Effectiveness Of A Pesticide Protective Behavior
Program In Improving And Reducing
Neuromuscular Symptoms Among Rice
Farmers In Sukhothai Province, Thailand
Author(s)
P. Markmee, S. Taneepanichskul & R. S. Chapman
Abstract
The problem of inappropriate pesticide usage is an important concern for
occupational authorities in Thailand. There have been few intervention studies
aimed at improving protective behavior and reducing health risk. In this quasiexperimental
study, we conducted a pesticide protective behavior intervention
program. We assessed the effectiveness of this intervention in improving
protective behavior, and reducing neuromuscular symptom prevalence, among
182 rice farmers from December 2011 to June 2012 in Sukhothai province,
Thailand. The intervention group comprising 91 rice farmers received a 1-month
intervention program. Outcomes were measured before intervention (baseline),
and at 1 and 4 months after intervention. The effects of intervention were
evaluated with difference-of-difference analysis. The result revealed that all the
participants had retention all follow-up time. At baseline, the mean protective
behavior score was 50.7 in both the groups. The intervention program improved
the protective behavior by a mean score of 8.6 (95%CI 7.4–9.9; p<0.001) one
month after the intervention and by a mean score of 6.2 (95%CI 3.9–8.5;
p<0.001) 4 months later, and reduced the prevalence of neuromuscular
symptoms by 30.3 percent-points (95%CI −42.5 to −18.2; p<0.001) one month
after the intervention and by 31.0 percent-points (95%CI −47.4 to −t4.7;
p<0.001) 4 months after the intervention. Thus, this program should be
considered for implementation to improve the safe use of pesticides in other
Keywords
pesticides, protective behavior program, rice farmers, neuromuscular symptom, Thailand
Related Book
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