the vegetable market (276 colony-forming unit) than the air in the workplace of controls (7 colony-forming unit). Conclusion: The fruit and vegetable market workers (greengrocers) had a higher prevalence of chronic respiratory symptoms relative to office workers. Respiratory protective devices should be given to deliver preventive measures.

키워드

과제정보

We would like to offer our in-depth gratitude to the data collectors and participants. We also acknowledge Addis Ababa and Wolaita Sodo Universities for indirectly supporting the collection of data.

참고문헌

  1. International labor organization (ILO). Action towards prevention of occupational non-communicable diseases; 2011. Geneva S.
  2. Driscoll T, Nelson DI, Steenland K, Leigh J, Concha-Barrientos M, Fingerhut M, Pruss-ustun A. The global burden of non-malignant respiratory disease due to occupational airborne exposures. Am J Ind Med 2005 Dec;48(6):432-45. https://doi.org/10.1002/ajim.20210
  3. Global Status report on noncommunicable diseases 2014: attaining the nine global noncommunicable diseases targets. A Shared Responsibility 2015;15. https://reliefweb.int/report/world/global-status-report-noncommunicable-diseases-2014-attaining-nine-global.
  4. Jagzape A, Sawane M, Sawane A, Jagzape T. Impact of bioaerosol exposure on respiratory status of vegetable market workers in Nagpur, India. J Datta Meghe Inst Med Sci Univ 2013;8(3):158-63.
  5. Dosman J, Graham B, Hall D, Van Loon P, Bhasin P, Froh F. Respiratory symptoms and pulmonary function in farmers. J Occup Med 1987 Jan;29(1):38-43.
  6. Awad AHA, Elmorsy TH, Tarwater PM, Green CF, Gibbs SG. Air biocontamination in a variety of agricultural industry environments in Egypt: a pilot study. Aerobiologia 2010;26(3):223-32. https://doi.org/10.1007/s10453-010-9158-y
  7. Stetzenbach LD, Buttner MP, Cruz P. Detection and enumeration of airborne biocontaminants. Curr Opin Biotechnol 2004 Jun;15(3):170-4. https://doi.org/10.1016/j.copbio.2004.04.009
  8. Pathak A, Verma K. Aero-bacteriological study of vegetables market at Jabalpur; 2009.
  9. Goel A, Omar BJ, Kathrotia R, Patil PM, Mittal S. Effect of organic dust exposure on pulmonary functions in workers of vegetable market with special reference to its microbial content. Indian J Occup Environ Med 2018;22(1):45.
  10. Ghosh T, Gangopadhyay S, Das B. Prevalence of respiratory symptoms and disorders among rice mill workers in India. Environ Health Prev Med 2014 May;19(3):226-33. https://doi.org/10.1007/s12199-014-0384-8
  11. Tennant SK, Szuster FSP. Nationwide monitoring and surveillance question development: asthma. Public Health Information Development Unit, the University of Adelaide; 2003.
  12. Heibati B, Jaakkola MS, Lajunen TK, Ducatman A, Zafari Z, Yekkalam M, Karimi A, Jaakkola JJ. Occurrence of respiratory symptoms and lung function deficits among fruit and vegetable market workers. Occup Environ Med 2021 Apr;78(4):262-8. https://doi.org/10.1136/oemed-2020-106829
  13. Georgakopoulos DG, Despres V, Frohlich-Nowoisky J, Psenner R, Ariya PA, Posfai M, Ahern HE, Moffett BF, Hill TC. Microbiology and atmospheric processes: biological, physical and chemical characterization of aerosol particles. Biogeosciences 2009 Apr 30;6(4):721-37. https://doi.org/10.5194/bg-6-721-2009
  14. Gizaw Z, Yifred B, Tadesse T. Chronic respiratory symptoms and associated factors among cement factory workers in Dejen town, Amhara regional state, Ethiopia. Multidiscip Respir Med 2015;11:13. 2016 Mar 1.
  15. Chaiear N, Ngoencharee J, Saejiw N. Respiratory symptoms and pulmonary function amongWorkers in a rubber wood Sawmill factory in Thailand. Am J Public Health Res 2018;6(2):65-71.
  16. Falagas ME, Mourtzoukou EG, Vardakas KZ. Sex differences in the incidence and severity of respiratory tract infections. Respir Med 2007 Sep;101(9):1845-63. https://doi.org/10.1016/j.rmed.2007.04.011
  17. Asfaw S, Enquselassie F, Tefera Y, Gizaw M, Wakuma S, Woldemariam M. Determinants of chronic respiratory symptoms among pharmaceutical factory workers. J Trop Med 2018 Jan 31;2018:3815689.
  18. Daba Wami S, Chercos DH, Dessie A, Gizaw Z, Getachew A, Hambisa T, Guadu T, Getachew D, Destaw B. Cotton dust exposure and self-reported respiratory symptoms among textile factory workers in Northwest Ethiopia: a comparative cross-sectional study. J Occup Med Toxicol 2018 Apr 3;13:13.
  19. Gholami A, Sajedifar J, Tatari M, Teimori G, Tazeroudi A, Abbaspour S. Respiratory and pulmonary function problems among flour mills workers in east of Iran. Asian J Pharmaceutics 2018;12:S779-85.
  20. Ah Ajeel N, K Al-Yassen A. Work-related allergic disorders among flour mill workers. Med J Basrah Univ 2007;25(1):29-32. https://doi.org/10.33762/mjbu.2007.48127
  21. Verma KS, Pathak AK. Assessment of air-borne bacteria of urban grain-market area. Asian J Exp Sci 2008;22(3):245-54.