The intensification of agricultural practices to meet global food demand has led to extensive pesticide use, which poses significant challenges for food safety, environmental health, and human well-being. This narrative review provides a comprehensive analysis of the global use of pesticides in agriculture, focusing on the persistence of pesticide residues in food crops, their environmental impacts, and the associated health risks. Historically, pesticides have been integral to agricultural productivity, but their adverse effects have become increasingly clear. Notably, pesticide residues in food can pose serious health risks, particularly to vulnerable populations such as children and pregnant women. This review also discusses regional disparities in pesticide-related health outcomes, with a focus on Brazil. The findings underscore the urgent need for sustainable pest management practices, including organic farming and improved regulatory measures, to mitigate the adverse effects of pesticide use. By integrating these strategies, a more balanced and sustainable agricultural system can be achieved, safeguarding both human health and environmental quality.