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Leveraging Administrative Health Databases to Address Health Challenges in Farming Populations: Scoping Review and Bibliometric Analysis (1975-2024)
Summary
This review examines how health databases can be used to study health risks in farming populations, identifying several underresearched areas including exposure to microplastics and other emerging pollutants. The study notes that farmworkers face unique environmental exposures that are poorly understood, and their cardiovascular, reproductive, and autoimmune health outcomes need more investigation. The inclusion of microplastics as a recognized emerging concern for agricultural communities highlights the growing awareness of this exposure pathway.
The increasing use of AHDs holds major potential to advance public health research within farming populations. However, substantial research gaps persist, particularly in low-income regions and among underrepresented farming subgroups, such as women, children, and contingent workers. Emerging issues, including exposure to per- and polyfluoroalkyl substances, biological agents, microbiome, microplastics, and climate change, warrant further research. Major gaps also persist in understanding various health conditions, including cardiovascular, reproductive, ocular, sleep-related, age-related, and autoimmune diseases. Addressing these overlooked areas is essential for comprehending the health risks faced by farming communities and guiding public health policies. Within this context, promoting AHD-based research, in conjunction with other digital data sources (eg, mobile health, social health data, and wearables) and artificial intelligence approaches, represents a promising avenue for future exploration.
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