Cardiovascular Risk Assessment among Farmers in French Guiana in 2018—A Screening Program
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Population
2.2. Variables
2.3. Satistical Analysis
2.4. Ethical and Legal Aspects
3. Results
3.1. Participants
3.2. Cardiovascular Risk
3.3. Professional Qualification
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Total Participants (N = 603) | |||
---|---|---|---|
n | (%) | 95% CI | |
Sociodemographic characteristics | |||
Women | 229 | (38.0) | 34.1–41.9 |
Age, median (IQR), years * | 52 | (43–59) | |
Age < 40 years | 113 | (18.7) | 15.6–21.9 |
40–60 years | 348 | (57.7) | 53.8–61.7 |
≥60 years | 142 | (23.6) | 20.2–27.0 |
Household members ≥ 5 ¤ | 241 | (40) | 36.1–44.0 |
Farm owner spouse | 97 | (16.1) | 13.2–19.0 |
Town residence: | |||
Eastern | 33 | (5.5) | 3.7–7.3 |
Savannas | 90 | (14.9) | 12.1–17.8 |
Western | 209 | (34.7) | 30.9–38.5 |
Coastal | 271 | (44.9) | 41.0–48.9 |
Underwent farming course | 54 | (9.0) | 6.7–11.2 |
Farming characteristics | |||
Livestock farming | 61 | (10.1) | 7.7–12.5 |
Culture | 468 | (77.6) | 74.3–81.0 |
Combined livestock/culture | 74 | (12.3) | 9.7–14.9 |
Mechanized | 265 | (44) | 40.0–47.9 |
Insured | 263 | (43.6) | 39.7–47.6 |
Area, median (IQR), Ha * | 5 | (2–12) | |
UAA ≤ 2 Ha | 155 | (25.8) | 22.3–29.3 |
UAA 2 to 20 Ha | 376 | (62.5) | 58.6–66.3 |
Workers number, median (IQR) * | 2 | (1–2) | |
Organic farming | 17 | (2.8) | 1.5–4.1 |
Pesticides use | 307 | (50.9) | 46.9–54.9 |
Cardiovascular Risk Factors | Women | Men | OR [95% CI] | p | ||
---|---|---|---|---|---|---|
N = 229 | (%) | N = 374 | (%) | |||
Age (W ≥ 60 y and M ≥ 50 y) * | 42 | (18.3) | 224 | (59.9) | 6.65 [4.42–10.1] | <0.001 |
Daily smoking | 4 | (1.8) | 47 | (12.6) | 8.09 [2.89–31.26] | <0.001 |
Daily alcohol | 3 | (1.3) | 27 | (7.2) | 5.86 [1.77–30.5] | 0.001 |
Obesity (BMI ≥ 30) | 87/219 | (39.7) | 88/358 | (24.6) | 0.50 [0.34–0.72] | <0.001 |
Overweight [25–30] | 77 | (35.2) | 156 | (43.6) | 1.46 [1.01–2.01] | 0.046 |
Obesity ≥ 40 | 10 | (4.6) | 4 | (1.1) | 0.24 [0.05–0.83] | 0.009 |
HBP ≥ 140/90 | 98/221 | (44.3) | 190/356 | (53.4) | 1.44 [1.01–2.04] | 0.035 |
HBP history | 27/79 | (34.2) | 34/185 | (18.4) | 0.43 [0.23–0.83] | 0.005 |
HBP new screenings | 79/194 | (40.7) | 167/323 | (51.7) | 1.56 [1.07–2.27] | 0.016 |
HBP ≥ 180/110 | 7 | (3.2) | 25 | (7.0) | 2.31 [1.00–5.31] | 0.049 |
Diabetes $ | 29/210 | (13.8) | 45/340 | (13.2) | - | - |
History $$ | 27/228 | (11.8) | 37/372 | (10.0) | - | - |
Pathological measurements $$$ | 7/208 | (3,4) | 16/333 | (4.1) | - | - |
New screenings $$$$ | 2/183 | (1.1) | 8/303 | (2.6) | - | - |
Moderate, high and very high cardiovascular risk | 87/221 | (39.4) | 188/356 | (61.7) | 1.72 [1.21–2.46] | 0.002 |
Novembre Vert 18 | Novembre Vert 14 | Baromètre Santé Guyane 3,4 | Mainland France 1,2 | |
---|---|---|---|---|
Population | Farmers | Farmers | General | General |
Year | 2018 | 2014 | 2014 | 2014, 2015 |
Place | Guiana | Guiana | Guiana | Mainland |
Size | 603 | 732 | 2015 | 15,635; 2270 |
Age, mean (years) | 52.0 (43–59) | 50.0 (±10.4) | - | - |
Age > 75 years | 0.8 | - | 2 | 9 |
Daily smoking (%) | 8.5 | 11.2 | 12 | 28 |
Daily alcohol (%) | 5.0 | 7.3 | 4.8 | 9.7 |
Overweight (%) | 40.4 | 40.3 | 34 | 29, 32 |
Obesity (%) | 30.3 | 25.6 | 18 | 12, 17 |
HBP (%) | 53.1 | 44.8 * | 17.9, 40.6 | 31.3 |
Diabetes (%) | 13.5 | 17.1 ** | 7.7 | 4.7, 5.7 |
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Martinot, A.; Adenis, A.; Brousse, P.; Govindin, Y.; Rousseau, C.; Thomas, N.; Nacher, M.; Bonifay, T. Cardiovascular Risk Assessment among Farmers in French Guiana in 2018—A Screening Program. Int. J. Environ. Res. Public Health 2023, 20, 1262. https://doi.org/10.3390/ijerph20021262
Martinot A, Adenis A, Brousse P, Govindin Y, Rousseau C, Thomas N, Nacher M, Bonifay T. Cardiovascular Risk Assessment among Farmers in French Guiana in 2018—A Screening Program. International Journal of Environmental Research and Public Health. 2023; 20(2):1262. https://doi.org/10.3390/ijerph20021262
Chicago/Turabian StyleMartinot, Amélie, Antoine Adenis, Paul Brousse, Yoland Govindin, Cyril Rousseau, Nadia Thomas, Mathieu Nacher, and Timothee Bonifay. 2023. "Cardiovascular Risk Assessment among Farmers in French Guiana in 2018—A Screening Program" International Journal of Environmental Research and Public Health 20, no. 2: 1262. https://doi.org/10.3390/ijerph20021262