Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance

Horticultural activities take place in contexts that generate vulnerability due to continuous exposure to pesticides resulting from prevailing production practices, informal labor conditions, and precarious living and production conditions, among others. It is essential to have health surveillance t...

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Detalles Bibliográficos
Autores principales: Romero Asís , M, Eandi, M, Arguello , E, Butinof , M
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
scale
vulnerability
horticulture
Escala
vulnerabilidad
Horticultura
exposición a plaguicidas
vigilancia
.
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42740
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-42740
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic scale
vulnerability
horticulture
Escala
vulnerabilidad
Horticultura
exposición a plaguicidas
vigilancia
.
spellingShingle scale
vulnerability
horticulture
Escala
vulnerabilidad
Horticultura
exposición a plaguicidas
vigilancia
.
Romero Asís , M
Eandi, M
Arguello , E
Butinof , M
Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
topic_facet scale
vulnerability
horticulture
Escala
vulnerabilidad
Horticultura
exposición a plaguicidas
vigilancia
.
author Romero Asís , M
Eandi, M
Arguello , E
Butinof , M
author_facet Romero Asís , M
Eandi, M
Arguello , E
Butinof , M
author_sort Romero Asís , M
title Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
title_short Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
title_full Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
title_fullStr Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
title_full_unstemmed Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance
title_sort social-health vulnerability in the horticultural population of córdoba: validation of a scale for health surveillance
description Horticultural activities take place in contexts that generate vulnerability due to continuous exposure to pesticides resulting from prevailing production practices, informal labor conditions, and precarious living and production conditions, among others. It is essential to have health surveillance tools capable of comprehensively capturing the complexity and multidimensionality of pesticide exposure. The aim is to validate a Social-Health Vulnerability Scale (SVS) adapted to the Green Belt of the City of Córdoba (CGB), in order to have a robust and reliable tool for conducting health surveillance in horticultural workers and their families. An observational cross-sectional study was conducted (n=89 horticulturists from CGB). Living conditions, health status, work-related factors, and pesticide exposure during 2019-2020 were assessed. These assessments facilitated the design of an SVS consisting of the following dimensions (D): D1 occupational pesticide exposure (use of personal protective equipment), D2 health tracer events (presence of self-reported symptoms, diseases, and accidents), D3 housing conditions (availability of basic services: water, electricity, drainage, sanitation), and D4 horticultural production material conditions (land tenure, type of agricultural machinery, and tools). The construct validity was determined by Cronbach's Alpha coefficient (α=0.72). The internal validity of the EVS was assessed using confirmatory factor analysis (specification, estimation, and evaluation of a structural equation model). The model's plausibility was evaluated through fit indices (χ² square; CFI and TLI >0.90; SRMR <0.09; RMSEA <0.05). Stata 16 software was employed for analysis. The factorial model subjected to verification showed an adequate fit to the data: χ²; CFI=0.955; TLI=0.942; SRMR=0.079; RMSEA=0.046 (0.083-0.536). It consisted of three dimensions: D1, D2, and D3. Covariance between variables in D1 (0.306) and D3 (0.518) parameters improved the model fit. The SVS can be considered a reliable tool for health surveillance in CGB, promoting comprehensive public health policies that consider the multidimensionality of the horticultural context.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42740
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AT arguelloe socialhealthvulnerabilityinthehorticulturalpopulationofcordobavalidationofascaleforhealthsurveillance
AT butinofm socialhealthvulnerabilityinthehorticulturalpopulationofcordobavalidationofascaleforhealthsurveillance
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AT eandim vulnerabilidadsociosanitariaenlapoblacionhorticoladecordobavalidaciondeunaescalaparalavigilanciadelasalud
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first_indexed 2024-09-03T21:04:56Z
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spelling I10-R327-article-427402023-10-19T21:19:27Z Social-Health Vulnerability in the Horticultural Population of Córdoba: Validation of a Scale for Health Surveillance Vulnerabilidad Sociosanitaria en la población hortícola de Córdoba: validación de una escala para la vigilancia de la salud . Romero Asís , M Eandi, M Arguello , E Butinof , M scale vulnerability horticulture Escala vulnerabilidad Horticultura exposición a plaguicidas vigilancia . Horticultural activities take place in contexts that generate vulnerability due to continuous exposure to pesticides resulting from prevailing production practices, informal labor conditions, and precarious living and production conditions, among others. It is essential to have health surveillance tools capable of comprehensively capturing the complexity and multidimensionality of pesticide exposure. The aim is to validate a Social-Health Vulnerability Scale (SVS) adapted to the Green Belt of the City of Córdoba (CGB), in order to have a robust and reliable tool for conducting health surveillance in horticultural workers and their families. An observational cross-sectional study was conducted (n=89 horticulturists from CGB). Living conditions, health status, work-related factors, and pesticide exposure during 2019-2020 were assessed. These assessments facilitated the design of an SVS consisting of the following dimensions (D): D1 occupational pesticide exposure (use of personal protective equipment), D2 health tracer events (presence of self-reported symptoms, diseases, and accidents), D3 housing conditions (availability of basic services: water, electricity, drainage, sanitation), and D4 horticultural production material conditions (land tenure, type of agricultural machinery, and tools). The construct validity was determined by Cronbach's Alpha coefficient (α=0.72). The internal validity of the EVS was assessed using confirmatory factor analysis (specification, estimation, and evaluation of a structural equation model). The model's plausibility was evaluated through fit indices (χ² square; CFI and TLI >0.90; SRMR <0.09; RMSEA <0.05). Stata 16 software was employed for analysis. The factorial model subjected to verification showed an adequate fit to the data: χ²; CFI=0.955; TLI=0.942; SRMR=0.079; RMSEA=0.046 (0.083-0.536). It consisted of three dimensions: D1, D2, and D3. Covariance between variables in D1 (0.306) and D3 (0.518) parameters improved the model fit. The SVS can be considered a reliable tool for health surveillance in CGB, promoting comprehensive public health policies that consider the multidimensionality of the horticultural context. La actividad hortícola se realiza en contextos que generan vulnerabilidad, por la exposición continua a plaguicidas producto de las prácticas productivas imperantes, la informalidad laboral y precarias condiciones de vivienda y producción, entre otras. Resulta importante contar con herramientas de vigilancia de la salud capaces de captar la complejidad y multidimensionalidad del fenómeno de exposición a plaguicidas de manera integral. Se propone validar una Escala de Vulnerabilidad Sociosanitaria (EVS) adaptada el Cinturón Verde de la Ciudad de Córdoba (CVCC) con fines de contar con una herramienta sólida y confiable para realizar vigilancia de la salud en trabajadoras/es hortícolas y sus familias.   Se llevó a cabo un estudio observacional de corte transversal (n=89 horticultores del CVCC); se relevaron condiciones de vida, salud, trabajo y exposición a plaguicidas (2019-2020) que permitieron diseñar una EVS constituida por las siguientes dimensiones (D): D1 exposición ocupacional a plaguicidas (uso de equipo de protección personal); D2 eventos de salud trazadores (presencia de síntomas, enfermedades y accidentes auto reportados); D3 condiciones habitacionales (disponibilidad de servicios básicos: agua, electricidad, desagüe, sanitarios); D4 condiciones materiales de producción hortícola (tenencia de tierra, tipo de maquinaria y herramientas agrícolas) con una validez de constructo determinada por el coeficiente Alpha de Cronbach (α=0,72). La validez interna de la EVS se estudió mediante  análisis factorial confirmatorio (especificación, estimación y evaluación de un modelo de ecuaciones estructurales) y la plausibilidad del modelo se evaluó mediante índices de ajuste (X² cuadrado; CFI y TLI >0,90; SRMR <0,09; RMSEA <0,05). Se utilizó el software Stata 16. El modelo factorial sometido a verificación aportó un adecuado ajuste a los datos: X2; CFI=0,955; TLI= 0,942; SRMR=0,079; RMSEA= 0,046 (0,083-0,536). Se conformó por tres dimensiones D1, D2 y D3. También se observó un covarianza entre variables de D1 (0,306) y D3(0,518) parámetros que mejoran el ajuste del modelo. La EVS puede ser considerada una herramienta confiable para realizar vigilancia de la salud en el CVCC y promover políticas de salud pública integrales que contemplen la multidimensionalidad del contexto hortícola.  . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42740 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42740/42795 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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