Structural Competency and Agricultural Health and Safety: An Opportunity to Foster Equity within Agriculture
Structural Competency and Agricultural Health and Safety: An Opportunity to Foster Equity within Agriculture
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结构能力和农业健康与安全：促进农业公平的机会
DOI：
10.1080/1059924x.2022.2148148
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发表时间：
2023
影响因子：
2.4
通讯作者：
Holmes, Seth M.
中科院分区：
文献类型：
--
作者：
Bendixsen, Casper G.;Ramos, Athena K.;Holmes, Seth M.
美国农业工作的未来必须考虑到至少两个重要的趋势：1)该行业持续受到高伤害和疾病率的困扰；2)与家庭农场工人相比，雇佣农场工人在这些危险环境中工作的比例越来越大。这些工人面临着阻碍社会公正和繁荣的结构性劣势。政策、经济体系、制度和社会等级等社会结构通常会沿着社会类别的路线造成健康差异。其结果是一个本已危险的行业，脆弱的工人面临着不公平的风险，尤其是那些没有证件的工人。农业健康和安全专业人员及其他利益攸关方应参与结构能力课程，以提高对结构影响的认识，并更好地改善农场工人的健康和福祉。在培训保健专业人员方面也取得了类似的成功，例如结构能力工作组（SCWG）。需要采取新的战略来改善农场工人的福利，并保持充足的农业劳动力。更好地了解农场工人面临的社会和结构问题是迈向职业和社会正义的重要一步。同样明显的是，这将需要协作和以社区为基础的努力，建立一个更大的团队，使用与健康和福利是否公平分配的结构性影响有关的类似概念。这项工作正在保健、社会工作、工人组织和以社区为基础的倡议中得到推进。农业卫生和安全专业人员如果加入这一行列，将作出重大贡献。
The future of agricultural work in the United States (U.S.) must account for at least two important trends: 1) the persistence of the industry being riddled with high rates of injury and illness and 2) the growing proportion of hired farmworkers compared to family farmworkers working in these dangerous environments. These workers confront structural disadvantages that impede social justice and prosperity. Social structures like policies, economic systems, institutions, and social hierarchies create health disparities, often along the lines of social categories. The result is an already dangerous industry with vulnerable workers facing unjust risks, especially those that are undocumented. Agricultural health and safety professionals and other stakeholders should engage structural competency curricula in order to increase awareness of impact of structures and be better positioned to improve farmworker health and wellbeing. Similar work has been successful in the training healthcare professionals, e.g. the Structural Competency Working Group (SCWG). New strategies are needed to improve farmworker wellbeing and retain an adequate agricultural workforce. A greater understanding of the social and structural concerns that farmworkers face is an important step towards occupational and social justice. It is also clear that it will require collaboration and community-based efforts creating a larger team of people using similar concepts related to the structural influences on whether health and wellbeing are distributed equitably. This work is being moved forward in healthcare, social work, worker organizations, and community-based initiatives. Agricultural health and safety professionals have a vital contribution to make if they join the ranks.
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