ABSTRACT

Changes in the global rural workforce took place from 1980 onwards, above all, with the increase in female participation in salaried work. An integrative review of the literature on the working and health conditions of rural women workers, published from 2010 to 2020, was carried out. The databases consulted were BVS, SciELO and PubMed, and 43 studies, 11 national and 32 internationals, were analyzed. The results point to a diversity of work activities performed by rural women, in a salaried, autonomous and cooperative way, as well as unpaid activities. Working conditions in salaried jobs are generally precarious, with temporary contracts, low wages and long working hours. In autonomous work and in cooperatives, studies report greater control of activities, financial autonomy and greater satisfaction of workers. Stood out in all forms of work, the sexual division of labor and the work overload with the addition of productive activities, unpaid reproductive activities, housework and care work. Musculoskeletal disorders, suffering and mental illness, high exposure and poisoning to pesticides and violence in the work and domestic environment were identified as preponderant in the health-work relationships experienced by these rural women workers.

KEYWORDS
Women, working; Rural workers; Working conditions; Rural health

Introduction

Work is a human activity that permeates life in society, playing an important role in mediating relations between subjects and collectivities, between the microscopic and macroscopic levels of life¹1 Schwartz Y. Actividade. Laboreal. 2005 [acesso em 2021 ago 6]; 1(1):1-3. Disponível em: http://journals.openedition.org/laboreal/14272.
http://journals.openedition.org/laboreal... ,²2 Schwartz Y, Duc M, Durrive L. Trabalho e uso de si. In: Schwartz Y, Durrive L, organizadores. Trabalho & ergologia: conversas sobre a atividade humana. Niterói: EdUFF; 2007. p. 191-206.. As a human activity, work is not restricted to a formal employment relationship or paid productive activities, it also turns to unpaid work activities and social reproduction, such as domestic work³3 Kergoat D. O trabalho, um conceito central para os estudos de gênero? In: Maruani M, organizador. Trabalho, logo existo: perspectivas feministas. Rio de Janeiro: FGV Editora; 2019. p. 287-294.,⁴4 Schwartz Y. Circulações, dramáticas, eficácias da atividade industriosa. Trab. Educ. Saúde. 2004 [acesso em 2021 set 10]; 2(1):33-55. Disponível em: https://doi.org/10.1590/S1981-77462004000100004.
https://doi.org/10.1590/S1981-7746200400... .

Women’s work activities in the field are essential for food production, animal husbandry and social reproduction. It is women rural workers who produce a large part of subsistence agriculture (especially in the regions of Africa, Asia and the Americas), in addition to carrying out most of the domestic work and care for children and the elderly⁵5 Federici S. Mulheres, lutas por terra e globalização: uma perspectiva internacional. In: O ponto zero da revolução: trabalho doméstico, reprodução e luta feminista. São Paulo: Editora Elefante; 2019. p. 279-302..

Data from the Food and Agriculture Organization of the United Nations (FAO)⁶6 Food and Agriculture Organization of the United Nations. Women in agriculture: closing the gender gap for development. Rome: FAO; 2011. [acesso em 2022 mar 4]. Disponível em: https://www.fao.org/3/i2050e/i2050e.pdf.
https://www.fao.org/3/i2050e/i2050e.pdf.... and the International Labor Organization (ILO)⁷7 International Labour Organization. Rural women at work: bridgings the gaps. Switzerland: ILO; 2018. [acesso em 2022 mar 4]. Disponível em: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---ilo_aids/documents/publication/wcms_619691.pdf.
https://www.ilo.org/wcmsp5/groups/public... point out that women represent more than 40% of the workforce in the rural economy in the world, and may exceed 50% in poor countries and the global South. However, the participation of women’s workforce in the countryside is underestimated and made invisible in the statistics, considering that it is women who develop agriculture and animal husbandry around the house – subsistence activities considered part of the domestic work and not productive activities in the capitalist economy⁵5 Federici S. Mulheres, lutas por terra e globalização: uma perspectiva internacional. In: O ponto zero da revolução: trabalho doméstico, reprodução e luta feminista. São Paulo: Editora Elefante; 2019. p. 279-302..

The invisibility of women’s work in the countryside is favored by the patriarchal structure of social and power relations in which the sexual division of labor predominates. Women’s work is treated as complementary in rural paid productive activities and unpaid work, on the contrary, is considered a female task, in which men offer complementary work force⁸8 Kergoat D. Divisão sexual do trabalho e relações sexuais de sexo. In: Hirata H, Laborie F, Doaré HL, et al. organizadores. Dicionário crítico do feminismo. São Paulo: Ed. UNESP; 2009. p. 67-75..

With capitalist productive restructuring and neoliberalism, from the 1980s onwards, new scenarios developed in globalized agricultural activities, in which women began to have greater participation in the paid rural workforce, as well as an increase in the rates of female self-employed rural workers and heads of household. This trend in waged rural work is called the feminization of agriculture, mainly in South America and Africa⁹9 Lastarria-Cornhiel S. Feminización de la agricultura en América Latina y África. RIMISP-Centro Latino-americano para el Desarrollo Rural. 2008 [acesso em 2022 fev 5]; (11):1-26. Disponível em: https://rimisp.org/wp-content/files_mf/files_mf/1366830040DTR_No.11_Lastarria.pdf.
https://rimisp.org/wp-content/files_mf/f... ,¹⁰10 Valdés Subercaseaux X. Feminización del empleo y trabajo precario en las agriculturas latinoamericanas globalizadas. Cuad Antropol Soc. 2015 [acesso em 2021 set 16]; (41):39-54. Disponível em: https://www.redalyc.org/articulo.oa?id=180942587003.
https://www.redalyc.org/articulo.oa?id=1... . Lastarria-Cornhiel⁹9 Lastarria-Cornhiel S. Feminización de la agricultura en América Latina y África. RIMISP-Centro Latino-americano para el Desarrollo Rural. 2008 [acesso em 2022 fev 5]; (11):1-26. Disponível em: https://rimisp.org/wp-content/files_mf/files_mf/1366830040DTR_No.11_Lastarria.pdf.
https://rimisp.org/wp-content/files_mf/f... , in a review of the literature on the subject, in 2008, observed precarious living and working conditions for women rural workers in these new jobs, in addition to lower wages compared to men.

Faced with a scenario of historical inequalities between male and female, urban and rural work, as well as the relationship between the work process and the health-disease process of individuals and populations, knowledge and visibility of the working and health conditions of woman rural workers become essential in the elaboration of public policies for health, work and the reduction of gender inequalities in rural areas.

Thus, the objective of the study is to know the working and health conditions of women rural workers from an integrative review of the literature published on the subject between January 2010 and December 2020.

Methodology

This study consists of an integrative literature review on the work and health of women rural workers. The integrative review combines empirical and theoretical literature and several study methodologies, allowing a broad approach and the incorporation of multiple objectives (defining concepts, reviewing theories, reviewing evidence, etc.). Starting from a question/problem and pre-established criteria, the literature search, data collection and critical analysis are fundamental steps in the integrative review¹¹11 Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein (São Paulo). 2010 [acesso em 2021 jan 6]; 8(1):102-106. Disponível em: https://doi.org/10.1590/S1679-45082010RW1134.
https://doi.org/10.1590/S1679-45082010RW... ,¹²12 Roman AR, Friedlander MR. Revisão integrativa de pesquisa aplicada à enfermagem. Cogitare Enferm. 1998 [acesso em 2022 fev 7]; 3(2);109-112. Disponível em: https://revistas.ufpr.br/cogitare/article/view/44358.
https://revistas.ufpr.br/cogitare/articl... ,¹³13 Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005 [acesso em 2021 jan 6]; 52(5):546-553. Disponível em: https://doi.org/10.1111/j.1365-2648.2005.03621.x.
https://doi.org/10.1111/j.1365-2648.2005... .

The question/problem of this review is the working and health conditions of women rural workers and the inclusion criteria established for the articles were: discussing the work activities of rural women and the relationships with the workers’ health; open access publications; availability of full text in Portuguese, English or Spanish. Exclusion criteria were: restricted access publications; publications in other languages; publications that did not address the research problem in question.

The bibliographic search was carried out in the databases of the Virtual Health Library (VHL) – Public Health, Scientific Electronic Library Online (SciELO) and PubMed, in January 2021, using the descriptors in English: working conditions, rural health, agricultural workers’ diseases, rural workers, rural women, and women, working. The search strategies, combining descriptors and Boolean operators, used in each database were: VHL-Public Health – ((Rural Health) OR (Agricultural Workers’ Diseases) OR (rural workers) AND (“women, working”)); SciELO – ((“Rural Health”) OR (“Agricultural Workers’ Diseases”) OR (“Working Conditions”) AND (“Rural Women”)); PubMed – (“Rural health” OR “Agricultural Workers’ Diseases” OR “Rural Workers” AND “Women, Working”).

In total, 170 articles published between 2010 and 2020 were retrieved. After reading the titles and abstracts, 64 articles were selected for full text analysis. After reading the articles, 32 were selected for review. Complementarily, 11 bibliographical references of articles previously selected in the integrative review were included in the results. The 11 articles, although not detected through the search descriptors, met the rest of the inclusion criteria: publications in the period from 2010 to 2020, open access, in Portuguese, English or Spanish, addressing the theme of rural women’s work and women workers’ health. The 11 publications identified and added from the analysis of the references of the 32 articles in the review made it possible to broaden the scope of the discussion, especially as they contemplate different countries and regions.

To organize the retrieved references, the Zotero reference manager software was used. In extracting information from the articles, including the general characteristics of each study (authors, year, type of study, place of study, etc.), as well as information about the work and health of women rural workers, an Excel spreadsheet was used.

Results and discussion

Forty-three articles were selected and analyzed, representing a variety of national and international research carried out on the work and health of women rural workers (table 1). Such studies were carried out in 14 countries, with a predominance of articles from the Americas (86% of the studies). Brazil was the country with the most studies analyzed (11). Regarding the type of study, the qualitative approach (including case studies, oral history, documentary research, essays and ethnographies) was found in 21 articles (49%), followed by epidemiological studies (descriptive and cross-sectional) in 10 articles (23 %), seven studies with mixed quantitative-qualitative methods (16%), four articles (9%) with quantitative approaches (demographic and statistical studies) and one literature review.

The studies showed differences in relation to the territorial scope of the research, since rural areas, depending on the country or region, have different characteristics in relation to the organization of properties, type of natural landscape, productive activities developed, among others. In table 1, the spatial scope of the publications was organized from the description of the study sites, as follows: a) agroindustry – specific location; b) rural community – areas of settlements and small properties with varied production activities; c) rural region – areas encompassing farms, agroindustries and rural communities of settlements and small farmers, with predominance of specific productive activity or varied activities; d) country – covers data from the national territory.

From this organization, it was found that most studies (24 articles) addressed rural regions, generally with a predominant production sector, such as fruit and horticulture. Studies in rural communities were observed in 11 articles; in agroindustries there were three and with nationwide data there were five articles (table 1).

Three main forms of insertion of women in rural work were identified: salaried work – carried out on third-party farms and agroindustries; self-employment – activities carried out on their rural properties; cooperative work – carried out in women’s or small farmers’ cooperatives. In 25 studies, salaried work was identified (58%), in 13 studies, autonomous work (30%) and in five, cooperative work (12%). The main characteristics and working conditions found in the studies are organized in table 2, according to the form of insertion in rural work.

Salaried work, self-employment and the sexual division of labor

In relation to women’s rural salaried work, the predominant characteristics were: temporary and flexible contracts, in addition to low remuneration; gender inequality in the division of labor; long hours of work; overload of productive and reproductive work; exposure to pesticides, in addition to the lack of labor and social security rights (table 2).

In Latin America, studies in Argentina¹⁶16 Mingo E. Género y trabajo: la participación laboral de las mujeres en la agricultura del Valle de Uco, Mendoza, Argentina. Papeles Trab. 2011 [acesso em 2021 set 16]; 5(7):172-188. Disponível em: http://revistasacademicas.unsam.edu.ar/index.php/papdetrab/article/view/216.
http://revistasacademicas.unsam.edu.ar/i... ,¹⁷17 Bocero SL, Di Bona A. El trabajo asalariado femenino en el cinturón frutihortícola marplatense. Geograficando. 2012 [acesso em 2021 ago 10]; 8(8):1-21. Disponível em: https://www.geograficando.fahce.unlp.edu.ar/article/view/GEOv08n08a04/pdf_5.
https://www.geograficando.fahce.unlp.edu... , Brazil²⁵25 Cavalcanti J, Rodrigues V, Andrade B. Mulheres e trabalho na agricultura de exportação: questões atuais. Anthropológicas. 2012 [acesso em 2021 jul 12]; 23(1):67-88. Disponível em: https://periodicos.ufpe.br/revistas/revistaanthropologicas/article/view/23745.
https://periodicos.ufpe.br/revistas/revi... ,²⁷27 Oliveira JA, Nina SFM. Ambiente e saúde da mulher trabalhadora: transformações numa comunidade da Amazônia brasileira. Saúde soc. 2014 [acesso em 2019 out 27]; (23):1162-1172. Disponível em: https://doi.org/10.1590/S0104-12902014000400004.
https://doi.org/10.1590/S0104-1290201400... ,²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... , Chile³³33 Rodríguez-Garcés C, Muñoz Soto J. Participación laboral de las mujeres rurales chilenas: tendencias, perfiles y factores predictores. Cuad Desarro Rural. 2015 [acesso em 2021 mar 9]; 12(75):77-98. Disponível em: http://dx.doi.org/10.11144/Javeriana.cdr12-75.plmc.
http://dx.doi.org/10.11144/Javeriana.cdr... ,³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... ,³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... , Colombia³⁷37 Becerra NME, Galán EYB, Cano LAP, et al. Condiciones laborales de mujeres rurales en cultivos de tomate bajo invernadero; el caso de Sáchica (Boyacá). Cult Científica. 2013 [acesso em 2021 abr 10]; (11):107-16. Disponível em: https://revista.jdc.edu.co/index.php/Cult_cient/article/view/179.
https://revista.jdc.edu.co/index.php/Cul... , Ecuador⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... , Mexico⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... and Uruguay⁵⁴54 Mascheroni P, Riella A. La vulnerabilidad laboral de las mujeres en áreas rurales: Reflexiones sobre el caso uruguayo. Rev Cienc Soc. 2016 [acesso em 2021 abr 6]; 29(39):57-72. Disponível em: http://www.scielo.edu.uy/scielo.php?pid=S0797-55382016000200004&script=sci_arttext.
http://www.scielo.edu.uy/scielo.php?pid=... show paid work by women mainly in the fruit growing sector (tomatoes, passion fruit, papaya, bananas, grapes, peaches, among others) and horticulture (broccoli and vegetables in general), in which they are employed on temporary contracts, depending on the period of harvesting and planting of crops, without a fixed monthly income. Wages are low and often subject to daily production targets, working hours are long (between 8 and 16 hours), there is an overload of work for women in relation to productive activities and domestic work, and exposure to pesticides is frequent.

This scenario is in line with the development of agribusiness production chains in Latin America, in the midst of neoliberal globalization⁵⁷57 Lara Flores SM. Jornaleras, temporeras y bóias-frias: el rostro femenino del mercado de trabajo rural en América Latina. 1. ed. Caracas: Editorial Nueva Sociedad; 1995.. The capitalist productive restructuring, starting from the crisis of the 1970s, in general, generated a change in the organization of production and work, moving from a more rigid, controlled model, centered on ‘developed’ countries (Fordism-Taylorism) for a more flexible, adaptable form of organization, capable of being transported to territories with more profitable labor and environmental conditions (toyotism)⁵⁸58 Harvey D. Condição pós-moderna: uma pesquisa sobre as origens da mudança cultural. 17. ed. São Paulo: Ed. Loyola; 2008.. Such conceptions were also incorporated into the global agricultural sector⁵⁷57 Lara Flores SM. Jornaleras, temporeras y bóias-frias: el rostro femenino del mercado de trabajo rural en América Latina. 1. ed. Caracas: Editorial Nueva Sociedad; 1995.,⁵⁹59 Delgado G. Do “capital financeiro na agricultura” à economia do agronegócio: mudanças cíclicas em meio século (1695-2012). Porto Alegre: Editora da UFRGS; 2012. [acesso em 2021 nov 23]. Disponível em: https://lume.ufrgs.br/handle/10183/245770.
https://lume.ufrgs.br/handle/10183/24577... .

In the last three decades, in Latin America, there was the installation and development of several agroindustries to export from the South to the North¹⁰10 Valdés Subercaseaux X. Feminización del empleo y trabajo precario en las agriculturas latinoamericanas globalizadas. Cuad Antropol Soc. 2015 [acesso em 2021 set 16]; (41):39-54. Disponível em: https://www.redalyc.org/articulo.oa?id=180942587003.
https://www.redalyc.org/articulo.oa?id=1... ,⁵⁷57 Lara Flores SM. Jornaleras, temporeras y bóias-frias: el rostro femenino del mercado de trabajo rural en América Latina. 1. ed. Caracas: Editorial Nueva Sociedad; 1995., with intense incorporation and exploitation of women’s work, in more precarious working conditions and with few labor rights, as observed in the studies reviewed in the regions of Vale do São Francisco (PE)²⁵25 Cavalcanti J, Rodrigues V, Andrade B. Mulheres e trabalho na agricultura de exportação: questões atuais. Anthropológicas. 2012 [acesso em 2021 jul 12]; 23(1):67-88. Disponível em: https://periodicos.ufpe.br/revistas/revistaanthropologicas/article/view/23745.
https://periodicos.ufpe.br/revistas/revi... and Chapada do Apodi (CE)²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... , in Brazil; in the Province of Cotopaxi⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... , in Ecuador; in the Valle de Arista⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... , in Mexico; in the commune of Putaendo³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... , in Chile; and in the regions of General Pueyrredón (Mar del Plata)¹⁷17 Bocero SL, Di Bona A. El trabajo asalariado femenino en el cinturón frutihortícola marplatense. Geograficando. 2012 [acesso em 2021 ago 10]; 8(8):1-21. Disponível em: https://www.geograficando.fahce.unlp.edu.ar/article/view/GEOv08n08a04/pdf_5.
https://www.geograficando.fahce.unlp.edu... and Valle do Uco¹⁶16 Mingo E. Género y trabajo: la participación laboral de las mujeres en la agricultura del Valle de Uco, Mendoza, Argentina. Papeles Trab. 2011 [acesso em 2021 set 16]; 5(7):172-188. Disponível em: http://revistasacademicas.unsam.edu.ar/index.php/papdetrab/article/view/216.
http://revistasacademicas.unsam.edu.ar/i... , in Argentina.

In addition to the productive restructuring of agriculture, such working conditions are also based on the patriarchal, racist and colonialist societal logic that considers that women’s work must prioritize the reproductive sphere of social life, and when inserted in the productive sphere, female work, mainly by black women and from countries in the global South, is less valued socially and monetarily⁸8 Kergoat D. Divisão sexual do trabalho e relações sexuais de sexo. In: Hirata H, Laborie F, Doaré HL, et al. organizadores. Dicionário crítico do feminismo. São Paulo: Ed. UNESP; 2009. p. 67-75.,⁶⁰60 Davis AY. Mulheres, raça e classe. São Paulo: Boitempo; 2016..

In the United States of America (USA), there is a movement to incorporate the migrant rural workforce, especially Mexican and Central American women⁴¹41 Arcury TA, Trejo G, Suerken CK, et al. Work and health among latina mothers in farmworker families. J Occup Environ Med. 2015 [acesso em 2021 ago 21]; 57(3):292-299. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352714/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,⁴²42 Pulgar CA, Trejo G, Suerken C, et al. Economic hardship and depression among women in latino farmworker families. J Immigr Minor Health. 2016 [acesso em 2021 ago 22]; 18(3):497-504. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26022147/.
https://pubmed.ncbi.nlm.nih.gov/26022147... ,⁴³43 Arcury TA, Sandberg JC, Talton JW, et al. Mental health among latina farmworkers and other employed latinas in North Carolina. Rural Ment Health. 2018 [acesso em 2021 ago 19]; 42(2):89-101. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141195/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,⁴⁴44 Murphy J, Samples J, Morales M, et al. “They talk like that, but we keep working”: Sexual harassment and sexual assault experiences among Mexican Indigenous farmworker women in Oregon. J Immigr Minor Health. 2015 [acesso em 2021 ago 18]; 17(6):1834-1839. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4128901/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... . Workers who, in a situation of social vulnerability⁶¹61 Acselrad H. O conhecimento do ambiente e o ambiente do conhecimento: anotações sobre a conjuntura do debate sobre vulnerabilidade. Rev Em Pauta Teor Soc e Real Contemp. 2013 [acesso em 2021 nov 23]; 11(32):115-129. Disponível em: https://www.e-publicacoes.uerj.br/index.php/revistaempauta/article/view/10158.
https://www.e-publicacoes.uerj.br/index.... , with a lower horizon of expectations and in search of their own survival and that of their families, tend to accept more degrading and precarious working conditions.

In the studies by Kim et al.⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... and Murphy et al.⁴⁴44 Murphy J, Samples J, Morales M, et al. “They talk like that, but we keep working”: Sexual harassment and sexual assault experiences among Mexican Indigenous farmworker women in Oregon. J Immigr Minor Health. 2015 [acesso em 2021 ago 18]; 17(6):1834-1839. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4128901/.
https://www.ncbi.nlm.nih.gov/pmc/article... , carried out with female migrant workers, in the rural area of Washington (Yakima Valley) and in the Willamette Valley (Oregon) in the USA, female workers also report an insecure and intimidating environment, permeated by sexual harassment from supervisors and work colleagues, mostly men. Workers feel pressured to tolerate harassment due to their socioeconomic and legal conditions in the country.

Less predominantly, financial autonomy, as well as social recognition and personal development of women rural workers were characteristics linked to salaried work activities³²32 Fawaz-Yissi MJ, Rodríguez-Garcés C. Mujeres rurales y trabajo en Chile central. Actitudes, factores y significaciones. Cuad. Desarro. Rural. 2013 [acesso em 2021 abr 7]; 10(72):47-68. Disponível em: http://www.scielo.org.co/pdf/cudr/v10n72/v10n72a04.pdf.
http://www.scielo.org.co/pdf/cudr/v10n72... ,³³33 Rodríguez-Garcés C, Muñoz Soto J. Participación laboral de las mujeres rurales chilenas: tendencias, perfiles y factores predictores. Cuad Desarro Rural. 2015 [acesso em 2021 mar 9]; 12(75):77-98. Disponível em: http://dx.doi.org/10.11144/Javeriana.cdr12-75.plmc.
http://dx.doi.org/10.11144/Javeriana.cdr... ,⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... . In the study by Fawaz-Yissi and Rodríguez Garcés³²32 Fawaz-Yissi MJ, Rodríguez-Garcés C. Mujeres rurales y trabajo en Chile central. Actitudes, factores y significaciones. Cuad. Desarro. Rural. 2013 [acesso em 2021 abr 7]; 10(72):47-68. Disponível em: http://www.scielo.org.co/pdf/cudr/v10n72/v10n72a04.pdf.
http://www.scielo.org.co/pdf/cudr/v10n72... , in the province of Ñuble in Chile, the results point to contradictions and changes in the traditional role of women in family farming, since there is an increase in the incorporation of women in the world of salaried rural work and they also develop other non-agricultural activities that complement the family income, generating greater levels of financial autonomy, access to new networks and social circles.

Still in Chile, Rodríguez Garcés and Muñoz Soto³³33 Rodríguez-Garcés C, Muñoz Soto J. Participación laboral de las mujeres rurales chilenas: tendencias, perfiles y factores predictores. Cuad Desarro Rural. 2015 [acesso em 2021 mar 9]; 12(75):77-98. Disponível em: http://dx.doi.org/10.11144/Javeriana.cdr12-75.plmc.
http://dx.doi.org/10.11144/Javeriana.cdr... observe the increase in female employment in rural areas, in the last 30 years in the country, with more precarious working conditions, temporary and flexible contracts and lower wages. However, they add that rural women, especially the younger and more educated ones, link their personal development, social recognition and family well-being to insertion in the world of work. Similar observations are made by Ledesma⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... in Mexico, where work in the tomato agroindustry, despite being temporary and precarious, enables greater financial autonomy and entry into other social spaces in the search for partners.

Such characteristics highlight the attribute of work as a human activity permeated by potential contradictions1. According to Schwartz et al.²2 Schwartz Y, Duc M, Durrive L. Trabalho e uso de si. In: Schwartz Y, Durrive L, organizadores. Trabalho & ergologia: conversas sobre a atividade humana. Niterói: EdUFF; 2007. p. 191-206., the work activity is the place of debate between the antecedent norms rooted in the social means of reproduction of life and the re-singularizations that invariably happen. At work, based on their values and worldview, women renormalize and re-singularize this activity in their lives.

With regard to self-employment, carried out on the family’s own land, the main characteristics and working conditions of women were work overload and gender inequality in the division of activities, followed by the lack of social recognition of women’s work, exposure to pesticides and high physical demands (table 2).

Studies carried out in rural communities in Brazil²⁰20 Costa MGSG, Dimenstein MDB, Leite JF. Condições de vida, gênero e saúde mental entre trabalhadoras rurais assentadas. Estud. Psicol. 2014 [acesso em 2019 abr 22]; 19(2):145-154. Disponível em: https://www.redalyc.org/articulo.oa?id=26132115007.
https://www.redalyc.org/articulo.oa?id=2... ,²³23 Cezar-Vaz MR, Bonow CA, Silva MRS. Mental and Physical Symptoms of Female Rural Workers: Relation between Household and Rural Work. Int J Environ Res Public Health. 2015 [acesso em 2021 jan 22]; 12(9):11037-11049. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586660/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁴24 Graf LP, Coutinho MC. Trajetórias de mulheres atuantes em pequenos abatedouros de animais. Cad Psicol Soc Trab. 2010 [acesso em 2021 mar 8]; 13(1):119-132. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-37172010000100010.
http://pepsic.bvsalud.org/scielo.php?scr... , Paraguay⁵⁰50 Borja MCS, Díaz CHBR. Necesidades prácticas e intereses estratégicos de la mujer rural en aspectos socioeco-nómicos de su comunidad. Investig Agrar. 2010 [acesso em 2021 abr 10]; 12(2):101-106. Disponível em: https://www.agr.una.py/revista/index.php/ria/article/view/155.
https://www.agr.una.py/revista/index.php... , Cuba³⁹39 Campos-Gómez M, Miranda-Tortoló T, Oropeza-Casanova K, et al. Experiencia de género en el Programa de Innovación Agropecuaria Local en la provincia de Matanzas, Cuba. Pastos Forrajes. 2018 [acesso em 2021 mar 23]; 41(2):151-6. Disponível em: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03942018000200010.
http://scielo.sld.cu/scielo.php?script=s... and Turkey⁵³53 Davran MK, Öztornacı B, Özalp B. Socio-demographic and economic indicators in gender structure in the middle Taurus mountainous villages of Turkey. Cienc. Rural. 2019 [acesso em 2021 abr 5]; 49(12):1-10. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782019001200901&lang=pt.
http://www.scielo.br/scielo.php?script=s... observe the overload of productive and reproductive work in women’s routine, that is, the overload of agricultural activities (sowing, cultivation, harvesting, etc.) and animal husbandry (cattle, chicken, pigs, etc.), with domestic activities and childcare, since, due to the historical sexual division of labor between men and women, men tend to do less domestic and care work⁹9 Lastarria-Cornhiel S. Feminización de la agricultura en América Latina y África. RIMISP-Centro Latino-americano para el Desarrollo Rural. 2008 [acesso em 2022 fev 5]; (11):1-26. Disponível em: https://rimisp.org/wp-content/files_mf/files_mf/1366830040DTR_No.11_Lastarria.pdf.
https://rimisp.org/wp-content/files_mf/f... .

The sexual division of labor, whether reverberating in the urban or rural sphere, has as its central characteristic the work activity of men being focused on the production pole and women on the pole of social reproduction. This division does not necessarily refer to the notion of complementarity and equality, since it is based on relations of exploitation-domination of gender, class and race, and has a hierarchical nature, in which male work has greater social value than female work⁸8 Kergoat D. Divisão sexual do trabalho e relações sexuais de sexo. In: Hirata H, Laborie F, Doaré HL, et al. organizadores. Dicionário crítico do feminismo. São Paulo: Ed. UNESP; 2009. p. 67-75..

In studies on paid work by rural women, overload and the sexual division of labor were also present, both in agroindustry and agriculture, and in activities carried out within the domestic environment. According to Lastarria-Cornhiel⁹9 Lastarria-Cornhiel S. Feminización de la agricultura en América Latina y África. RIMISP-Centro Latino-americano para el Desarrollo Rural. 2008 [acesso em 2022 fev 5]; (11):1-26. Disponível em: https://rimisp.org/wp-content/files_mf/files_mf/1366830040DTR_No.11_Lastarria.pdf.
https://rimisp.org/wp-content/files_mf/f... , in Latin America and Africa, in salaried work in the field and in production processing, there is a strong separation of activities according to gender. Women develop handicrafts that require greater attention, care and delicacy – characteristics considered female ‘natural skills’ – and, most of the time, it is considered unskilled work. On the other hand, male work requires greater physical strength and sometimes the use of machinery, characterizing it as skilled work.

In the analyzed articles, the activity of sorting and packing fruits and vegetables in agroindustries is preferably carried out by women in Mexico⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... , Argentina¹⁷17 Bocero SL, Di Bona A. El trabajo asalariado femenino en el cinturón frutihortícola marplatense. Geograficando. 2012 [acesso em 2021 ago 10]; 8(8):1-21. Disponível em: https://www.geograficando.fahce.unlp.edu.ar/article/view/GEOv08n08a04/pdf_5.
https://www.geograficando.fahce.unlp.edu... , Brazil²⁵25 Cavalcanti J, Rodrigues V, Andrade B. Mulheres e trabalho na agricultura de exportação: questões atuais. Anthropológicas. 2012 [acesso em 2021 jul 12]; 23(1):67-88. Disponível em: https://periodicos.ufpe.br/revistas/revistaanthropologicas/article/view/23745.
https://periodicos.ufpe.br/revistas/revi... ,²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... ,³⁰30 Siqueira VB, Oliveira LMSR, Siqueira MAS, et al. Rural workers: work relationships and perceptions on violent events. J Nurs UFPE online. 2017 [acesso em 2021 mar 8]; 11(4):1662-1666. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/15236/18010.
https://periodicos.ufpe.br/revistas/revi... , Chile³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... , Ecuador⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... and USA⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... . In agriculture, mainly fruit, women develop activities based on the so-called ‘female manual characteristics’ – pollination, sowing and harvesting –, as observed in studies in Argentina¹⁶16 Mingo E. Género y trabajo: la participación laboral de las mujeres en la agricultura del Valle de Uco, Mendoza, Argentina. Papeles Trab. 2011 [acesso em 2021 set 16]; 5(7):172-188. Disponível em: http://revistasacademicas.unsam.edu.ar/index.php/papdetrab/article/view/216.
http://revistasacademicas.unsam.edu.ar/i... ,¹⁷17 Bocero SL, Di Bona A. El trabajo asalariado femenino en el cinturón frutihortícola marplatense. Geograficando. 2012 [acesso em 2021 ago 10]; 8(8):1-21. Disponível em: https://www.geograficando.fahce.unlp.edu.ar/article/view/GEOv08n08a04/pdf_5.
https://www.geograficando.fahce.unlp.edu... , Brazil²⁵25 Cavalcanti J, Rodrigues V, Andrade B. Mulheres e trabalho na agricultura de exportação: questões atuais. Anthropológicas. 2012 [acesso em 2021 jul 12]; 23(1):67-88. Disponível em: https://periodicos.ufpe.br/revistas/revistaanthropologicas/article/view/23745.
https://periodicos.ufpe.br/revistas/revi... ,²⁷27 Oliveira JA, Nina SFM. Ambiente e saúde da mulher trabalhadora: transformações numa comunidade da Amazônia brasileira. Saúde soc. 2014 [acesso em 2019 out 27]; (23):1162-1172. Disponível em: https://doi.org/10.1590/S0104-12902014000400004.
https://doi.org/10.1590/S0104-1290201400... , Chile³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... , Colombia³⁷37 Becerra NME, Galán EYB, Cano LAP, et al. Condiciones laborales de mujeres rurales en cultivos de tomate bajo invernadero; el caso de Sáchica (Boyacá). Cult Científica. 2013 [acesso em 2021 abr 10]; (11):107-16. Disponível em: https://revista.jdc.edu.co/index.php/Cult_cient/article/view/179.
https://revista.jdc.edu.co/index.php/Cul... , Ecuador⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... and USA⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... . In Uruguay, Mascheroni and Riella⁵⁴54 Mascheroni P, Riella A. La vulnerabilidad laboral de las mujeres en áreas rurales: Reflexiones sobre el caso uruguayo. Rev Cienc Soc. 2016 [acesso em 2021 abr 6]; 29(39):57-72. Disponível em: http://www.scielo.edu.uy/scielo.php?pid=S0797-55382016000200004&script=sci_arttext.
http://www.scielo.edu.uy/scielo.php?pid=... point to the great employability of rural women in domestic work.

Another issue that crosses the lives of women rural workers is the lack of social recognition of their work as farmers and peasants, which is often related to the unequal division of power and work between men and women on rural properties, as well as in the legislation of their countries. In Mexico, in the region of Chiapas, for example, it was observed that women, despite having an important role in food production, have legal difficulties in having land in their name and being recognized as heads of families, also affecting their participation in the region’s water use and irrigation management association⁴⁶46 Ruiz Meza LE. Segregación de género en la asignación de derechos al agua en los sistemas de riego campesino en Chiapas, México. Cuad Desarro Rural. 2013 [acesso em 2021 set 17]; 10(72):201-222. Disponível em: https://revistas.javeriana.edu.co/index.php/desarrolloRural/article/view/7030.
https://revistas.javeriana.edu.co/index.... .

In Argentina, Perona18 problematizes the gender perspective in the National Agricultural Census, which considers women as ‘family members of the producer’ and not as ‘producers’, making women’s work in production (harvesting, sowing, marketing, etc.) invisible.

Cooperative work, organization and resistance

In contrast to salaried and self-employed work, in studies on cooperative work, whether in women-only or mixed (men and women) cooperatives, it was noticed that such activity is related to higher levels of social recognition of female work, female leadership, increase in family income and a harmonious and supportive work environment, however, the overload of reproductive and productive work persists (table 2).

The work activity developed in cooperatives was identified in studies carried out in Brazil²⁶26 Mendes MF, Silva Neves SMA, Neves RJ, et al. A organização das mulheres extrativistas na região Sudoeste mato-grossense, Brasil. Rev Estud Fem. 2014 [acesso em 2020 fev 21]; 22(1):71-89. Disponível em: https://doi.org/10.1590/S0104-026X2014000100005.
https://doi.org/10.1590/S0104-026X201400... ,²⁷27 Oliveira JA, Nina SFM. Ambiente e saúde da mulher trabalhadora: transformações numa comunidade da Amazônia brasileira. Saúde soc. 2014 [acesso em 2019 out 27]; (23):1162-1172. Disponível em: https://doi.org/10.1590/S0104-12902014000400004.
https://doi.org/10.1590/S0104-1290201400... ,²⁸28 Wesz Junior VJ. Estratégias de desenvolvimento e a expansão das capacidades em um grupo produtivo de mulheres rurais assentadas. Interações. 2015 [acesso em 2021 mar 8]; 16(2):395-406. Disponível em: https://doi.org/10.1590/151870122015214.
https://doi.org/10.1590/151870122015214.... and Colombia³⁶36 Giraldo OF. Campesinas construyendo la utopía: mujeres, organizaciones y agroindustrias rurales. Cuad Desarro Rural. 2010 [acesso em 2021 mar 9]; 7(65):41-57. Disponível em: http://www.scielo.org.co/pdf/cudr/v7n65/v7n65a03.pdf.
http://www.scielo.org.co/pdf/cudr/v7n65/... ,³⁸38 Suárez E, Mosquera T, Castillo SD. Empowerment and associative process of rural women: a case study of rural areas in Bogotá and Cundinamarca, Colombia. Agron. colomb. 2018 [acesso em 2021 abr 23]; 36(2):158-165. Disponível em: https://doi.org/10.15446/agron.colomb.v36n2.66927.
https://doi.org/10.15446/agron.colomb.v3... . In cooperatives, in general, women carry out fruit processing activities into pulps, sweets and jams, produce cheeses and yogurts, raise small animals, produce handicrafts and organize community events, betting on the plurality of activities.

In the study carried out by Oliveira and Nina²⁷27 Oliveira JA, Nina SFM. Ambiente e saúde da mulher trabalhadora: transformações numa comunidade da Amazônia brasileira. Saúde soc. 2014 [acesso em 2019 out 27]; (23):1162-1172. Disponível em: https://doi.org/10.1590/S0104-12902014000400004.
https://doi.org/10.1590/S0104-1290201400... in the Brazilian Amazon region, the activities developed by the group of women of the cooperative also represent an escape from the multiple domestic tasks and allow relaxation, friendship and freedom, favoring health and quality of life. Similarly, for Colombian workers in the Cundinamarca region, participation in cooperative agroindustries contributes to self-esteem, enables a change in the chores routine, with more family members taking charge of tasks, and increases the network and circle of interpersonal relationships³⁶36 Giraldo OF. Campesinas construyendo la utopía: mujeres, organizaciones y agroindustrias rurales. Cuad Desarro Rural. 2010 [acesso em 2021 mar 9]; 7(65):41-57. Disponível em: http://www.scielo.org.co/pdf/cudr/v7n65/v7n65a03.pdf.
http://www.scielo.org.co/pdf/cudr/v7n65/... . Giraldo³⁶36 Giraldo OF. Campesinas construyendo la utopía: mujeres, organizaciones y agroindustrias rurales. Cuad Desarro Rural. 2010 [acesso em 2021 mar 9]; 7(65):41-57. Disponível em: http://www.scielo.org.co/pdf/cudr/v7n65/v7n65a03.pdf.
http://www.scielo.org.co/pdf/cudr/v7n65/... , in addition, emphasizes the importance of women’s cooperatives to face poverty in the Colombian rural population and the role that these structures play in tensioning the power relations imposed by patriarchal hegemony.

In general, women’s groups in cooperatives are more than just working groups; they are political action groups, since the movement to create rural women’s cooperatives also entails the need for women workers to have a space of autonomy and political organization in the face of economic and gender inequalities faced in the rural sphere. For Kergoat³3 Kergoat D. O trabalho, um conceito central para os estudos de gênero? In: Maruani M, organizador. Trabalho, logo existo: perspectivas feministas. Rio de Janeiro: FGV Editora; 2019. p. 287-294., work is not only a space of domination, but also of solidarity, cooperation and socialization, being ‘potentially at the center of resistance and struggles’ in search of the transformation of social relations of exploitation and domination.

Furthermore, the struggle and political organization of rural workers in unions and national associations were also present. Valdés et al.³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... analyze the performance of the National Association of Rural and Indigenous Women (Anamuri), in Chile, in view of the precariousness of salaried work and health conditions, highlighting some achievements such as the increase in formal employment, access to the health system by temporary workers, improvements in work environments and changes in the subcontracting system.

Cavalcanti et al.²⁵25 Cavalcanti J, Rodrigues V, Andrade B. Mulheres e trabalho na agricultura de exportação: questões atuais. Anthropológicas. 2012 [acesso em 2021 jul 12]; 23(1):67-88. Disponível em: https://periodicos.ufpe.br/revistas/revistaanthropologicas/article/view/23745.
https://periodicos.ufpe.br/revistas/revi... show, in the region of fruit growing for export in the São Francisco Valley – Brazil, the organization, struggle and achievements of the rural workers’ union, composed mostly of women (although gender inequalities persist). Among the achievements related to gender demands are the guarantee of day care in companies with more than 20 women, security and employment for pregnant women, the right to rest for breastfeeding, among others.

Women rural workers’ health

The health conditions of rural workers were systematized into four main groups of issues and health problems: musculoskeletal disorders, pesticide poisoning, mental disorders and infectious diseases (table 3).

Musculoskeletal disorders and mental disorders were the most reported work-related health problems in the reviewed studies. Infectious diseases were reported only in a study carried out in South Africa, in which rural workers in the Umkhanyakude District region, in northern KwaZulu-Natal, had a history of malaria cases. In this case, the long working hours when applying pesticides, the lack of protective clothing against the malaria vector, the use of artificial irrigation in the cultivation of sugarcane, cotton and mangoes were pointed out as factors that may have contributed to the increase in the incidence of the disease¹⁴14 Naidoo S, London L, Burdorf A, et al. Occupational activities associated with a reported history of malaria among women working in small-scale agriculture in South Africa. Am J Trop Med Hyg. 2011 [acesso em 2021 jan 15]; 85(5):805-810. Disponível em: https://pubmed.ncbi.nlm.nih.gov/22049030/.
https://pubmed.ncbi.nlm.nih.gov/22049030... .

Musculoskeletal disorders

Symptoms of low back pain and pain in the upper and lower limbs are present in virtually all studies that reported musculoskeletal discomfort on the part of female workers. Such symptoms were related to repetitive movements and postures²¹21 Motta AF, Cardoso FL, Sacomori C, et al. Dor lombar auto-referida em mulheres trabalhadoras rurais de sete comunidades de Concórdia-SC. Ter Man. 2010 [acesso em 2021 mar 8]; 8(35):10-16. Disponível em: http://s3.amazonaws.com/host-client-assets/files/mtprehab/tm_2010_35.pdf.
http://s3.amazonaws.com/host-client-asse... ,³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... ,⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... , weight lifting⁵²52 Raczkiewicz D, Saran T, Sarecka-Hujar B, et al. Work conditions in agriculture as risk factors of spinal pain in postmenopausal women. Int J Occup Saf Ergon. 2019 [acesso em 2021 mar 14]; 25(2):250-256. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28786763/.
https://pubmed.ncbi.nlm.nih.gov/28786763... , long workdays³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... and inadequate equipment handling practices¹⁹19 Innes E, Crowther A, Fonti F, et al. Women’s Health at Work Program: musculoskeletal pain experienced by women of Chinese background working on market gardens in the Sydney Basin. Work. 2010 [acesso em 2021 jan 22]; 36(2):129-140. Disponível em: https://content.iospress.com/articles/work/wor01015.
https://content.iospress.com/articles/wo... , performed mainly in salaried and self-employed activities.

Motta et al.²¹21 Motta AF, Cardoso FL, Sacomori C, et al. Dor lombar auto-referida em mulheres trabalhadoras rurais de sete comunidades de Concórdia-SC. Ter Man. 2010 [acesso em 2021 mar 8]; 8(35):10-16. Disponível em: http://s3.amazonaws.com/host-client-assets/files/mtprehab/tm_2010_35.pdf.
http://s3.amazonaws.com/host-client-asse... , in a study with rural communities in Santa Catarina, point out that 93.3% of rural workers with an average age of 40 and 41 years have already suffered from low back pain during some period of their lives, which may be related to time working in the field, repetitive movements at work, age and weight gain. Rocha and Rigotto²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... report complaints of Repetitive Strain Injuries (RSI) and Work-Related Musculoskeletal Disorders (WMSDs) by female workers in fruit agroindustries in Ceará, Brazil.

In Chile, in the Commune of Putaendo, Molina³⁴34 Caro Molina P. Desigualdad y transgresión en mujeres rurales chilenas: Lecturas desde la interseccionalidad, género y feminismo. Psicoperspectivas. 2017 [acesso em 2021 mar 10]; 16(2):125-137. Disponível em: http://dx.doi.org/10.5027/psicoperspectivas-vol16-issue2-fulltext-1050.
http://dx.doi.org/10.5027/psicoperspecti... describes that the main health problems of female workers are osteoarthritis and pain in the legs, back, hands and arms, resulting from activities such as harvesting and cracking nuts for more than 10 hours without a break. Moreover, in Chile, Valdés et al.³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... identified tendinitis related to repetitive movements performed by female workers.

Studies in Australia¹⁹19 Innes E, Crowther A, Fonti F, et al. Women’s Health at Work Program: musculoskeletal pain experienced by women of Chinese background working on market gardens in the Sydney Basin. Work. 2010 [acesso em 2021 jan 22]; 36(2):129-140. Disponível em: https://content.iospress.com/articles/work/wor01015.
https://content.iospress.com/articles/wo... , Poland⁵²52 Raczkiewicz D, Saran T, Sarecka-Hujar B, et al. Work conditions in agriculture as risk factors of spinal pain in postmenopausal women. Int J Occup Saf Ergon. 2019 [acesso em 2021 mar 14]; 25(2):250-256. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28786763/.
https://pubmed.ncbi.nlm.nih.gov/28786763... , Ecuador⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... and Mexico⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... also reinforce the complaints from rural women about pain in the lower back and lower and upper limbs when carrying out their work in conditions of high physical demand, work overload and inadequate postures.

Mental disorders and violence

Stress, anxiety and depression were the most common morbidities related to work and mental health in rural women. Bojar et al.⁵¹51 Bojar I, Humeniuk E, Owoc A, et al. Exposing women to workplace stress factors as a risk factor for developing arterial hypertension. Ann Agric Environ Med. 2011 [acesso em 2021 abr 8]; 18(1):175-182. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21736283/.
https://pubmed.ncbi.nlm.nih.gov/21736283... observed that Polish women who work in agriculture in the Lublin region, in relation to other groups of workers (clerks, seamstresses and workers in the pharmaceutical industry), present greater intensification of stress at work, which is related to workload, the lack of reward and the uncertainty of the daily tasks that must be accomplished. In the study by Becerra et al.³⁷37 Becerra NME, Galán EYB, Cano LAP, et al. Condiciones laborales de mujeres rurales en cultivos de tomate bajo invernadero; el caso de Sáchica (Boyacá). Cult Científica. 2013 [acesso em 2021 abr 10]; (11):107-16. Disponível em: https://revista.jdc.edu.co/index.php/Cult_cient/article/view/179.
https://revista.jdc.edu.co/index.php/Cul... , in Colombia, work stress reported by workers was mainly related to precarious working conditions, with lower wages and temporary contracts.

In Brazil, in a rural horticulture community, Cezar-Vaz et al.²³23 Cezar-Vaz MR, Bonow CA, Silva MRS. Mental and Physical Symptoms of Female Rural Workers: Relation between Household and Rural Work. Int J Environ Res Public Health. 2015 [acesso em 2021 jan 22]; 12(9):11037-11049. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586660/.
https://www.ncbi.nlm.nih.gov/pmc/article... point out that 61% of the women interviewed reported some type of work-related mental disorder, with generalized anxiety disorder being more prevalent, followed by an acute reaction to stress, sleep disturbances, depressive episodes and panic disorder. Women workers with mental disorders also reported higher levels of physical demand, working time, effort and frustration.

In the USA, migrant women rural workers from Mexico feel stressed due to work and family responsibilities, and the sexual harassment suffered at work culminated in increased physical and emotional stress⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... . The workers also described lack of health insurance and little knowledge of how to access the health system as an obstacle to good health, in addition to language difficulties. Another study in the USA⁴²42 Pulgar CA, Trejo G, Suerken C, et al. Economic hardship and depression among women in latino farmworker families. J Immigr Minor Health. 2016 [acesso em 2021 ago 22]; 18(3):497-504. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26022147/.
https://pubmed.ncbi.nlm.nih.gov/26022147... , with Latino rural workers, points out that one third of the women interviewed have depressive symptoms, a value three times higher than the rate of depression in the USA female population. Women rural workers who had more symptoms of depression were experiencing economic difficulties and low food security. Arcury et al.⁴³43 Arcury TA, Sandberg JC, Talton JW, et al. Mental health among latina farmworkers and other employed latinas in North Carolina. Rural Ment Health. 2018 [acesso em 2021 ago 19]; 42(2):89-101. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141195/.
https://www.ncbi.nlm.nih.gov/pmc/article... identified that female Latino farm workers in the USA have higher stress and anxiety scores than unemployed Latino non-agricultural female workers.

Violence (sexual, physical, verbal and psychological) was also a relevant factor in the women workers’ mental suffering, both in the formal salaried work environment and in the domestic environment – linked to the performance of autonomous remunerated or social reproduction activities. Violence is a social and historical problem, and violence against women is no different. It carries marks of domination-exploitation, oppression and cruelty in power relations historically constructed between men and women⁶²62 Saffioti HIB, Almeida SS. Violência de gênero: poder e impotência. Rio de Janeiro: Revinter; 1995.,⁶³63 Gomes R, Minayo MCS, Silva CFR. Violência contra a mulher: uma questão transnacional e transcultural das relações de gênero. In: Brasil. Ministério da Saúde. Impacto da violência na saúde dos brasileiros. 1. ed. Brasília, DF: Ministério da Saúde; 2005. p. 117-40.

Kim et al.⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... , in the USA, report that 75% of the Latino female rural workers interviewed have suffered or know someone who has suffered sexual harassment at work, mostly by supervisors and male co-workers. Just like Murphy et al.⁴⁴44 Murphy J, Samples J, Morales M, et al. “They talk like that, but we keep working”: Sexual harassment and sexual assault experiences among Mexican Indigenous farmworker women in Oregon. J Immigr Minor Health. 2015 [acesso em 2021 ago 18]; 17(6):1834-1839. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4128901/.
https://www.ncbi.nlm.nih.gov/pmc/article... , in the Willamette Valley region, in Oregon, USA, they show that the majority of Latina workers in the region suffered some type of harassment at work. Harassment is identified by workers through verbal comments and unwanted physical contact, staring and feelings of discomfort. Such situations generated higher levels of stress, anxiety, anguish and insecurity for workers, also forcing women to be alert at work and develop ways of defending themselves, such as wearing looser clothes to cover the body and pretending to be married or homosexual (in case of single and heterosexual women).

Furthermore, Costa et al.²⁰20 Costa MGSG, Dimenstein MDB, Leite JF. Condições de vida, gênero e saúde mental entre trabalhadoras rurais assentadas. Estud. Psicol. 2014 [acesso em 2019 abr 22]; 19(2):145-154. Disponível em: https://www.redalyc.org/articulo.oa?id=26132115007.
https://www.redalyc.org/articulo.oa?id=2... identified that 43% of women rural workers, living in a settlement region in Rio Grande do Norte – Brazil, showed signs of a common mental disorder, with depressive/anxious mood being the most cited symptom. Violence (domestic and sexual), as well as marriage, poverty, work overload were cited by women as the main factors related to mental suffering. And Siqueira et al.³⁰30 Siqueira VB, Oliveira LMSR, Siqueira MAS, et al. Rural workers: work relationships and perceptions on violent events. J Nurs UFPE online. 2017 [acesso em 2021 mar 8]; 11(4):1662-1666. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/15236/18010.
https://periodicos.ufpe.br/revistas/revi... observed that 78.8% of women rural workers in the region of Petrolina in Pernambuco – Brazil, had already suffered some type of physical, verbal, sexual and/or psychological violence.

Pesticide exposure and poisoning

Exposure to pesticides in rural women’s work activities was identified in research carried out in Argentina¹⁷17 Bocero SL, Di Bona A. El trabajo asalariado femenino en el cinturón frutihortícola marplatense. Geograficando. 2012 [acesso em 2021 ago 10]; 8(8):1-21. Disponível em: https://www.geograficando.fahce.unlp.edu.ar/article/view/GEOv08n08a04/pdf_5.
https://www.geograficando.fahce.unlp.edu... , Brazil²⁰20 Costa MGSG, Dimenstein MDB, Leite JF. Condições de vida, gênero e saúde mental entre trabalhadoras rurais assentadas. Estud. Psicol. 2014 [acesso em 2019 abr 22]; 19(2):145-154. Disponível em: https://www.redalyc.org/articulo.oa?id=26132115007.
https://www.redalyc.org/articulo.oa?id=2... ,²³23 Cezar-Vaz MR, Bonow CA, Silva MRS. Mental and Physical Symptoms of Female Rural Workers: Relation between Household and Rural Work. Int J Environ Res Public Health. 2015 [acesso em 2021 jan 22]; 12(9):11037-11049. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586660/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁷27 Oliveira JA, Nina SFM. Ambiente e saúde da mulher trabalhadora: transformações numa comunidade da Amazônia brasileira. Saúde soc. 2014 [acesso em 2019 out 27]; (23):1162-1172. Disponível em: https://doi.org/10.1590/S0104-12902014000400004.
https://doi.org/10.1590/S0104-1290201400... ,²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... , Colombia³⁷37 Becerra NME, Galán EYB, Cano LAP, et al. Condiciones laborales de mujeres rurales en cultivos de tomate bajo invernadero; el caso de Sáchica (Boyacá). Cult Científica. 2013 [acesso em 2021 abr 10]; (11):107-16. Disponível em: https://revista.jdc.edu.co/index.php/Cult_cient/article/view/179.
https://revista.jdc.edu.co/index.php/Cul... , Chile³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... , Ecuador⁴⁰40 Mantilla MRY, Rosa M. Fuerza de trabajo femenina en la agricultura de exportación de brócoli en Cotopaxi (Debate Agrario -Rural). Ecuador Debate. 2015 [acesso em 2021 set 16]; (94):131-144. Disponível em: http://repositorio.flacsoandes.edu.ec/handle/10469/9608.
http://repositorio.flacsoandes.edu.ec/ha... , Uruguay⁵⁶56 Chiappe M. Conflictos por uso de agroquímicos: el papel de las mujeres rurales en Uruguay. Agrociencia Urug. 2020 [acesso em 2021 mar 19]; 24(esp):1-15. Disponível em: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S2301-15482020000301311&lang=pt.
http://www.scielo.edu.uy/scielo.php?scri... , Mexico⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... , USA⁴⁵45 Kim NJ-E, Vásquez VB, Torres E, et al. Breaking the silence: sexual harassment of mexican women farmworkers. J Agromedicine. 2016 [acesso em 2021 ago 17]; 21(2):154-162. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5957069/.
https://www.ncbi.nlm.nih.gov/pmc/article... and South Africa¹⁴14 Naidoo S, London L, Burdorf A, et al. Occupational activities associated with a reported history of malaria among women working in small-scale agriculture in South Africa. Am J Trop Med Hyg. 2011 [acesso em 2021 jan 15]; 85(5):805-810. Disponível em: https://pubmed.ncbi.nlm.nih.gov/22049030/.
https://pubmed.ncbi.nlm.nih.gov/22049030... ,¹⁵15 Motsoeneng PM, Dalvie MA. Relationship between urinary pesticide residue levels and neurotoxic symptoms among women on farms in the Western Cape, South Africa. Int J Env Res Public Health. 2015 [acesso em 2021 fev 9]; 12(6):6281-6299. Disponível em: https://www.mdpi.com/1660-4601/12/6/6281.
https://www.mdpi.com/1660-4601/12/6/6281... , in salaried jobs or in own production activities. The workers are directly exposed to pesticides in the preparation of the syrup (a mixture of pesticides), in the handling and application of chemical products on agricultural crops and in the handling of fruits and vegetables on which pesticides have been sprayed. Furthermore, it is necessary to consider the environmental exposure of rural workers and the population to pesticides, since the spraying of these chemical products turns the air, water and rain in rural areas into contamination routes⁶⁴64 Carneiro FF, Augusto LGS, Rigotto RM, et al. organizadores. Dossiê ABRASCO: um alerta sobre os impactos dos agrotóxicos na saúde. Rio de Janeiro: São Paulo: Escola Politécnica de Saúde Joaquim Venâncio; Expressão Popular; 2015.,⁶⁵65 Beserra L, Oliveira LK, Pignati WA. Contaminação sistêmica por agrotóxicos na chuva, águas, peixes e pecuárias em territórios do agronegócio em Mato Grosso. In: Pignati WA, Correa MLM, Leão LHC, et al. organizadores. Desastres sócio-sanitário-ambientais do agronegócio e resistências agroecológicas no Brasil. 1. ed. São Paulo: Outras Expressões; 2021..

It is estimated that 385 million people fall ill every year as a result of pesticide poisoning⁶⁶66 Chemnitz C, Wenz K, Haffmans S, organizadores. Pestizidatlas: Daten und Fakten zu Giften in der Landwirtschaft 2022. Berlim: Heinrich-Böll-Stiftung; 2022. [acesso em 2021 nov 10]. Disponível em: https://www.boell.de/sites/default/files/2022-01/Boell-Pestizidatlas-2022.pdf.
https://www.boell.de/sites/default/files... . In this review, five studies were identified that report signs and symptoms of pesticide poisoning in rural workers. In the tomato agroindustry, in the region of San Luis Potosí, Mexico, workers who sort and pack tomatoes experience skin irritations and allergies due to contact with the chemicals used in production⁴⁸48 Ledesma MIM. Labor attributes and strategies: the case of tomato workers in San Luis Potosi, Mexico. New Solut. 2010 [acesso em 2021 abr 20]; 20(4):465-478. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21342870/.
https://pubmed.ncbi.nlm.nih.gov/21342870... . In fruit agroindustries, in the region of Chapada do Apodi – Ceará, in Brazil, women feel irritation in the throat, eyes and respiratory tract due to the proximity and strong odor of chemical products²⁹29 Rocha MM, Rigotto RM. Produção de vulnerabilidades em saúde: o trabalho das mulheres em empresas agrícolas da Chapada do Apodi, Ceará. Saúde debate. 2017 [acesso em 2019 jun 19]; 41(2):63-79. Disponível em: https://doi.org/10.1590/0103-11042017S206.
https://doi.org/10.1590/0103-11042017S20... .

Also in Brazil, workers in the fruit and vegetable sector in Rio Grande do Sul report a high prevalence of gastric manifestations (pain, regurgitation, nausea and vomiting) that were associated, among other factors, with the use of pesticides²²22 Cezar-Vaz MR, Bonow CA, Couto AM, et al. Prevalência de sinais e sintomas digestórios em trabalhadoras rurais e fatores associados. Acta Paul Enferm. 2015 [acesso em 2021 mar 8]; 28(5):460-466. Disponível em: https://doi.org/10.1590/1982-0194201500077.
https://doi.org/10.1590/1982-01942015000... . In South Africa, Motsoeneng and Dalvie¹⁵15 Motsoeneng PM, Dalvie MA. Relationship between urinary pesticide residue levels and neurotoxic symptoms among women on farms in the Western Cape, South Africa. Int J Env Res Public Health. 2015 [acesso em 2021 fev 9]; 12(6):6281-6299. Disponível em: https://www.mdpi.com/1660-4601/12/6/6281.
https://www.mdpi.com/1660-4601/12/6/6281... identified a higher prevalence of neurotoxic symptoms in rural workers compared to women living in cities, and three symptoms in the applied questionnaire (problems with buttoning, reading and taking notes) were significantly associated with the presence of three metabolites of pyrethroid insecticides in the urine. Valdés et al.³⁵35 Valdés SX, Gloria Godoy RC, Mendoza AA. Acción colectiva y resistencia: asalariadas agrícolas en Chile frente a la precarización laboral. Izquierdas. 2017 [acesso em 2021 mar 10]; (35):167-198. Disponível em: http://dx.doi.org/10.4067/S0718-50492017000400167.
http://dx.doi.org/10.4067/S0718-50492017... report complaints of pesticide poisoning and cases of malformations in the children of female workers exposed to these chemical products by the National Association of Rural Women in Chile.

Worldwide, about 4 million tons of pesticides are used annually⁶⁶66 Chemnitz C, Wenz K, Haffmans S, organizadores. Pestizidatlas: Daten und Fakten zu Giften in der Landwirtschaft 2022. Berlim: Heinrich-Böll-Stiftung; 2022. [acesso em 2021 nov 10]. Disponível em: https://www.boell.de/sites/default/files/2022-01/Boell-Pestizidatlas-2022.pdf.
https://www.boell.de/sites/default/files... . According to the FAO Pesticides Use Database⁶⁷67 Organização das Nações Unidas para Agricultura e Alimentação. Food and agriculture data. [acesso em 2022 fev 18]. Disponível em: https://www.fao.org/faostat/en/#data/RP.
https://www.fao.org/faostat/en/#data/RP.... , from 2010 to 2019, on average annually, around 2 million tons of pesticides were used or sold in Asia, 729 thousand in South America, 485 thousand in Europe, 482 thousand in North America, 99 thousand in Africa, 96 thousand in Central America and 60 thousand in Oceania. Regarding South America – one of the regions in which the studies in this review were concentrated –, 50.1% of pesticides were used in Brazil, 28.3% in Argentina, 6.7% in Colombia and 4% in Ecuador. In the case of North America, the USA was the country that most used pesticides in the period.

Intense exposure and acute and chronic poisoning by pesticides in rural workers are directly related to the current model of agricultural production, based on monoculture, with little or no diversity and rotation of agricultural crops, high mechanization and dependence on chemical products⁶⁴64 Carneiro FF, Augusto LGS, Rigotto RM, et al. organizadores. Dossiê ABRASCO: um alerta sobre os impactos dos agrotóxicos na saúde. Rio de Janeiro: São Paulo: Escola Politécnica de Saúde Joaquim Venâncio; Expressão Popular; 2015.,⁶⁸68 Pignati W, Soares MR, Leão LHC. A cadeia produtiva do agronegócio, danos ambientais, acidentes de trabalho, agrotóxicos, doenças e pandemias: um resumo. In: Pignati WA, Correa MLM, Leão LHC, et al. organizadores. Desastres sócio-sanitário-ambientais do agronegócio e resistências agroecológicas no Brasil. 1. ed. São Paulo: Outras Expressões; 2021.. Family and peasant farmers who try to escape the hegemonic logic of production, in the case of the use of pesticides, are increasingly trapped between large properties and the use of the ‘technological package’ (conventional or transgenic treated and patented seeds, fertilizers and pesticides), making it difficult to resist without public policies to encourage the reduction in the use of pesticides and organic and agroecological production.

Final considerations

The reviewed articles point to a diversity of work activities of rural women, formal paid, autonomous or in cooperatives, as well as unpaid activities of food production for subsistence and domestic work and care. Working conditions in salaried positions, in general, are precarious, with temporary, flexible contracts, long working hours and low wages. Following the logic of the sexual division of labor, there is a predominance of women in activities in the agro-industrial sector considered more ‘delicate’ and manual, such as harvesting and packing fruits and vegetables and sowing and pollination of some crops.

Paid work activities carried out autonomously were characterized by work overload, high physical and repetitive demand and lack of social recognition of female work, however studies also report greater control of activities by women and the possibility of financial autonomy. In women’s cooperatives, the social recognition of work, female leadership and the increase in family income were predominant in characterizing the work done by women. Together with the productive activities carried out, it was common to mention carrying out activities of social reproduction, such as housework and childcare, which is an important issue in terms of work overload.

In the workers’ health-disease process, musculoskeletal disorders linked to rural physical work overload and domestic work, mental suffering and illness, high exposure and acute and chronic intoxication to pesticides and violence were identified as predominant processes and situations experienced by these women.

Contrasting this scenario of precarious working and health conditions, the organization of workers in unions and women’s groups in cooperatives played an important role in the resistance and in the search for better working conditions, as well as reduction of inequalities, in the rural environment.

Regarding the limitations of the study, the use of only three databases (SciELO, PubMed and VHL-Public Health) is pointed out, which can be expanded in new investigations. Furthermore, the reviewed studies predominantly discuss the context of female rural workers in the Americas, requiring further studies and search strategies in reviews that may encompass research on the particularities of female rural workers in Asia, Africa and Europe.

Finally, it is pointed out the importance of implementing and strengthening public policies aimed at improving working and health conditions in rural salaried positions, with the expansion and guarantee of labor and social security rights, in addition to public policies to encourage family farming and agroecology, with emphasis on the participation of women in rural production.

Acknowledgements

This publication was supported by the Deputy Directorate for Research and Innovation and the Public Health Post-Graduate Program at the Sergio Arouca National School of Public Health/Oswaldo Cruz Foundation (ENSP-FIOCRUZ).

References

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