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RESUMO O presente estudo teve por objetivo analisar a exposição aos agrotóxicos e os danos à saúde dos trabalhadores das plantações de cana-de-açúcar em Pernambuco. Trata-se de pesquisa participante desenvolvida em territórios rurais de cinco municípios com forte expressão em área plantada de cana-de-açúcar. Os dados primários foram produzidos em oficinas com trabalhadores rurais para construção de diagnóstico rural participativo, analisados mediante condensação de significados e interpretados à luz do referencial teórico da epidemiologia crítico latino-americana. Os resultados estão apresentados em três seções: i) Fluxograma do trabalho nas plantações de cana-de-açúcar; ii) Exposição aos agrotóxicos utilizados nas lavouras; iii) Danos à saúde do trabalhador. Conclui-se que a exposição permanente aos agrotóxicos envolve o trabalho nas plantações de cana-de-açúcar e emerge de um construto histórico e socioambiental, em que se encontram subsumidos os modos de vida dos territórios sob o domínio do agronegócio canavieiro. Recomendam-se políticas públicas de fomento à agricultura familiar com diversificação, escoamento e distribuição da produção agroecológica, além do fortalecimento da Atenção Primária à Saúde e de ações integradas de vigilância epidemiológica, sanitária, ambiental e do trabalhador.

ABSTRACT This study aims to analyze exposure to pesticides and harm to the health of workers on sugarcane plantations in Pernambuco. This participatory research was conducted in rural territories of five municipalities with a strong presence in sugarcane-planted areas. The primary data were produced in workshops with rural workers to construct a participatory rural diagnosis, analyzed through condensation of meanings, and interpreted in light of the theoretical framework of Latin American critical epidemiology. The results are presented in three sections: i) Flowchart of work on sugarcane plantations; ii) Exposure to pesticides used on crops; iii) Harm to worker's health. We conclude that permanent exposure to pesticides involves working on sugarcane plantations and emerges from a historical and socio-environmental construct in which the ways of life of the territories under the control of sugarcane agribusiness are subsumed. Public policies are recommended to promote family farming with diversification, flow, distribution of agroecological production, and strengthening primary health care and integrated epidemiological, health, environmental, and worker surveillance actions.

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OBJECTIVES: The "decision" to go to work, or remain absent, when unwell undermines worker energy. I is therefore understandable that low work performance is one of the main consequences of the act of presenteeism. This study evaluated the association between presenteeism, and absolute and relative work performance among fruit farm workers in Northeast Brazil. METHODS: A cross-sectional study investigated 340 paid employees of both sexes, aged 18 years or over, who worked during the 2019 irrigated fruit harvest in the municipality of Petrolina, Northeast Brazil. Absolute and relative work performance were measured using the Health and Work Performance Questionnaire. Workers who answered "one or more days" to the question "How many days have you worked this season when you were injured or unwell?" were considered presenteeists. Poisson regression with robust variance models was used to estimate the prevalence ratios of the main associations, adjusted for potential confounders. RESULTS: Presenteeist workers presented lower absolute and relative work performance than non-presenteeist workers according to the strata for most of the investigated factors. The associations between presenteeism, and absolute (adjusted prevalence ratio = 1.31) and relative work performance (adjusted prevalence ratio = 1.45) remained strong, even after multiple adjustments for other relevant variables. CONCLUSION: Presenteeist fruit culture workers self-assessed their work performance as lower than non-presenteeist ones.

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The use of pesticide use has been linked to the higher production of reactive oxygen species, resulting in oxidative stress, which in turn can cause genomic instability. A marker for instability is the copy number variation of the mitochondrial genome (mtDNAcn), which has been found to be altered in diverse human diseases, including tumors. This research aimed to examine the variation of mtDNAcn in individuals occupationally exposed to pesticides. Real-time PCR assays were conducted on 154 individuals (78 exposed and 76 non-exposed). Pesticide-exposed ndividuals exhibited a significant reduction in mtDNAcn (1.11 ± 0.37mtDNAcn/genome) compared to non-exposed individuals (1.30 ± 0.33mtDNAcn/genome; p = 0.001). The multivariate analysis indicated that individuals who reported using haloxyfop and copper sulfate demonstrated an increase (ß = 0.200, p = 0.053) and a decrease (ß=-0.2, p = 0.021), respectively, in mtDNAcn. In conclusion, our findings suggest that chronic exposure to pesticides results in changes in mtDNAcn.

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Since the 2000s, a growing number of studies have been conducted that evaluate rural working conditions in sugarcane plantations. However, there is a need to organize their findings and compile the measures they suggest to protect workers' health. The objective of this review was to map scientific publications on rural work at sugarcane plantations and its influence on the health of the industry's workers. The methodological approach adopted was a scoping review, performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Literature searches were conducted in December 2019 using the Cochrane, Web of Science, PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Biblioteca Virtual em Saúde databases. The inclusion criteria were original or review studies that answer the research question, with full text available in English, Portuguese, or Spanish, using qualitative or quantitative approaches. Articles were excluded if they did not answer the primary question, if they were duplicates, opinion pieces, theoretical reflections, books, guidelines, theses, or dissertations. A total of 193 studies were identified, 12 of which met the eligibility criteria. These studies showed that sugarcane workers are exposed to thermal, chemical, biological, physiological, mechanical, and emotional risks. The main health problems observed were respiratory, circulatory, renal, and musculoskeletal problems, genotoxic agents, and work-related accidents. It was therefore possible to conclude that the sugarcane work environment can impact workers' health and disease processes.

Desde os anos 2000, é crescente o número de estudos que avaliam as condições de trabalho rural da cultura da cana-de-açúcar. Contudo, falta ordenação dos achados e das medidas sugeridas para preservar a saúde dos trabalhadores. Objetivou-se mapear a produção científica sobre o trabalho rural nas culturas de cana-de-açúcar e suas influências sobre a saúde dos trabalhadores da área. Como instrumento metodológico, optou-se pela revisão de escopo, norteada pela checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. O levantamento bibliográfico foi realizado em dezembro de 2019, nas bases de dados Cochrane, Web of Science, PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL) e Biblioteca Virtual em Saúde. Como critérios de inclusão, os estudos deveriam responder à questão norteadora desta pesquisa, estar disponíveis na íntegra em inglês, português ou espanhol, de abordagem qualitativa ou quantitativa, estudos primários e revisões. Excluíram-se artigos que não responderam ao questionamento principal, que estavam em duplicidade nas bases de dados, artigos de opinião, reflexão teórica, livros, diretrizes, teses e dissertações. Foram encontrados 193 estudos; destes, 12 atenderam aos critérios de elegibilidade e mostraram que os trabalhadores são expostos a riscos térmicos, químicos, biológicos, fisiológicos, mecânicos e emocionais. Os principais agravos à saúde observados foram problemas respiratórios, circulatórios, renais, osteomusculares, genotóxicos e acidentes de trabalho. Portanto, foi possível concluir que o ambiente ocupacional do setor da cana-de-açúcar pode influenciar o processo de saúde e doença dos trabalhadores.

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BACKGROUND: Self-rated health status can be considered a good predictor of morbidity and mortality and has been used due to its easy assessment and applicability. The instrument is efficient for understanding sociodemographic, environmental and clinical conditions that may be related to the self-rated health status. Thus, this study aims to analyze the self-assessment of health status in rural workers and its association with socioeconomic characteristics, lifestyle, clinical condition and work characteristics. METHODS: This is a cross-sectional study carried out with 787 male and female rural reporting agriculture as their main source of income in the municipality of Santa Maria de Jetibá. A simple and direct question was used "In general, compared to people your age, how do you rate your own state of health?" to see how rural workers rate their current health status. The independent variables analyzed were socioeconomic, clinical, health and work conditions. The magnitude of the associations was evaluated by means of hierarchical logistic regression. RESULTS: It was found that 42.1% of rural workers self-rated their health status as regular or poor. Belonging to socioeconomic classes C (OR = 1.937; 95% CI = 1.009-3.720) or D/E (OR = 2.280; 95% CI = 1.178-4.415), being overweight (or having excess weight) (OR = 1.477; 95% CI = 1.086-2.008), multimorbidity (OR = 1.715; 95% CI = 1.201-2.447) and complex multimorbidity (OR = 1.738; 95% CI = 1.097-2.751) were risk factors for worse self-rated health. CONCLUSION: It was concluded that chronic diseases, socioeconomic status and overweight are risk factors for negative self-rated health. The identification of these determinants through self-rated status can support the planning of actions aimed at improving the health of the rural population. TRIAL REGISTRATION: This study was approved by the Research Ethics Committee of the Health Sciences Center of the Federal University of Espírito Santo (Protocol No. 2091172; CAAE No. 52839116.3.0000.5060). All research participants gave their informed consent.

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In Brazil, high levels of agricultural activity are reflected in the consumption of enormous amounts of pesticides. The production of grain in Brazil has been estimated at 289.8 million tons in the 2022 harvest, an expansion of 14.7% compared with 2021. These advances are likely associated with a progressive increase in the occupational exposure of a population to pesticides. The Paraoxonase 1 gene (PON1) is involved in liver detoxification; the rs662 variant of this gene modifies the activity of the enzyme. The repair of pesticide-induced genetic damage depends on the protein produced by the X-Ray Repair Cross-Complementing Group 1 gene (XRCC). Its function is impaired due to an rs25487 variant. The present study describes the frequencies of the rs662 and rs25487 and their haplotypes in a sample population from Goiás, Brazil. It compares the frequencies with other populations worldwide to verify the variation in the distribution of these SNPs, with 494 unrelated individuals in the state of Goiás. The A allele of the rs25487 variant had a frequency of 26% in the Goiás population, and the modified rs662 G allele had a frequency of 42.8%. Four haplotypes were recorded for the rs25487 (G > A) and rs662 (A > G) markers, with a frequency of 11.9% being recorded for the A-G haplotype (both modified alleles), 30.8% for the G-G haplotype, 14.3% for the A-A haplotype, and 42.8% for the G-A haplotype (both wild-type alleles). We demonstrated the distribution of important SNPs associated with pesticide exposure in an area with a high agricultural activity level, Central Brazil.

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BACKGROUND: Fruitculture workers are exposed to shoulder pain disorders due to long working times in overhead activities. OBJECTIVE: This study aims to analyze the association between the time of physical work and leisure activities over the perception of shoulder pain intensity in fruit growing workers. METHODS: This is a descriptive and correlational cross-sectional study. The sample consisted of 180 fruit-growing workers. Multivariable logistic regression was used, with an estimate of the Odds Ratio (OR) and 95% confidence intervals. The dependent variable: Numeric Pain Rating Scale (NPRS) (0-10 points), was categorized as low and high, with cutoff points of NPRS > 3 and NPRS > 4, and was associated with the independent variables (level of physical activity, personal, labour and psychosocial). RESULTS: Workers which are insufficiently active in leisure time are more likely to report high-intensity shoulder pain, NPRS > 3 (OR: 2.39; p = 0.049) and NPRS > 4 (OR: 2.85; p = 0.036). In addition, working time in overhead activities is a risk factor for high-intensity pain for NPRS > 3 and NPRS > 4 (OR = 1.01; p < 0.001). Underweight and normal-weight workers were less likely to report shoulder pain in NPRS > 3 (OR = 0.35; p = 0.020) and in NPRS > 4 (OR = 0.20; p = 0.001). CONCLUSION: Fruit-growing workers had a high prevalence of severe shoulder pain. In addition, workers who are insufficiently active at leisure, overweight and obese are more likely to report severe pain. It was observed that overhead tasks increase the chances of reporting high-intensity shoulder pain among workers.

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RESUMO As mudanças na força de trabalho rural mundial ocorreram, a partir de 1980, sobretudo, com o aumento da participação feminina no trabalho assalariado. Foi realizada uma revisão integrativa da literatura publicada entre os anos de 2010 a 2020 a respeito das condições de trabalho e saúde de trabalhadoras rurais. As bases de dados consultadas foram BVS, SciELO e PubMed, e 43 estudos, 11 nacionais e 32 internacionais, foram analisados. Os resultados apontam uma diversidade de atividades de trabalho exercidas por mulheres rurais, de forma assalariada, autônoma e em cooperativas, bem como atividades não remuneradas. As condições de trabalho em empregos assalariados, em geral, são precarizadas, com contratos temporários, baixos salários e longas jornadas de trabalho. No trabalho autônomo e em cooperativas, os estudos relatam maior controle das atividades, autonomia financeira e maior satisfação das trabalhadoras. Destacou-se, em todas as formas de trabalho, a divisão sexual e a sobrecarga de trabalho com o acréscimo às atividades produtivas, das atividades reprodutivas não remuneradas, serviço doméstico e de cuidado. Distúrbios osteomusculares, sofrimentos e adoecimentos mentais, alta exposição e intoxicações por agrotóxicos e a violência no ambiente de trabalho e doméstico foram identificados como preponderantes nas relações saúde-trabalho vivenciadas por essas trabalhadoras rurais.

ABSTRACT Changes in the global rural workforce took place from 1980 onwards, above all, with the increase in female participation in salaried work. An integrative review of the literature on the working and health conditions of rural women workers, published from 2010 to 2020, was carried out. The databases consulted were BVS, SciELO and PubMed, and 43 studies, 11 national and 32 internationals, were analyzed. The results point to a diversity of work activities performed by rural women, in a salaried, autonomous and cooperative way, as well as unpaid activities. Working conditions in salaried jobs are generally precarious, with temporary contracts, low wages and long working hours. In autonomous work and in cooperatives, studies report greater control of activities, financial autonomy and greater satisfaction of workers. Stood out in all forms of work, the sexual division of labor and the work overload with the addition of productive activities, unpaid reproductive activities, housework and care work. Musculoskeletal disorders, suffering and mental illness, high exposure and poisoning to pesticides and violence in the work and domestic environment were identified as preponderant in the health-work relationships experienced by these rural women workers.

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ABSTRACT: This study evaluated the level of occupational noise emitted by automotive harvesters during coffee harvest. For the evaluations, three self-propelled harvesters were used: Case-IH® model Coffee Express 200, with cabin; Korvan® model 9200, without cabin; and Oxbo® model 9220, with cabin. Data were collected using a noise dosimeter model DOS-700. Noise levels were assessed for the operator and assistant of each harvester. Five repetitions were performed for the operator and assistant, with each repetition consisting of 2 h of evaluation. Results obtained were compared with the action level and exposure limit of the Regulatory Norms (NR) 15 and Occupational Hygiene Norms (NHO) 01. The action levels of the NHO 01 (82 dB) and NR 15 (80 dB) regulations were exceeded for the operator and assistant in the three evaluated harvesters. Regarding the exposure limit (85 dB), the level was exceeded for the operator of the Korvan® and Case-IH® harvesters in accordance with NHO 01. In the NR 15 regulation, the exposure limit was > 85 dB for the operator of the Korvan® harvester. For the assistant, all harvesters emitted noise levels > 85 dB based on both the NHO 01 and NR 15 regulations.

RESUMO: O uso da mecanização na cafeicultura tem se mostrado de suma importância na colheita do cafeeiro, reduzindo custo e tempo desta operação. Entretanto, a intensificação da colheita mecanizada, sem o controle dos riscos ocupacionais tem exposto trabalhadores aos níveis elevados de ruído ocupacional capazes de comprometer sua saúde auditiva. O objetivo do trabalho foi avaliar o nível de ruído ocupacional emitido por colhedoras automotrizes na colheita do cafeeiro, bem como os limites de exposição e nível de ação do operador e auxiliar. Para as avaliações foram utilizadas três colhedoras automotrizes: Case-IH® modelo COFFE EXPESS 200, com cabine; OXBO® modelo 9220, com cabine; KORVAN® modelo 9200, sem cabine. A coleta dos dados foi realizada utilizando dosímetro de ruído modelo DOS-700. Foi avaliado o nível de exposição ao ruído do operador e auxiliar das colhedoras. Foram realizadas cinco repetições, sendo cada repetição formada por duas horas de avaliações. Os dados obtidos foram comparados com o nível de ação e limite de exposição das normativas NHO 01 e NR 15. O nível de ação das normativas NHO 01 (82 dB) e NR 15 (80 dB) foram ultrapassados no operador e auxiliar nas três colhedoras avaliadas. Em relação ao limite de exposição (85 dB), o nível foi ultrapassado no operador das colhedoras KORVAN® e Case-IH® de acordo com a NHO 01. Na normativa NR 15, o limite de exposição ficou acima de 85 dB no operador da colhedora KORVAN®. No auxiliar todas as colhedoras emitiram níveis de ruídos acima de 85 dB tanto na normativa NHO 01 quanto na NR 15.

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BACKGROUND: The unique characteristics of rural areas and agricultural work can contribute to the genesis of diseases, including mental disorders such as depression. AIMS: To estimate the prevalence of and factors associated with depression symptoms in Brazilian farmers. METHODS: A cross-sectional epidemiological study involving 784 farmers of the state of Espírito Santo/Brazil was carried out. Depression was identified using the Mini-International Neuropsychiatric Interview. Hierarchical logistic regression was used to assess the associated factors. RESULTS: The prevalence of depression symptoms among farmers was 16.8% (n = 132). Of those experiencing symptoms, 6.1% (n = 48) we're currently experiencing a depressive episode, and 10.7% (n = 84) a recurrent depressive episodes. The associated factors were: female gender (OR 1.63; 95% CI 1.04-2.54), not owning the land (OR 1.79; 95% CI 1.11-2.89), professional dissatisfaction (OR 1.99; 95% CI 1.18-3.35), previous pesticide poisoning (OR 2.87; 95% CI 1.45-5.67), complex multimorbidity (OR 1.95; 95% CI 1.15-3.31) and occurrence of previous depressive episodes (OR 9.83; 95% CI 4.39-21.99). CONCLUSIONS: A high prevalence of depression symptoms was identified among rural workers. Sociodemographic, occupational, clinical, and professional dissatisfaction factors were associated with a higher risk of depression symptoms in this population.