Knowledge, attitude and safety work practice regarding pesticide use among farmers in Nakhon Sawan


  • Juntarawijit C Faculty of Agriculture, Natural Resources and Environment, Naresuan University, Phitsanulok
  • Vatthanasak A Faculty of Agriculture, Natural Resources and Environment, Naresuan University, Phitsanulok


knowledge on pesticide, attitude toward pesticide use, safety work practice on pesticide use, pesticide exposure, farmer health


Objectives To develop a preventive program on pesticide hazards, information on knowledge (K), attitudes (A), and safety work practice (P) of pesticides exposure prevention among farmers is needed. The objectives of this study were to survey the level of knowledge, attitude and practice of pesticide use among farmers in Nakhon Sawan, Thailand, and to identify factors affecting the practice.

Methods This study was a cross-sectional study. Study participants are farmers (rice and other crops, e.g. corn, cassava, sugarcane) in Nakhon Sawan province. The study included only farmers with at least 5 years of working experience and aged over 20 years. Out of 572,593 farmers in the province, 10,646 participants were randomly selected. Besides demographic, data on knowledge, attitude, and practice regarding pesticide use were included in data analysis. The relationship between level of practice of pesticide exposure prevention (low, medium, high) and its related factors was analyzed using ordinal logistic regression.

Results It was found that most of study participants had moderate to high levels of knowledge (59.81%). Most of them did not know that pesticide toxicity was related to chronic diseases, e.g. obesity, high cholesterol, diabetes, stress and depression, and heart disease. Majority of them had a medium score on attitudes (78%), and high score on practice (98%). Good practice was observed among male, those aged 40 years or below, complete high school, having medium and good levels of attitude.

Conclusion Farmers in Nakhon Sawan had a poor score on knowledge on pesticide toxicity but majority of them had a high level on attitude and safety work practice regarding pesticide use. The practice score was significantly associated with gender, age, education, and attitude. Public health organization should provide the farmers with more information on chronic effects of pesticides and support PPE use.


Download data is not yet available.


1. Department of Provincial Administration. Announcement of the Central News Agency on the number of citizens throughout the Kingdom According to the evidence of civil registration 2020. [cited 2021 Mar 30]. [Available from:
2. Santaweesuk S, Boonyakawee P, Siriwong W. Knowledge, attitude and practice of pesticide use and serum cholinesterase levels among rice farmers in Nakhon Nayok Province, Thailand. Journal of Health Research. 2020. (in Thai)
3. Office of Agriculture Economic. Quantity and cost of pesticide imports to Thailand during 2011-2017. Thailand: Ministry of Agriculture and Cooperatives; 2018.
4. Toxics Action Center and Pesticide Watch. The Problem with Pesticides. 2015. [cited 2021 Mar 30]. [Available from:
5. World Health Organization. The Impact of Pesticides on Health 2013. [cited 2021 Mar 30]. [Available from:
6. Reddy P. the association of pesticide exposure with human health: A Review. 2015.
7. Thundiyil JG, Stober J, Besbelli N, Pronczuk J. Acute pesticide poisoning: a proposed classification tool. Bulletin of the World Health Organization. 2008;86:205-9.
8. Alleva R, Manzella N, Gaetani S, Bacchetti T, Bracci M, Ciarapica V, et al. Mechanism underlying the effect of long-term exposure to low dose of pesticides on DNA integrity. Environmental Toxicology. 2018;33:476-87.
9. Norkaew S, Siriwong W, Siripattanakul S, Robson M. Knowledge, Attitude, and Practice (KAP) of Using Personal Protective Equipment (PPE) for Chih-Growing Farmers in Huarua Sub-District, Mueang District, Ubonrachathani Province, Thdand. Journal of Health Research. 2018;24(Suppl. 2):93-100. (in Thai)
10. Klnchampa N, Settheetham D. Behavior using pesticides of farmers, Tambon Pamigam, Muang District, Nongbualamphu Province. The Office of Disease Prevention and Control 9th Nakhon Ratchasima Journal. 2019:25:26-34. (in Thai)
11. Nakhon Sawan Provincial Office. Summary of operating results for the year 2020. Nakhon Sawan Province: Rimping printing; 2020. (in Thai)
12. Nakhon Sawan Provincial Agriculture and Cooperatives Office. Basic Agricultural Data, Nakhon Sawan. Nakhon Sawan Province: Rimping printing; 2021. (in Thai)
13. Kongtip P, Nankongnab N, Mahaboonpeeti R, Bootsikeaw S, Batsungnoen K, Hanchenlaksh C, et al. Differences among Thai Agricultural Workers’ Health, working conditions, and pesticide use by farm type. Annals of Work Exposures and Health. The Office of Disease Prevention and Control 9th Nakhon Ratchasima Journal. 2018;62:167-81. (in Thai)
14. Jaikhamwang N. Health impacts and their related factors with the agriculturalist health from their chemical substance usage in tobacco plantation in Pak Kwae Sub-district, Muang District, Sukhothai Province. Journal of Community Development and Life Quality. 2016;4:401-16. (in Thai)
15. Promwong T, Khamon P. Knowledge attitude and practice on pesticide application of hmong vegetable grower in Chiang Mai. Journal of Agriculture. 1998;14:263-9. (in Thai)
16. Onmoy P, Aungudornpukdee P. Health impact assessment and self-prevention behavior from pesticide use among shallot farmers in Chai Chumphon Sub-district, Laplae District, Uttaradit Province. Journal of Community Development and Life Quality. 2016;4:416-28. (in Thai)
17. Erasto Kinemelo, Regina Shigong. Knowledge, attitude and practice on health effects pertaining the use of tomato pesticides in agricultural practices at ilula and Nyalumbu Wards in Kilolo District. Journal of Biology. 2018;8:16-23.
18. Wongsakoonkan W, Nguiyai S, Phomngam P, Deelap S. Behaviors of pesticided exposure among chilli farmers : case study at Chainat village, Phu Nam Yot subdistrict, Wichianburi District, Phetchabun Province. VRU Research and Development Journal Science and Technology. 2016;11:75-84. (in Thai)
19. Dangkrean B, Rattanakomol P, Salaauoyporn A, Surinarbhorn M. Factors relating to pesticide prevention behaviors among agricultural workers, Chainat Province. Journal of Nursing and Education. 2017;10:107-22. (in Thai)
20. Tritipsombut J, Gabklang P, Boonkerd S, Oapsuwan A. The study of knowledge, attitudes and pesticide usage behaviors among the agricultural workers at Huay Sam Kha Village, Tub Ruang Sub-district, Phra Thong Kum District, Nakhon Ratchasima Province. Srinagarind Medical Journal. 2014;29:429-34. (in Thai)
21. Yongpraderm M, Intaramuean M, Darnkachatarn S, Mongkonkansai J. Factors related to the safety behavior of agricultural pesticides used among farmers in community, Nakhon Si Thammarat Province. Journal of Health Science. 2019;28:966-73. (in Thai)
22. Setchan W. Factors effecting behaviors of pesticide use by monkey apple growing farmers in Phon Sub-district, Khammuang District, Kalasin Province. UBRU Journal for Public Health Research. 2019;8:78-88. (in Thai)
23. keawka T. Risk factor association pestiside use of farmer in Wang Thong, NaWang Nhongbualamphu. Journal of Community Development and Life Quality Khonkan University. 2014;22:75-81.
24. Rattanaprom W, Sanwong S, Posuya N. Risk assessment of farmers using pesticides in Nongplasawai Sub-District, Banthong District, Lamphun Province. Academic Journal of Community Public Health. 2020;6:143-50.
25. Ratcha M, Sumranchit S, Santhaow C, Suktakaow S. Protection behaviorof chemical pesticides among farmers of Ban Thung Nang Khruan, Chalaesud District, Thong PhaPhumdistrict, Kanchanaburi Province. Journal of Nursing and Health Reearch. 2017;18:84-98.



How to Cite

C J, A V. Knowledge, attitude and safety work practice regarding pesticide use among farmers in Nakhon Sawan. Chiang Mai Med J. [Internet]. 2021 Oct. 1 [cited 2022 May 25];60(4):643-53. Available from:



Original Article