"We just have to continue working": Farmworker self-care and heat-related illness

"We just have to continue working": Farmworker self-care and heat-related illness
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DOI:
10.5304/jafscd.2016.062.014
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发表时间:
2015-12-01
影响因子:
3.2
通讯作者:
Schenker, Marc
Schenker, Marc
中科院分区:
其他
文献类型:
--
作者:
Courville, Michael D.;Wadsworth, Gail;Schenker, Marc

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与热有关的疾病(也称为热病)是一种经常性和可避免的疾病,每年在加州农场导致多人死亡。2013年夏天,我们在加州弗雷斯诺进行了五个焦点小组,作为加州热病预防研究(CHIPS)的一部分。我们使用定性编码方法来分析焦点小组的成绩单数据,考虑工人的行为和信仰,工作场所的安全培训经验,雇主-雇员关系,工作场所的条件和组织。与工人自我保健相关的离散和复杂的因素被确定,并建议热病不能被视为简单的生物医学或行为问题,在农业预防性健康干预措施也需要考虑到电力和控制结构存在于该行业。调查结果表明,预防计划应指导的战略,结合工人的控制与工作现场的组织和雇主关系,而不是战略,专门侧重于传统的培训模式,以促进预防。
Heat-related illness (also called heat illness) is a recurring and avoidable condition that results in multiple deaths in California farm fields every year. We conducted five focus groups as part of the California Heat Illness Prevention Study (CHIPS) in Fresno, California, during the summer of 2013. We used qualitative coding methods to analyze focus group transcript data with consideration of workers' behaviors and beliefs, workplace safety training experiences, employer-employee relations, and workplace conditions and organization. Discrete and complex factors related to worker self-care were identified, and suggest that heat illness cannot be viewed as simply a biomedical or behavioral issue, and that preventive health interventions in agriculture also need to take into account power and control structures existing in the industry. Findings indicate that prevention plans should be guided by strategies that integrate worker control with work-site organization and employer relations, as opposed to strategies that focus exclusively on traditional modes of training to advance prevention.