1
|
Rodriguez A, Chavez L, Wagner T, Howe C. Effectiveness of Trained Community Lay Workers on Glycemic Control, Knowledge, and Self-Efficacy Among Agricultural Workers with Diabetes in the Texas Panhandle. J Immigr Minor Health 2024; 26:841-849. [PMID: 38700575 DOI: 10.1007/s10903-024-01603-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2024] [Indexed: 09/20/2024]
Abstract
Systemic health barriers, economic challenges, and lack of follow-up care exacerbate self-management of chronic diseases like diabetes among Hispanic agricultural workers. The primary objective of this pilot project was to determine the benefit of using community coaches to decrease A1C levels and increase diabetes knowledge among agricultural workers with diagnosed diabetes in the Texas Panhandle. A longitudinal study design with two phases was used to create, deliver, and evaluate a diabetes coaching program. Phase 1 was the development of the program and community coaches training (n = 4). In Phase 2, the coaches then delivered the program over 12 weeks to thirteen clients. Phase 1: All coaches were Hispanic females, 28.3 (SD 3.8) years of age, half had at most a high school education level and the other half had a vocational certification (n = 4). Mean DKQ-24 score was 54.2% (SD = 29.7) at baseline and 75.0% (SD = 31.4) after training (t (4) = 4.6, P < 0.05). We observed a very large difference between mean baseline and exit DKQ-24 scores relative to the pooled standard deviation, resulting in an effect size estimate of 0.59 indicative of a medium to large learning effect. Phase 2: Clients were Hispanic Spanish-speaking, predominantly female (55%), 44.4 (SD 6.8) years of age with at most a high school level of education (88.9%) and occupations varied from dairy farm worker (33.3%), meat processing worker (33.3%), and other agriculture or manufacturing position (33.3%). The mean SKILLD score was 40.0% (SD = 28.7) at baseline, increasing to 72.2% (SD = 25.4) at 12 weeks upon completion of the coaching program (t (9) = 2.956, P < 0.05). We observed a very large difference between mean baseline and exit SKILLD scores relative to the pooled standard deviation, resulting in an effect size estimate of 1.13 indicative of a large learning effect. The mean A1C levels at baseline screening was 8.3% (SD = 3.0) and 7.6% (SD = 3.0) at exit screening, representing a 0.7% decrease (p = 0.4730). No statistically significant differences were observed between depression (p = 0.786) or anxiety (p = 1.000) measures at baseline compared to exit. Training and coaching programs for hard-to-reach agricultural and meat processing workers must be culturally, linguistically, and literacy appropriate for both coaches and clients. The program must be feasible and sustainable, focus on empowering community members, capitalize on technological advances and persisting new-normals from the COVID-19 pandemic as well as dismantle common systemic barriers to health and understanding lived-experiences of agricultural working populations in rural regions.
Collapse
Affiliation(s)
- Anabel Rodriguez
- School of Public Health College Station, Texas A&M University, Environmental and Occupational Health, 212 Adriance Lab Road, 1266 TAMU, College Station, TX, 77843, USA.
| | - Lus Chavez
- Family Support Services of Amarillo, Sembrando el Sueño, 2209 SW 7th, Amarillo, TX, 79106, USA
| | - Teresa Wagner
- School of Health Professions, The University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, IREB 470C, Fort Worth, TX, 76107, USA
| | - Carol Howe
- Harris College of Nursing and Health Sciences, Texas Christian University, 2800 South University Drive, Fort Worth, TX, 76109, USA
| |
Collapse
|
2
|
Rodriguez A, Lopez SN, Douphrate DI. On-Farm Health Screening Needs of Immigrant Dairy Workers in the Texas Panhandle and South Plains. J Agromedicine 2023; 28:665-675. [PMID: 37036159 DOI: 10.1080/1059924x.2023.2200418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Abstract
The objective of this pilot study was to determine the health needs of dairy farm workers and the feasibility of on-farm health risk screenings in the Texas Panhandle and South Plains. A cross-sectional study design was used to collect survey responses concerning health needs, occupational, and economic characteristics among 300 dairy workers between April 2020 and July 2021. Participants were predominantly immigrant Hispanic (88.8%) males (83.0%) of approximately 34.4 (SD 9.9) years of age, worked 6.0 (SD 0.4; Range 3-7) days a week and 9.9 (SD 1.5; Range 6-13) hours a day, earning a mean hourly rate of $13.40 (SD $2.80). Participants reported interest in attending on-farm health risk screenings (93.8%) as well as receiving a COVID-19 vaccine if it became available (86.4%). Health service categories were ranked from: (1st "most important") preventative care (Mean Rank 2.3), (2nd) laboratory and diagnostic care (Mean Rank 2.6), (3rd) nutritional and physical fitness support (Mean Rank 2.8), (4th) mental health care (Mean Rank 3.4), and (5th) workplace interventions (Mean Rank 3.6). Participants reported obtaining health information predominantly from internet searches (32.0%) and social media (17.7%). Findings suggest there is need and interest for on-farm health risk screenings and education among immigrant dairy workers in the Texas Panhandle-South Plains region. Addressing known barriers to health should be paramount to the organization of on-farm health risk screenings.
Collapse
Affiliation(s)
- Anabel Rodriguez
- School of Public Health, Department of Epidemiology, Human Genetics & Environmental Sciences, University of Texas Health Science Center at Houston, San Antonio, TX, USA
| | - Sofia N Lopez
- School of Public Health, Department of Epidemiology, Human Genetics & Environmental Sciences, University of Texas Health Science Center at Houston, San Antonio, TX, USA
| | - David I Douphrate
- School of Public Health, Environmental and Occupational Health, Texas A&M University, College Station, TX, USA
| |
Collapse
|
3
|
Soto S, Yoder AM, Aceves B, Nuño T, Sepulveda R, Rosales CB. Determining Regional Differences in Barriers to Accessing Health Care Among Farmworkers Using the National Agricultural Workers Survey. J Immigr Minor Health 2023; 25:324-330. [PMID: 36319879 PMCID: PMC9988993 DOI: 10.1007/s10903-022-01406-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 12/31/2022]
Abstract
Farmworkers are an essential workforce in the U.S. We assessed the regions in the National Agricultural Workers Survey on the difficulty of accessing health care among farmworkers in the U.S. The study included 9577 farmworkers. Farmworkers in all regions were more likely to report having difficulty accessing health care because it was too expensive. The overall odds ratio for difficulty accessing health care was lower in the MW after adjusting. Farmworkers employed in the SE had greater difficulty accessing health care because of language barriers. Farmworkers employed in CA had difficulty accessing health care in the U.S. because it was too expensive or far away. Results follow previous studies on barriers to access health care among the farmworker population. Understanding regional disparities in the presence of barriers to accessing health care among farmworkers is an essential step to improving equitable health care access in the U.S.
Collapse
Affiliation(s)
- Sheila Soto
- Division of Public Health Practice & Translational Research, Mel and Enid Zuckerman, College of Public Health, University of Arizona, Phoenix, AZ, USA.
| | - Aaron Meck Yoder
- Department of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Benjamin Aceves
- School of Public Health, San Diego State University, San Diego, CA, USA
| | - Tomas Nuño
- Department of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Refugio Sepulveda
- Division of Public Health Practice & Translational Research, Mel and Enid Zuckerman, College of Public Health, University of Arizona, Phoenix, AZ, USA
| | - Cecilia Ballesteros Rosales
- Division of Public Health Practice & Translational Research, Mel and Enid Zuckerman, College of Public Health, University of Arizona, Phoenix, AZ, USA
| |
Collapse
|
4
|
Rodriguez-Chavez C, Larrea-Schiavon S, Leyva-Flores R, Bustamante ND, Arevalo M, Cortes-Alcala R, Rodriguez G, Merrill R, Escotto D, Bojorquez I. A characterization of cross-border use of health services in a transborder population at the Mexico-Guatemala border, September-November 2021. PLoS One 2023; 18:e0282095. [PMID: 36812257 PMCID: PMC9946200 DOI: 10.1371/journal.pone.0282095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 02/07/2023] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND Cross-border use of health services is an important aspect of life in border regions. Little is known about the cross-border use of health services in neighboring low- and middle-income countries. Understanding use of health services in contexts of high cross-border mobility, such as at the Mexico-Guatemala border, is crucial for national health systems planning. This article aims to describe the characteristics of the cross-border use of health care services by transborder populations at the Mexico-Guatemala border, as well as the sociodemographic and health-related variables associated with use. METHODS Between September-November 2021, we conducted a cross-sectional survey using a probability (time-venue) sampling design at the Mexico-Guatemala border. We conducted a descriptive analysis of cross-border use of health services and assessed the association of use with sociodemographic and mobility characteristics by means of logistic regressions. RESULTS A total of 6,991 participants were included in this analysis; 82.9% were Guatemalans living in Guatemala, 9.2% were Guatemalans living in Mexico, 7.8% were Mexicans living in Mexico, and 0.16% were Mexicans living in Guatemala. 2.6% of all participants reported having a health problem in the past two weeks, of whom 58.1% received care. Guatemalans living in Guatemala were the only group reporting cross-border use of health services. In multivariate analyses, Guatemalans living in Guatemala working in Mexico (compared to not working in Mexico) (OR 3.45; 95% CI 1.02,11.65), and working in agriculture/cattle, industry, or construction while in Mexico (compared to working in other sectors) (OR 26.67; 95% CI 1.97,360.85), were associated with cross-border use. CONCLUSIONS Cross-border use of health services in this region is related to transborder work (i.e., circumstantial use of cross-border health services). This points to the importance of considering the health needs of migrant workers in Mexican health policies and developing strategies to facilitate and increase their access to health services.
Collapse
Affiliation(s)
- Cesar Rodriguez-Chavez
- School of Public Health, University of Texas, Health Science Center, Houston, Texas, United States of America
| | - Silvana Larrea-Schiavon
- School of Public Health, University of California Berkeley, Berkeley, California, United States of America
| | - Rene Leyva-Flores
- Center for Research on Health Systems, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
| | | | - Marcel Arevalo
- Program on Migration and Poverty, Facultad Latinoamericana de Ciencias Sociales (FLACSO)–Guatemala, Guatemala, Guatemala
| | | | - Georgina Rodriguez
- General Directorate for Health Promotion, Ministry of Health, Mexico City, Mexico
| | - Rebecca Merrill
- U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Dianne Escotto
- U.S. Centers for Disease Control and Prevention, Mexico City, Mexico
| | - Ietza Bojorquez
- Department of Population Studies, El Colegio de la Frontera Norte, Tijuana, Baja California, Mexico
| |
Collapse
|
5
|
Ferreira F, Rovai M, Chahine M, de Haro Marti M, Wenz J, Dalton J, Silva-del-Río N. Perspectives of dairy employees at the beginning of the COVID-19 pandemic: A survey of health risks and educational needs. JDS COMMUNICATIONS 2023:S2666-9102(23)00019-4. [PMID: 36811073 PMCID: PMC9934005 DOI: 10.3168/jdsc.2022-0253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 10/24/2022] [Indexed: 02/18/2023]
Abstract
Our objective was to understand dairy employees' perceptions and educational needs at the onset of the COVID-19 pandemic. A bilingual (English and Spanish), anonymous survey targeted at dairy employees was circulated nationwide via university and allied industry media outlets. Responses (n = 63) from 11 states were received (May-Sep. 2020). Respondents worked in herds ranging from 50 to 40,000 animals in size. Dairy managers (33%) responded mostly to the English survey (52%), whereas entry-level workers (67%) chose the Spanish format (76%). Survey results highlighted different perspectives, educational needs, and preferred sources of information between English- and Spanish-speaking dairy workers. Overall, 83% of the respondents were somewhat concerned or very concerned about the COVID-19 pandemic. Respondents (51%) indicated that their main concern was "to bring the virus from work to home and make my family sick." Most dairy employees (83%) perceived that their employers were somewhat or very concerned about the pandemic. Respondents (65%) indicated that COVID-19 informative training was provided at the workplace, but training was more frequently undertaken among dairy managers (86%) than entry-level workers (53%). Most trainings (72%) were limited to posters on walls. The preferred means of information delivery was through in-person meetings at work (35%), with YouTube (29%) and on-demand videos (27%) as second and third options. The main source of information regarding the pandemic was social media (52%). Frequent handwashing (81%), limiting on-farm visits (70%), limiting agglomeration in break rooms (65%), hand sanitizer use (60%), and social distancing (60%) were the most common safety measures implemented at the workplace among the options given to respondents. Few respondents (38%) indicated that face-covering was required at work. Successful emergency plans on dairies should consider the outreach needs and preferences of dairy workers.
Collapse
Affiliation(s)
- F.C. Ferreira
- Veterinary Teaching and Research Center, University of California–Davis, Tulare 93274,Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis 95616,Corresponding author
| | - M. Rovai
- Department of Dairy and Food Science, South Dakota State University, Brookings 57007
| | - M. Chahine
- Twin Falls Research and Extension Center, University of Idaho, Twin Falls 83301
| | | | - J. Wenz
- Department of Veterinary Clinical Sciences, Washington State University, Pullman 99164
| | - J. Dalton
- Twin Falls Research and Extension Center, University of Idaho, Twin Falls 83301,Caldwell Research and Extension Center, University of Idaho, Caldwell 83605
| | - N. Silva-del-Río
- Veterinary Teaching and Research Center, University of California–Davis, Tulare 93274,Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis 95616
| |
Collapse
|
6
|
Benoit M, Austin E, Simcox N, Rabinowitz P, Yost M. Predictors of Dairy Worker Pre-Test and Post-Test Performance on a Dairy Safety Knowledge Test: Impact of Education Level and Native Language. J Agromedicine 2022; 28:456-469. [PMID: 36300904 DOI: 10.1080/1059924x.2022.2140732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Efficacy-driven assessments of linguistically appropriate occupational health and safety training (OHS) for dairy workers remain uncommon. This study analyzes predictors of performance on a dairy safety knowledge test using pre-and-post knowledge assessments. The safety training course was delivered by iPad™ to Idahoan dairy workers, managers, and owners. OBJECTIVE To determine the predictors of safety knowledge scores among dairy worker course participants. METHODS Predictors of pre-test (baseline) scores and change in test scores of n = 1,336 participants were compared, and multivariate iterative linear regressions were used to predict test performance, adjusting for variables such as occupation, years of formal education, native language, and years in dairy work. RESULTS Test scores for Spanish and English speakers improved between pre-test and post-test. Years of formal education was the most predictive variable of higher baseline scores and change in test scores among dairy safety course participants, regardless of language. CONCLUSION Dairy worker safety training course results showed improvements in safety knowledge and test scores. Years of formal education of participants appears to be a key determinant of increases in safety knowledge, and therefore safety training programs need to address the learning needs of less educated workers.
Collapse
Affiliation(s)
- M Benoit
- University of Washington - Environmental & Occupational Health Sciences, Seattle, Washington, United States
| | - E Austin
- University of Washington - Environmental & Occupational Health Sciences, Seattle, Washington, United States
| | - N Simcox
- University of Washington - Environmental & Occupational Health Sciences, Seattle, Washington, United States
| | - P Rabinowitz
- University of Washington - Environmental & Occupational Health Sciences, Seattle, Washington, United States
| | - M Yost
- University of Washington - Environmental & Occupational Health Sciences, Seattle, Washington, United States
| |
Collapse
|
7
|
Dacso MM, Bente DA, Weaver SC, Kobinger GP, Melby PC, McLellan SL, Keiser PH, Hamer SA, Hamer GL, Parker GW, Douphrate DI, Rodriguez A, Goodman ML, XIII A, Gray GC. Texas professionals are employing a one health approach to protect the United States against biosecurity threats. One Health 2022; 15:100431. [PMID: 36277085 PMCID: PMC9582559 DOI: 10.1016/j.onehlt.2022.100431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/29/2022] [Accepted: 08/30/2022] [Indexed: 11/28/2022] Open
Abstract
Texas is a geographically large state with large human and livestock populations, many farms, a long coastal region, and extreme fluctuations in weather. During the last 15 years, the state of Texas has frequently suffered disasters or catastrophes causing extensive morbidity and economic loss. These disasters often have complicated consequences requiring multi-faceted responses. Recently, an interdisciplinary network of professionals from multiple academic institutions has emerged to collaborate in protecting Texas and the USA using a One Health approach. These experts are training the next generation of scientists in biopreparedness; increasing understanding of pathogens that cause repetitive harm; developing new therapeutics and vaccines against them; and developing novel surveillance approaches so that emerging pathogens will be detected early and thwarted before they can cause disastrous human and economic losses. These academic One Health partnerships strengthen our ability to protect human and animal health against future catastrophes that may impact the diverse ecoregions of Texas and the world. Texas has suffered from numerous disasters or catastrophes, often more than other US states. These disasters have caused tremendous morbidity, mortality, and economic loss. Texas professionals are partnering in One Health ways to mitigate such catastrophes. These numerous collaborations are important to Texas, the USA, and abroad.
Collapse
|
8
|
Sexsmith K, Palacios EE, Gorgo-Gourovitch M, Arredondo IA. Latino/a Farmworkers' Concerns about Safety and Health in the Pennsylvania Mushroom Industry. J Agromedicine 2022; 27:169-182. [PMID: 34098862 PMCID: PMC8671552 DOI: 10.1080/1059924x.2021.1935374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The purposes of this study were to analyze Latino/a immigrant mushroom workers' perceptions of how the workplace environment shapes occupational safety and health, examine whether and how those perceptions differ by gender, and identify future areas for research on occupational safety and health in the mushroom industry. Researchers conducted structured interviews with 15 women and 45 men on 6 Pennsylvania mushroom farms to obtain their descriptions and perspectives of safety and health risk factors in their workplaces. Approximately one third of respondents had suffered an injury at work, and nearly half felt that there are workplace factors that affect their health and safety. The study found that Latino/a mushroom farmworkers perceive risks that are posed by the indoor infrastructure of mushroom production houses, including poorly maintained wooden walkways and cool indoor temperatures, and by the organization of mushroom production work, including the application of chemicals including pesticides, physical demands of the job, use of small knives, contact with compost, and the piece rate payment system. Workers commonly discussed back pain and believed it was associated with the organization of work. Women in the sample were more likely to be concerned about slips and falls than men and less likely to be concerned about aches and pains. Mushroom farm infrastructure and the specific demands of the jobs pose occupational safety and health risks to Latino/a farmworkers that merit further study to develop adequate public health interventions. Future research should obtain gender-disaggregated objective reports of injury, aches and pains, and discomfort and test for relationships between these reports and the indoor infrastructure and conditions of mushroom production work.
Collapse
Affiliation(s)
- Kathleen Sexsmith
- Department of Agricultural Economics, Sociology, and Education, The Pennsylvania State University, USA
| | - Effie E. Palacios
- Department of Agricultural Economics, Sociology, and Education, The Pennsylvania State University, USA
| | | | - Ilse A.Huerta Arredondo
- Department of Agricultural Economics, Sociology, and Education, The Pennsylvania State University, USA
| |
Collapse
|
9
|
Keller JC, Alishio-Caballero N. Transnational health protection strategies and other health-seeking behavior among undocumented and indigenous dairy workers in a rural new immigrant destination. Soc Sci Med 2021; 284:114213. [PMID: 34273869 DOI: 10.1016/j.socscimed.2021.114213] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 07/05/2021] [Accepted: 07/06/2021] [Indexed: 10/20/2022]
Abstract
Latin American immigrants in new immigrant destinations (NIDs) experience numerous barriers that negatively impact their access to healthcare. Yet the wide range of health-seeking behaviors deployed in response to these barriers-particularly among those who are undocumented and indigenous-are not well understood. Further, studies of immigrant health in NIDs tend to take place in those locations, rather than using a multi-sited design. Building on NID scholarship, the transnational social protection literature, and work on structural vulnerability, this study uses a multi-sited research design to examine the health-seeking behaviors that undocumented and indigenous immigrant workers exhibit in a rural NID. Data consist of interviews conducted intermittently from 2010 to 2017 in Mexico and the U.S. with 56 individuals from indigenous villages in Veracruz who worked on dairy farms in Wisconsin and Minnesota, as well as expert interviews. We found numerous barriers to healthcare that together constituted a limited resource environment for undocumented dairy workers. This accentuated their structural vulnerability and influenced responses to health problems. Strategies among undocumented and indigenous immigrant dairy workers in a rural NID included: self-care, delaying care, relying on local ties, cross-border health consultation, cross-border health packages, and returning home for health. Furthermore, we found that women in the family or community often facilitated cross-border health activity, and that traditional folk medicine was common. We argue that these workers' health protection strategies not only serve to secure their individual status as productive workers, but on a larger scale, they play an important part in preserving the migrant labor regime in this rural NID. Further, we argue that the indigenous knowledge that is transmitted largely by women via immigrants' informal social networks is an important yet often invisible part of the carework that maintains this relatively new labor force.
Collapse
Affiliation(s)
- Julie C Keller
- University of Rhode Island, Department of Sociology and Anthropology, Chafee Social Science Center 507, 142 Flagg Rd., Kingston, RI, 02881, USA.
| | - Nuria Alishio-Caballero
- Indiana University, Department of Spanish and Portuguese, 355 North Jordan Ave., Global and International Studies Building 2160, Bloomington, IN, 47405, USA.
| |
Collapse
|
10
|
Abstract
Latino immigrant dairy workers face significant challenges. Dairy's employment of immigrants is recent compared to other sectors, though today immigrants account for over half of US dairy workers. This study applies the Migrant Farmworker Stress Inventory to dairy for the first time. Interviews of 173 workers were conducted using the MFWSI, augmented with dairy specific indictors. Bivariate analysis identified associations between dairy worker characteristics and stress. Findings were compared to other studies using the MFWSI. Average stress was 74.6/156 points, with 36.5% at risk for clinically significant stress. Vermont ranked eighth among 11 MFWSI studies, and fourth of seven studies for significant stress. Primary stressors differed from studies of fruit and crop workers. Over a third of Vermont immigrant dairy workers risk debilitating stress. The MFWSI underestimates dairy farmworker stress and should be modified for this sector. Identified stressors indicate Spanish-language, dairy safety training may be beneficial.
Collapse
|
11
|
Panikkar B, Barrett MK. Precarious Essential Work, Immigrant Dairy Farmworkers, and Occupational Health Experiences in Vermont. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073675. [PMID: 33915975 PMCID: PMC8038053 DOI: 10.3390/ijerph18073675] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 03/17/2021] [Accepted: 03/22/2021] [Indexed: 12/25/2022]
Abstract
Migrant dairy workers in Vermont face a wide range of occupational and health hazards at work. This research examines the environmental risks, occupational health hazards, and health outcomes experienced by migrant dairy farm workers in Vermont. This research draws on a triangulation of sources including analysis of data—surveys and interviews with migrant dairy farmworkers gathered by the organization Migrant Justice since 2015 as well as relevant key informant interviews with community organizations across the state to characterize the occupational health experiences of migrant dairy workers in Vermont. Our results show that Vermont migrant dairy farmworkers received poor health and safety training and lacked sufficient protective gear. Over three quarters of the respondents reported experiencing harm from chemical and biological risks. Close to half the survey respondents reported headaches, itchy eyes and cough; a quarter reported breathing difficulties; three fourths reported being hurt by animal-related risks. These exposures and existing health concerns are avoidable. Migrant workers require better social representation and advocates to negotiate better work-related protection and training, access to health services, and social welfare to ensure their health and safety.
Collapse
Affiliation(s)
- Bindu Panikkar
- Bindu Panikkar, Environmental Studies Program and the Rubenstein School of the Environment and Natural Resources, University of Vermont, 81 Carrigan Dr., Burlington, VT 05405, USA
- Correspondence:
| | - Mary-Kate Barrett
- College of Agriculture and Life Sciences, University of Vermont, 146 University Place, Morril Hall, Burlington, VT 05405, USA;
| |
Collapse
|
12
|
Doshi M, Lopez WD, Mesa H, Bryce R, Rabinowitz E, Rion R, Fleming PJ. Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan. PLoS One 2020; 15:e0233839. [PMID: 32502193 PMCID: PMC7274400 DOI: 10.1371/journal.pone.0233839] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2019] [Accepted: 05/13/2020] [Indexed: 12/05/2022] Open
Abstract
Immigration- and enforcement-related policies and laws have significantly and negatively impacted the health and well-being of undocumented immigrants. We examine barriers and facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrants specifically in the post 2016 US presidential election socio-political climate. By grounding our study on the perspectives of frontline providers, we explore their challenges in meeting the needs of their undocumented clients. These include client access to healthcare and social services, the barriers providers face in providing timely and effective services, and avenues to reduce or overcome factors that impede service provision to improve quality of care for this population. Data are from 28 in-depth interviews with frontline healthcare and social service providers. Based on data analysis, we found that the domains of the Three Delays Model used in obstetric care provided a good framework for organizing and framing the responses. Our findings suggest that these undocumented clients encounter three phases of delay: delay in the decision to seek care, delay in identifying and traveling to healthcare facilities, and delay in receiving adequate and appropriate care at healthcare facilities. Given the current socio-political climate for immigrants, healthcare and social services organizations that serve undocumented clients should adapt existing services or introduce new services, including those that are not site-based.
Collapse
Affiliation(s)
- Monika Doshi
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America
- * E-mail:
| | - William D. Lopez
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America
| | - Hannah Mesa
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America
| | - Richard Bryce
- Community Health and Social Services (CHASS) Center, Detroit, MI, United States of America
| | | | - Raymond Rion
- Packard Health, Ann Arbor, MI, United States of America
| | - Paul J. Fleming
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States of America
| |
Collapse
|
13
|
Griffin GM, Floyd EG, Dali SS, Dunaway CM, Genereaux SH, Olson AL. Assessing Mental Health Concerns of Spanish-Speaking Dairy Farm Workers. J Agromedicine 2019; 25:115-121. [PMID: 31475637 DOI: 10.1080/1059924x.2019.1656130] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Background: Hispanic dairy farm workers have risk factors for mental health concerns. There is insufficient study of their mental health needs.Methods: We conducted focus groups at five farms. We quantified the burden of depressive symptoms with Patient Health Questionnaires (PHQ-2 and PHQ-9) during three seasons of mobile clinics on farm sites.Results: Focus groups revealed that sources of stress included working conditions, language barriers, fear of deportation, and distance from family. Depression screening found that the rate of mild depressive symptoms ranged from 0% to 3.2%. No individual scored higher than mild depression.Discussion: Rates of depressive symptoms were substantially lower than in the general US population, which may be explained by a population that self-selects for resilience. Our mixed qualitative and quantitative data acquisition provided us a more robust and comprehensive understanding of our population's mental health concerns than using one method alone.
Collapse
Affiliation(s)
| | - Erin G Floyd
- Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Salma S Dali
- Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | | | | | - Ardis L Olson
- Department of Community & Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.,Department of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.,Dartmouth COOP Primary Care Based Research Network, Lebanon, NH, USA
| |
Collapse
|
14
|
Moore-Foster R, Norby B, Schewe R, Thomson R, Bartlett P, Erskine R. Short communication: Herd-level variables associated with overmilking in Michigan dairy herds. J Dairy Sci 2019; 102:8400-8404. [DOI: 10.3168/jds.2019-16475] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 05/08/2019] [Indexed: 11/19/2022]
|
15
|
Hargreaves S, Rustage K, Nellums LB, McAlpine A, Pocock N, Devakumar D, Aldridge RW, Abubakar I, Kristensen KL, Himmels JW, Friedland JS, Zimmerman C. Occupational health outcomes among international migrant workers: a systematic review and meta-analysis. Lancet Glob Health 2019; 7:e872-e882. [PMID: 31122905 PMCID: PMC6565984 DOI: 10.1016/s2214-109x(19)30204-9] [Citation(s) in RCA: 122] [Impact Index Per Article: 24.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 02/25/2019] [Accepted: 03/29/2019] [Indexed: 12/16/2022]
Abstract
BACKGROUND Globally, there are more than 150 million international migrant workers-individuals who are employed outside of their country of origin-comprising the largest international migrant group. A substantial number of migrants work in hazardous and exploitative environments, where they might be at considerable risk of injury and ill health. However, little data on occupational health outcomes of migrant workers exist, with which to inform global policy making and delivery of health services. METHODS For this systematic review and meta-analysis, we searched Embase, MEDLINE, Ovid Global Health, and PsychINFO databases for primary research published between Jan 1, 2008, and Jan 24, 2018, reporting occupational health outcomes among international migrant workers (defined as individuals who are or have been employed outside their country of origin), without language or geographical restrictions. We excluded studies containing mixed cohorts of migrants and native workers in which migrant data could not be disaggregated, and studies that did not explicitly report migrant status. The main outcome was prevalence of occupational health outcomes (defined as any injury, mortality, or physical or psychiatric morbidity due to an individual's work or workplace environment) among international migrant workers. Summary estimates were calculated using random-effects models. The study protocol has been registered with PROSPERO, number CRD42018099465. FINDINGS Of the 1218 studies identified by our search, 36 studies were included in our systematic review, and 18 studies were included in the meta-analysis. The systematic review included occupational health outcomes for 12 168 international migrant workers employed in 13 countries and territories, mostly employed in unskilled manual labour. Migrant workers originated from 25 low-income and middle-income countries, and worked in the following sectors: agriculture; domestic, retail, and service sectors; construction and trade; and manufacturing and processing. Migrant workers had various psychiatric and physical morbidities, and workplace accidents and injuries were relatively common. In the meta-analysis, among 7260 international migrant workers, the pooled prevalence of having at least one occupational morbidity was 47% (95% CI 29-64; I2=99·70%). Among 3890 migrant workers, the prevalence of having at least one injury or accident, including falls from heights, fractures and dislocations, ocular injuries, and cuts was 22% (7-37; I2=99·35%). INTERPRETATION International migrant workers are at considerable risk of work-related ill health and injury, and their health needs are critically overlooked in research and policy. Governments, policy makers, and businesses must enforce and improve occupational health and safety measures, which should be accompanied by accessible, affordable, and appropriate health care and insurance coverage to meet the care needs of this important working population. FUNDING Wellcome Trust.
Collapse
Affiliation(s)
- Sally Hargreaves
- Institute for Infection and Immunity, St George's, University of London, London, UK; Section of Infectious Diseases and Immunity, Imperial College London, London, UK.
| | - Kieran Rustage
- Institute for Infection and Immunity, St George's, University of London, London, UK; Section of Infectious Diseases and Immunity, Imperial College London, London, UK
| | - Laura B Nellums
- Institute for Infection and Immunity, St George's, University of London, London, UK; Section of Infectious Diseases and Immunity, Imperial College London, London, UK
| | - Alys McAlpine
- Gender, Violence and Health Centre, Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK
| | - Nicola Pocock
- Gender, Violence and Health Centre, Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK
| | - Delan Devakumar
- Institute for Global Health, University College London, London
| | | | | | - Kristina L Kristensen
- Danish Research Centre for Migration, Ethnicity and Health, University of Copenhagen, Copenhagen, Denmark
| | - Jan W Himmels
- Institute for Infection and Immunity, St George's, University of London, London, UK; Section of Infectious Diseases and Immunity, Imperial College London, London, UK
| | - Jon S Friedland
- Institute for Infection and Immunity, St George's, University of London, London, UK; Section of Infectious Diseases and Immunity, Imperial College London, London, UK
| | - Cathy Zimmerman
- Gender, Violence and Health Centre, Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK
| |
Collapse
|
16
|
Moore-Foster R, Norby B, Schewe R, Thomson R, Bartlett P, Erskine R. Herd-level variables associated with delayed milk ejection in Michigan dairy herds. J Dairy Sci 2019; 102:696-705. [DOI: 10.3168/jds.2018-14561] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 09/04/2018] [Indexed: 11/19/2022]
|
17
|
Juárez-Carrillo PM, Liebman AK, Reyes IAC, Ninco Sanchez YV, Keifer MC. Aplicación de la teoría de aprendizaje en el entrenamiento acerca de seguridad y salud para trabajadores inmigrantes en las lecherías. Health Promot Pract 2018:1524839918812419. [PMID: 30501526 DOI: 10.1177/1524839918812419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Resumen Con el propósito de prevenir lesiones y enfermedades ocupacionales, diseñamos un currículo de seguridad y salud para trabajadores inmigrantes en la industria lechera para aumentar el conocimiento, fomentar prácticas de seguridad, y reducir inequidades en la comunicación. El currículo se basa principalmente en la Taxonomía para el Aprendizaje Significativo-TAS ( Taxonomy of Significant Learning) e incorpora teorías de la conducta y de aprendizaje para adultos, así como también los principios de control de riesgos ocupacionales. Los entrenamientos se implementaron con 836 trabajadores de habla hispana de 67 lecherías en el estado de Wisconsin, en los Estados Unidos. El 67% de los trabajadores reportaron nunca haber recibido entrenamiento acerca de la seguridad en las lecherías, el 65% reportó haber trabajado en lecherías durante 5 años o menos, y el 26% de los trabajadores reportaron haber sufrido alguna lesión mientras trabajaban en la lechería. La evaluación cuantitativa y cualitativa de los entrenamientos sugiere que nuestro currículo efectivamente aumentó el conocimiento y fomentó la contemplación de prácticas de seguridad de los trabajadores. El aumento del conocimiento en general del 25% es estadísticamente significativo (p < .01). Los trabajadores recordaron al menos un concepto clave del contenido, expresaron sentirse confiados en adoptar al menos una conducta de seguridad, y mencionaron su intención de comunicar sus preocupaciones de seguridad a sus jefes en la lechería. De acuerdo a nuestro conocimiento, esta es la primera vez que se aplica la TAS en la educación acerca de seguridad y salud ocupacional. Este currículo puede ayudar a los productores en la industria lechera a cumplir con el entrenamiento anual de los trabajadores requerido por la Administración de Seguridad y Salud Ocupacional de los E. U. ( Occupational Safety and Health Administration-OSHA), ofreciendo este entrenamiento básico en seguridad y salud a sus trabajadores durante su etapa inicial de empleo.
Collapse
|
18
|
Davidson ME, Schaeffer J, Clark ML, Magzamen S, Brooks EJ, Keefe TJ, Bradford M, Roman-Muniz N, Mehaffy J, Dooley G, Poole JA, Mitloehner FM, Reed S, Schenker MB, Reynolds SJ. Personal exposure of dairy workers to dust, endotoxin, muramic acid, ergosterol, and ammonia on large-scale dairies in the high plains Western United States. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2018; 15:182-193. [PMID: 29157144 PMCID: PMC8641559 DOI: 10.1080/15459624.2017.1403610] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Dairy workers experience a high degree of bioaerosol exposure, composed of an array of biological and chemical constituents, which have been tied to adverse health effects. A better understanding of the variation in the magnitude and composition of exposures by task is needed to inform worker protection strategies. To characterize the levels and types of exposures, 115 dairy workers grouped into three task categories on nine farms in the high plains Western United States underwent personal monitoring for inhalable dust, endotoxin, 3-hydroxy fatty acids (3-OHFA), muramic acid, ergosterol, and ammonia through one work shift. Eighty-nine percent of dairy workers were exposed to endotoxin at concentrations exceeding the recommended exposure guidelines (adjusted for a long work shift). The proportion of workers with exposures exceeding recommended guidelines was lower for inhalable dust (12%), and ammonia (1%). Ergosterol exposures were only measurable on 28% of samples, primarily among medical workers and feed handlers. Milking parlor workers were exposed to significantly higher inhalable dust, endotoxin, 3-OHFA, ammonia, and muramic acid concentrations compared to workers performing other tasks. Development of large modern dairies has successfully made progress in reducing worker exposures and lung disease prevalence. However, exposure to endotoxin, dust, and ammonia continues to present a significant risk to worker health on North American dairies, especially for workers in milking parlors. This study was among the first to concurrently evaluate occupational exposure to assayable endotoxin (lipid A), 3-hydroxy fatty acids or 3-OHFA (a chemical measure of cell bound and noncell-bound endotoxins), muramic acid, ergosterol, and ammonia among workers on Western U.S. dairies. There remains a need for cost-effective, culturally acceptable intervention strategies integrated in OHS Risk Management and production systems to further optimize worker health and farm productivity.
Collapse
Affiliation(s)
- Margaret E Davidson
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
- f Edith Cowan University , Perth , Western Australila , Australia
| | - Joshua Schaeffer
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Maggie L Clark
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Sheryl Magzamen
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Elizabeth J Brooks
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Thomas J Keefe
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Mary Bradford
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Noa Roman-Muniz
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- c Department of Animal Science , Colorado State University, Colorado State University , Fort Collins , Colorado
| | - John Mehaffy
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Gregory Dooley
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
| | - Jill A Poole
- d University of Nebraska Medical Center , Omaha , Nebraska
| | - Frank M Mitloehner
- e Western Center for Agricultural Health and Safety , UC Davis , Davis , California
| | - Sue Reed
- f Edith Cowan University , Perth , Western Australila , Australia
| | - Marc B Schenker
- e Western Center for Agricultural Health and Safety , UC Davis , Davis , California
| | - Stephen J Reynolds
- a Department of Environmental & Radiological Health Sciences , Colorado State University , Fort Collins , Colorado
- b High Plains Intermountain Center for Agricultural Health and Safety , Colorado State University , Fort Collins , Colorado
- f Edith Cowan University , Perth , Western Australila , Australia
| |
Collapse
|
19
|
Swanberg J, Clouser JM, Gan W, Flunker JC, Westneat S, Browning SR. Poor safety climate, long work hours, and musculoskeletal discomfort among Latino horse farm workers. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2017; 72:264-271. [PMID: 27594197 DOI: 10.1080/19338244.2016.1216387] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study investigated the prevalence of self-reported musculoskeletal discomfort (MSD) and work-related factors associated with elevated MSD among Latino thoroughbred farm workers. Participants (N = 225) were recruited using a community-based purposive sampling approach to participate in in-person interviews. Of these workers, 85% experienced MSD. MSD was divided into tertiles; the upper tertile was defined as elevated. Multivariable Poisson regression revealed associations between any elevated MSD and longer tenure on horse farms, longer work hours, and poor safety climate. Elevated neck/back MSD was associated with longer tenure, longer work hours, and poor safety climate. Elevated upper extremity MSD was associated with age and poor safety climate. Elevated lower extremity MSD was associated with longer tenure, longer work hours, and being female. Musculoskeletal discomfort is common among these workers. Improving safety climate and minimizing long work hours is recommended.
Collapse
Affiliation(s)
- Jennifer Swanberg
- a School of Social Work , University of Maryland , Baltimore , Maryland , USA
| | - Jessica Miller Clouser
- b Department of Health, Behavior and Society , College of Public Health, University of Kentucky , Lexington , Kentucky , USA
| | - Wenqi Gan
- c Department of Preventive Medicine and Environmental Health , College of Public Health, University of Kentucky , Lexington , Kentucky , USA
| | - John C Flunker
- d Department of Epidemiology, Department of Health Behavior , College of Public Health, University of Kentucky , Lexington , Kentucky , USA
| | - Susan Westneat
- c Department of Preventive Medicine and Environmental Health , College of Public Health, University of Kentucky , Lexington , Kentucky , USA
| | - Steven R Browning
- e Department of Epidemiology , College of Public Health, University of Kentucky , Lexington , Kentucky , USA
| |
Collapse
|
20
|
Oyama S, Sosa A, Campbell R, Ortega C, Douphrate DI. Evaluation of upper body kinematics and muscle activity during milking attachment task. INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS 2017; 61:101-106. [PMID: 36060530 PMCID: PMC9434597 DOI: 10.1016/j.ergon.2017.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The objective of the study was to evaluate the effects of udder height on upper body kinematics and muscle activity during a simulated attachment task in a parallel parlor set up, and the effects of udder access method (back or side) on the task biomechanics. Twenty males performed the task under conditions that simulated three udder heights and two udder access methods. The muscular load and kinematics during the task confirmed that milking is a physically demanding task. Trunk flexion angle increased with decreasing udder height, and the erector spinae activation was higher when the udder was below shoulder height compared to at or above. Compared to accessing the udder from side of the cow (herringbone parlor style), accessing from behind (Parallel parlor style) was associated with lower trunk flexion, greater shoulder horizontal adduction, lower shoulder elevation, and greater anterior deltoid activation. Milking in herringbone parlor style and with the udder at or above shoulder level may help reduce strain on the trunk/neck.
Collapse
Affiliation(s)
| | | | | | - Catherine Ortega
- University of Texas Health Science Center at San Antonio, United States
| | - David I Douphrate
- University of Texas, Health Science Center at Houston, School of Public Health in San Antonio, San Antonio Regional Campus, United States
| |
Collapse
|
21
|
Juárez-Carrillo PM, Liebman AK, Reyes IAC, Ninco Sánchez YV, Keifer MC. Applying Learning Theory to Safety and Health Training for Hispanic Immigrant Dairy Workers. Health Promot Pract 2017; 18:505-515. [PMID: 28629275 DOI: 10.1177/1524839916683668] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We designed a safety and health curriculum for dairy immigrant workers aiming to increase knowledge, encourage safe behavior, and reduce worker communication inequalities to prevent occupational injury and diseases. The design is largely based on the Taxonomy of Significant Learning and incorporated behavioral and adult learning theories and principles of occupational hazard control. Trainings were implemented with 836 Spanish-speaking workers from 67 farms in Wisconsin. Sixty-seven percent of workers reported never being trained before in dairy safety, 65% of these worked in dairy for 5 or fewers years, and 26% of workers reported being ever injured while working on dairy. Quantitative and qualitative evaluation of the trainings suggest that our curriculum successfully increased worker knowledge and promoted contemplation of safe practices. The overall knowledge gain of 25% was statistically significant ( p < .01). Workers recalled at least one key concept, expressed confidence of adopting at least one safety behavior, and mentioned their intention to communicate safety concerns to farmers. To our knowledge, this is the first Taxonomy of Significant Learning application to occupational safety and health education. Our curriculum can support dairy farmers' compliance with Occupational Safety and Health Administration's annual training requirements by providing our basic safety and health training to workers at early job stages.
Collapse
|
22
|
Douphrate DI, Gimeno Ruiz de Porras D, Nonnenmann MW, Hagevoort R, Reynolds SJ, Rodriguez A, Fethke NB. Effects of milking unit design on upper extremity muscle activity during attachment among U.S. large-herd parlor workers. APPLIED ERGONOMICS 2017; 58:482-490. [PMID: 27633245 PMCID: PMC7008452 DOI: 10.1016/j.apergo.2016.08.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Revised: 08/06/2016] [Accepted: 08/08/2016] [Indexed: 05/15/2023]
Abstract
BACKGROUND Large-herd dairy parlor workers experience a high prevalence of musculoskeletal symptoms in the upper extremity. The purpose of this study was to evaluate the effect of milking unit design on upper extremity muscle activity during milking unit attachment. METHODS Upper extremity muscle activity was recorded among U.S. large-herd parlor workers (n=11) using surface electromyography. Participants performed several milking unit attachment cycles with each of six milking unit designs. Muscle activity levels were then compared between unit designs. RESULTS Mean muscle activity levels (in %MVE) across milking units ranged from 6.8 to 8.2 for the upper trapezius, 8.2 to 10.3 for the anterior deltoid, 13.8 to 17.2 for the forearm flexors, and 9.9 to 12.4 for the forearm extensors. Pairwise comparisons between milking units did not reveal statistically significant differences in muscle activity levels across milking unit designs. However, a general pattern of higher muscle activity was observed with specific milking units. Milking unit weight, milk tube spread, and teat cup shape may explain differences in muscle activity levels. CONCLUSIONS Milking unit design may influence muscle activity levels among parlor workers. Small reductions in muscle activity associated with milking unit design have the potential to delay the onset of fatigue or development of musculoskeletal health outcomes among parlor workers.
Collapse
Affiliation(s)
- David I Douphrate
- The University of Texas Health Science Center at Houston, School of Public Health, San Antonio Regional Campus, TX, USA.
| | - David Gimeno Ruiz de Porras
- The University of Texas Health Science Center at Houston, School of Public Health, San Antonio Regional Campus, TX, USA
| | | | | | - Stephen J Reynolds
- Colorado State University, Environmental and Radiological Health Sciences, Ft. Collins, CO, USA
| | - Anabel Rodriguez
- The University of Texas Health Science Center at Houston, School of Public Health, San Antonio Regional Campus, TX, USA
| | - Nathan B Fethke
- University of Iowa, College of Public Health, Iowa City, IA, USA
| |
Collapse
|
23
|
Sexsmith K. ‘But we can’t call 911’: undocumented immigrant farmworkers and access to social protection in New York. ACTA ACUST UNITED AC 2016. [DOI: 10.1080/13600818.2016.1193130] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Kathleen Sexsmith
- Department of Development Sociology, Cornell University, Ithaca, NY, USA
| |
Collapse
|
24
|
Hollingshead NA, Ashburn-Nardo L, Stewart JC, Hirsh AT. The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model. THE JOURNAL OF PAIN 2016; 17:513-28. [PMID: 26831836 PMCID: PMC4851887 DOI: 10.1016/j.jpain.2015.10.022] [Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2015] [Revised: 10/21/2015] [Accepted: 10/31/2015] [Indexed: 01/22/2023]
Abstract
UNLABELLED Although the Hispanic population is a burgeoning ethnic group in the United States, little is known about their pain-related experience. To address this gap, we critically reviewed the existing literature on pain experience and management among Hispanic Americans (HAs). We focused our review on the literature on nonmalignant pain, pain behaviors, and pain treatment seeking among HAs. Pain management experiences were examined from HA patients' and health care providers' perspectives. Our literature search included variations of the term "Hispanic" with "AND pain" in PubMed, Embase, Web of Science, ScienceDirect, and PsycINFO databases. A total of 117 studies met our inclusion criteria. We organized the results into a conceptual model with separate categories for biological and/or psychological and sociocultural and/or systems-level influences on HAs' pain experience, response to pain, and seeking and receiving pain care. We also included information on health care providers' experience of treating HA patients with pain. For each category, we identified future areas of research. We conclude with a discussion of limitations and clinical implications. PERSPECTIVE In this critical review of the literature we examined the pain and management experiences of the HA population. We propose a conceptual model, which highlights findings from the existing literature and future areas of research.
Collapse
Affiliation(s)
- Nicole A Hollingshead
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana
| | - Leslie Ashburn-Nardo
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana
| | - Jesse C Stewart
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana
| | - Adam T Hirsh
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana.
| |
Collapse
|
25
|
Erskine R, Martinez R, Contreras G. Cultural lag: A new challenge for mastitis control on dairy farms in the United States. J Dairy Sci 2015; 98:8240-4. [DOI: 10.3168/jds.2015-9386] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Accepted: 07/13/2015] [Indexed: 11/19/2022]
|
26
|
Ortega AN, Rodriguez HP, Vargas Bustamante A. Policy dilemmas in Latino health care and implementation of the Affordable Care Act. Annu Rev Public Health 2015; 36:525-44. [PMID: 25581154 DOI: 10.1146/annurev-publhealth-031914-122421] [Citation(s) in RCA: 105] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: (a) the need to extend coverage to the undocumented; (b) the growth of Latino populations in states with limited insurance expansion;
Collapse
Affiliation(s)
- Alexander N Ortega
- Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, California 90095-1772; ,
| | | | | |
Collapse
|
27
|
Reynolds SJ, Nonnenmann MW, Basinas I, Davidson M, Elfman L, Gordon J, Kirychuck S, Reed S, Schaeffer JW, Schenker MB, Schlünssen V, Sigsgaard T. Systematic review of respiratory health among dairy workers. J Agromedicine 2014; 18:219-43. [PMID: 23844790 DOI: 10.1080/1059924x.2013.797374] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The dairy industry is changing on a global scale with larger, more efficient operations. The impact of this change on worker health and safety, specifically, associations between occupational lung disease and inhalation exposures, has yet to be reported in a comprehensive review of the scientific literature. Therefore, a three-tier process was used to identify information using a keyword search of online databases of scientific literature. Of the 147 citations reviewed, 52 met initial screening criteria, and 30 were included in this review. Dairy workers experience lung conditions such as asthma, chronic obstructive pulmonary disease, hypersensitivity pneumonitis, chronic bronchitis, and cancer. Recent pulmonary function studies have identified obstructive lung changes among dairy farm workers. The increased scale of dairy production with significant changes in technology and work practices has altered inhalation exposure patterns among dairy workers. The inhalation exposure in the dairy work environment may elicit differing inflammatory responses in relation to timing of initial exposure as well as to repeated exposures. Few studies have measured inhalation exposure while simultaneously assessing the impact of the exposure on lung function of dairy farm workers. Even fewer studies have been implemented to assess the impact of aerosol control technology to reduce inhalation exposure. Future research should evaluate worker exposure to aerosols through a task-based approach while utilizing novel methods to assess inhalation exposure and associated inflammatory responses. Finally, potential solutions should be developed and tested to reduce inhalation exposure to inflammatory agents and respiratory diseases in the dairy farm work environment.
Collapse
Affiliation(s)
- Stephen J Reynolds
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Sorge U, Cherry C, Bender J. Perception of the importance of human-animal interactions on cattle flow and worker safety on Minnesota dairy farms. J Dairy Sci 2014; 97:4632-8. [DOI: 10.3168/jds.2014-7971] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2014] [Accepted: 03/31/2014] [Indexed: 11/19/2022]
|
29
|
Douphrate DI, Gimeno D, Nonnenmann MW, Hagevoort R, Rosas-Goulart C, Rosecrance JC. Prevalence of work-related musculoskeletal symptoms among US large-herd dairy parlor workers. Am J Ind Med 2014; 57:370-9. [PMID: 24338602 PMCID: PMC7005926 DOI: 10.1002/ajim.22286] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2013] [Indexed: 01/20/2023]
Abstract
BACKGROUND Dairy production in the US is moving towards large-herd milking operations resulting in an increase in task specialization and work demands. METHODS A modified version of the Standardized Nordic Questionnaire was administered to assess MSS prevalence among 452 US large-herd parlor workers. Worker demographics and MSS prevalences were assessed, and differences based on parlor configuration (i.e., herringbone, parallel, rotary) were computed. RESULTS Three-fourths (76.4%) of parlor workers reported work-related MSS in at least one body part. Highest prevalences were reported in the upper extremity (55%). Herringbone workers reported a higher prevalence of MSS in the wrist/hand, and rotary workers reported higher prevalences of MSS in the neck, upper back, and shoulders. CONCLUSIONS Our findings draw attention to higher work-related MSS in the upper extremity among dairy parlor workers. As the trend toward larger herd sizes on US dairy farms continues, the need for further health and safety research will increase.
Collapse
Affiliation(s)
- David I Douphrate
- School of Public Health, San Antonio Regional Campus, University of Texas Health Science Center, Houston, Texas
| | | | | | | | | | | |
Collapse
|
30
|
Hagevoort GR, Douphrate DI, Reynolds SJ. A Review of Health and Safety Leadership and Managerial Practices on Modern Dairy Farms. J Agromedicine 2013; 18:265-73. [DOI: 10.1080/1059924x.2013.796905] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
31
|
Schenker M, Gunderson P. Occupational Health in the Dairy Industry Needs to Focus on Immigrant Workers, the New Normal. J Agromedicine 2013; 18:184-6. [DOI: 10.1080/1059924x.2013.797375] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|