背景:尽管农药在粮食安全和预防媒介传播疾病的公共卫生方面发挥着不可或缺的作用,不适当的处理和持续使用限制性有机氯农药会造成短期和长期的不利影响,并成为非洲地区的公共卫生问题。本研究旨在确定防护设备使用的综合水平,空农药容器的管理,以及非洲地区残留的农药残留。
方法:本研究采用系统评价的首选报告项目和荟萃分析方案。Scopus,PubMed,WebofScience,谷歌学者,DOAJ,和国家存储库数据库搜索了2023年11月12日至2024年1月2日之间发表的文章。使用森林地块可视化荟萃分析数据。当混合研究中存在异质性时,应用随机效应模型。根据进行研究的地点和发表年份对数据进行亚组分析。进行荟萃回归和敏感性分析以评估研究合并患病率的稳健性。使用漏斗图评估出版偏倚。作者使用JoannaBriggs研究所关键评估工具来确定研究的质量。
结果:在这篇综述中,从包含的电子数据库中确定了2174篇文章,其中24例纳入本研究。研究表明,戴口罩的平均患病率,手套,靴子/安全鞋,整体磨损,头套占18%(95%CI:11.9%至26.1%,p<0.001),18%(95%CI:11.7至26.9%,p<0.001),23%(95%CI:15.7至33.3%,p<0.001),26%(95%CI:16.2至38.7%,p<0.001),和14%(95%CI:8.90至22.0%,p<0.001),分别。存放在客厅和不同用途的农药容器中的农药流行率分别为51%和26%,分别。
结论:发现了不良的农药安全实践。相当比例的受访者表示在客厅储存农药残留,和重复使用农药空容器。区域机构应领导设计安全策略,以减少农药暴露的公共卫生风险。
BACKGROUND: Although pesticides play an integral role in food security and preventing public health from vector-borne diseases, inappropriate handling and continual use of restricted organochlorine pesticides pose short- and long-term adverse effects and become public health concerns in the African region. This study aimed to determine the combined level of protective equipment use, management of empty pesticide containers, and leftover pesticide residues in the African region.
METHODS: The preferred reporting items for systematic reviews and the meta-analysis protocol were used to carry out this study. The Scopus, PubMed, Web of Science, Google Scholar, DOAJ, and National Repository databases were searched for articles published between November 12, 2023, and January 2, 2024. The meta-analysis data were visualized using a forest plot. A random-effects model was applied when heterogeneity existed in pooled studies. Subgroup analysis of the data was performed based on the location where the study was conducted and the publication year. Meta-regression and sensitivity analysis were performed to evaluate the robustness of the pooled prevalence of studies. Publication bias was assessed using a funnel plot. The authors used the Joanna Briggs Institute Critical Assessment tool to determine the quality of the studies.
RESULTS: In this
review, 2174 articles were identified from the included electronic databases, 24 of which were included in the present study. The study revealed that the combined mean prevalence of wearing a mask, glove, boot/safety shoes, overall wear, and head cover accounted for 18% (95% CI: 11.9 to 26.1%, p < 0.001), 18% (95% CI: 11.7 to 26.9%, p < 0.001), 23% (95% CI: 15.7 to 33.3%, p < 0.001), 26% (95% CI: 16.2 to 38.7%, p < 0.001), and 14% (95% CI: 8.90 to 22.0%, p < 0.001), respectively. The prevalence of pesticides stored in the living room and pesticide containers used for different purposes was 51% and 26%, respectively.
CONCLUSIONS: Poor pesticide safety practices were identified. A substantial proportion of the respondents reported storing pesticide residues in their living rooms, and the reuse of pesticide empty containers. Regional institutions should lead the designing of safety strategies to reduce the public health risks of pesticide exposure.