Treating skin disease: self-management behaviors of Latino farmworkers.
Treating skin disease: self-management behaviors of Latino farmworkers.
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DOI：
10.1300/j096v11n02_06
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发表时间：
2006-01-01
影响因子：
2.4
通讯作者：
Quandt, Sara A
中科院分区：
文献类型：
--
作者：
Arcury, Thomas A;Vallejos, Quirina M;Quandt, Sara A
拉丁美洲移民和季节性农场工人因其工作和生活条件而患皮肤病的几率很高。了解农业工人治疗皮肤病症状的方法将为发展文化上适当的健康教育、改善卫生服务的提供和改善农业工人的职业卫生政策提供基础。本文的目的是描述皮肤病自我管理的做法之间的拉丁美洲移民和季节性农场工人在北卡罗来纳州。本分析采用了定性设计的基础上，深入采访了30名拉丁美洲农场工人（6名女性，24名男性）。使用计算机辅助的系统程序分析这些访谈的逐字记录。参与者分享了一套一致的治疗皮肤病的健康自我管理行动。这些行动属于自我保健和医疗保健的范畴。拉丁美洲农场工人的皮肤病自我管理模式包括卫生的自我护理行动，使用家庭疗法和使用非处方药，农场工人经常结合不同的自我护理领域。虽然农场工人承认医疗保健的好处，但他们也注意到使用医疗保健的障碍，包括成本、交通和语言。农场工人中有很大比例的人有皮肤问题，这表明为这一人群服务的卫生外联工作者需要提供预防和治疗皮肤问题的教育，他们需要向农场工人推荐治疗这些皮肤问题的适当非处方药。需要向这一人群提供适当的医疗护理，以治疗危险的皮肤问题，降低农场工人的生活质量。
Latino migrant and seasonal farmworkers experience high rates of skin disease that result from their working and living conditions. Knowledge of the ways farmworkers treat skin disease symptoms will provide a foundation for developing culturally appropriate health education, improving the delivery of health services, and improving occupational health policy for agricultural workers. The purpose of this paper is to describe skin disease self-management practices among Latino migrant and seasonal farmworkers in North Carolina. This analysis uses a qualitative design based on in-depth interviews with 30 Latino farmworkers (six females, 24 males). Computer assisted, systematic procedures are used to analyze the verbatim transcripts of these interviews. Participants shared a consistent set of health self-management actions in treating skin disease. These actions were within the domains of self-care and medical care. A model of skin disease self-management among Latino farmworkers includes the self-care actions of hygiene, use of home remedies and use of over-the-counter remedies, with farmworkers often combining different domains of self-care. While farmworkers acknowledge the benefits of medical care, they are also mindful of barriers to its use, including cost, transportation and language. The large percentage of farmworkers who experience skin problems indicates that health outreach workers who serve this population need to provide education on preventing and treating skin problems, and they need to recommend to farmworkers appropriate over-the-counter medicines for the treatment of these skin problems. Appropriate medical care for treating skin problems that are dangerous and reduce farmworkers' quality-of-life needs to be made available to this population.