Abstract
Introduction: Diabetes mellitus is one of the metabolic disorders that have multi-factorial pathogenesis. Diabetes is a chief public health issue being suffered by 415 million adults (aged 20-79 years) worldwide as evidenced in 2015. Evidence from the studies recommends that environmental contaminants including insecticides might play a significant role in diabetic pathogenesis. The present study aims to evaluate the relation between OP applicators and incidence of type 2 diabetes mellitus (T2DM). Methods: The study was conducted in 19 rural health centers of Theni District, Tamil Nadu in India. A total of 102 pesticide applicators were recruited for the study. History of occupational pesticide applicators was collected by using questionnaires and HbA1c levels (>6.5%) in pesticide applicators were confirmed as diabetic. Result: Among the pesticide applicators, the prevalence of diabetes was found to be 39(38.24%) among pesticide applicators and only 9 (10.47%) were found to have the family history of diabetes. Risk factors including blood pressure, smoking habit and alcohol drinking were found to be noticeably high with 34 (33.33%), 59 (57.84%), 45 (44.12%), respectively. Conclusion: Our study revealed that the prevalence of diabetes among OP pesticide applicators was higher. The findings of the present study may attract the policymakers to develop a control mechanism against the pesticide-exposed rural population. The variance is deliberated to be explainable by the subject discrepancy regarding safety practices, health background, and nutritional status. Keywords: Diabetes Mellitus, Occupation, Organophosphate, Pesticide Applicators
Highlights
Diabetes mellitus is one of the metabolic disorders that have multi-factorial pathogenesis
Our study results show the higher risk of diabetes incidence among OP pesticide applicators
The outcomes supported the existing literature that pesticide exposure increases the peril of diabetes
Summary
Diabetes mellitus is one of the metabolic disorders that have multi-factorial pathogenesis. The present study aims to evaluate the relation between OP applicators and incidence of type 2 diabetes mellitus (T2DM). A Cross Section Study on Type 2 Diabetes Mellitus among Organophosphate Pesticide Applicators in Selected Rural South India. The study aims to examine the prevalence of T2DM among OP pesticide applicators in selected rural South Indian population. More studies evaluating the risk of diabetes with OP exposure were conducted in other settings but studies related to pesticide applicator occupation are very less. This study focused on the prevalence of diabetes among farmers community to find out the basic link between farming work and diabetes In this view, the current study was carried out to study the incidence of diabetes among the pesticide applicators of the selected population
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