Evaluation of a pilot promotora program for Latino forest workers in southern Oregon

Evaluation of a pilot promotora program for Latino forest workers in southern Oregon
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DOI:
10.1002/ajim.22347
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发表时间:
2014-07-01
影响因子:
3.5
通讯作者:
Chang, Charlotte
Chang, Charlotte
中科院分区:
医学4区
文献类型:
--
作者:
Bush, Diane E.;Wilmsen, Carl;Chang, Charlotte

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森林工作是伤害和疾病率最高的职业,主要由拉丁裔移民工人从事。本研究评估了一项试点计划,其中推广人员(非专业社区健康教育者)为拉丁裔森林工人提供职业健康和安全培训。方法评价方法包括焦点小组法、后测法和定性反馈法。结果:社区解决工作条件的能力通过(1)加强领导和社区获取信息和资源的途径得到提高;(二)提高工人对工作场所健康和安全权利及资源的认识。对报复的恐惧仍然是工人采取行动的障碍;不过,促进者支持一些工人解决具体的工作场所问题。结论要显著改善劳动条件,需要解决主要的结构性影响。一个长期的、有组织支持的促进计划可以在联系和支持个人、人际和社区层面的变革方面发挥关键作用,促进和支持结构变革。点。中华医学杂志,2014,37(7):788-799。(c) 2014 Wiley期刊公司
Background Forest work, an occupation with some of the highest injury and illness rates, is conducted primarily by Latino immigrant workers. This study evaluates a pilot program where promotoras (lay community health educators) provided occupational health and safety trainings for Latino forest workers. Methods Evaluation methods included a focus group, post-tests, and qualitative feedback. Results Community capacity to address working conditions increased through (i) increased leadership and community access to information and resources; and (ii) increased worker awareness of workplace health and safety rights and resources. Fear of retaliation remains a barrier to workers taking action; nevertheless, the promotoras supported several workers in addressing-specific workplace issues. Conclusions For working conditions to significantly improve, major structural influences need to be addressed. A long-term, organizationally supported promotora program can play a key role in linking and supporting change at the individual, interpersonal and community levels, contributing to and supporting structural change. Am. J. Ind. Med. 57:788-799, 2014. (c) 2014 Wiley Periodicals, Inc.