Pesticide exposure and suicidal ideation in rural communities in Zhejiang province, China.

OBJECTIVE: To investigate the association between pesticide exposure and suicidal ideation in rural areas of China. METHODS: The analysis involved data from a survey of a representative sample of 9811 rural residents in Zhejiang province who had been asked about the storage of pesticides at home and...

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Published in:Bulletin of the World Health Organization Vol. 87; no. 10; pp. 745 - 754
Main Authors: Zhang J, Stewart R, Phillips M, Shi Q, Prince M
Format: research tables/charts Journal Article
Published: World Health Organization Oct2009
Online Access:View this record in EBSCOhost
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      dt: Oct2009
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      pub: World Health Organization
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        atl: Pesticide exposure and suicidal ideation in rural communities in Zhejiang province, China.
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          Zhang J
          Stewart R
          Phillips M
          Shi Q
          Prince M
        affil: Office of Mental Health, Zhejiang Provincial Tongde Hospital, Hangzhou, China.
      sug:
        subj:
          Environmental Exposure Adverse Effects
          Pesticides Adverse Effects
          Rural Areas
          Suicidal Ideation Trends
          Adult
          China
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Educational Status
          Female
          Funding Source
          Human
          Income
          Interviews
          Logistic Regression
          Male
          Marital Status
          Middle Age
          Odds Ratio
          P-Value
          Questionnaires
          Self Report
          Surveys
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: To investigate the association between pesticide exposure and suicidal ideation in rural areas of China. METHODS: The analysis involved data from a survey of a representative sample of 9811 rural residents in Zhejiang province who had been asked about the storage of pesticides at home and about whether or not they had considered suicide within the 2 years before the interview. The Chinese version of the 12-item General Health Questionnaire (GHQ) was administered to screen for mental disorder. FINDINGS: The unadjusted odds ratio (OR) for the association between pesticide storage at home and suicidal ideation over the prior 2 years was 2.12 (95% confidence interval, CI: 1.54-2.93). After adjusting for gender, age, education, socioeconomic status, marital status, physical health, family history of suicidal behaviour, GHQ caseness and study design effects, the OR was 1.63 (95% CI: 1.13-2.35). CONCLUSION: A potential marker of chronic pesticide exposure was found to be associated with suicidal ideation, which supports findings from previous studies. Given the high level of pesticide exposure and the high suicide risk in rural China, clarification of the causal mechanisms underlying this association and the development of appropriate interventions are priorities for public health and health policy. Copyright © 2009 World Health Organization
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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