目的 定量研究水稻主产区农民施用农药的健康成本及其影响因素,为制定农药中毒的防治对策提供科学依据.方法 采用分层抽样的方法抽取380户水稻种植户,调查内容包括农民农药施用情况、施用农药过程中急性中毒发生情况及其成本、农民的个人防护、体质状况、是否是农药标签文盲及到医院或诊所的距离等.利用疾病成本法定量测度健康成本,应用双对数模型定量分析影响因素.结果 被调查地区农民2009年度农药施用健康成本为每人54.44元/年,明显影响健康成本的因素包括喷洒轮次和每轮用工时间、喷洒农药时采取的防护措施数量、是否是农药标签文盲、到诊所或医院的距离以及农药施用者的年龄、性别、受教育程度和营养状况.结论 为降低农民施用农药过程中的健康成本,必须加强对农民施用农药防护知识培训,提高农民的职业安全知识和自我保护意识,规范农药标签说明.
Objective To measure quantitatively the health costs of 380 farmer families using the pesticides and influence factors,and to provide the base for establishing the protective measures.Methods Based on the surveyed data of rice producers in Anhui province,a quantitative analysis of health cost of pesticide application was conducted with COI,the influence factors on farmers' pesticide application have been examined.Results The results shown that the health cost of pesticide application was as RMB 54.44 yuans per farmer a year.The influence factors of health cost were the amount and time of pesticide application,protective facilities,pesticide label illiteracy,age,gender and education level of farmers.Conclusion The measures of reducing the health cost for pesticide application were to train the farmers for knowledge of pesticide application and occupational safety,to provide convenient and cheap protective equipment and instructions of pesticide application and to standardize pesticide labels.