Health care utilization among migrant Latino farmworkers: the case of skin disease.
Health care utilization among migrant Latino farmworkers: the case of skin disease.
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DOI：
10.1111/j.1748-0361.2009.00205.x
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Arcury TA
中科院分区：
文献类型：
--
作者：
Feldman SR;Vallejos QM;Quandt SA;Fleischer AB Jr;Schulz MR;Verma A;Arcury TA
皮肤病是外来农场工人常见的职业病。农场工人在获取医疗资源方面面临诸多障碍。
本研究以健康行为模式为框架，旨在评估拉丁裔外来农场工人对皮肤病的医疗利用情况。
北卡罗来纳州的304名外来和季节性拉丁裔农场工人参与了一项针对单个农业季节皮肤病和医疗利用情况的纵向研究。在基线以及多达四次的随访评估中收集了自我报告和皮肤科医生诊断的皮肤状况数据。将就医率与全国标准进行了比较。
自我报告的皮肤问题和确诊的皮肤病在农场工人中很常见。然而，在整个农业季节中，仅报告了34次就医，且没有一次是因为皮肤病。不过，皮肤状况的自我治疗很常见，包括使用非处方药（63%）、处方药（9%）和家庭疗法（6%）。在3.2%的评估中报告了去普通诊所就医，相当于每人每年1.6次就诊。
外来农场工人主要由很少使用诊所服务的年轻男性组成。皮肤问题在这些工人中非常普遍，但因这些问题使用医疗服务并不常见。相反，农场工人主要依靠自我治疗。基于诊所的农场工人皮肤状况研究无法涵盖这一人群中的大多数伤病情况，并且可能存在有偏差的估计。
Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing healthcare resources. Framed by the Health Behavior Model, the purpose of this study was to assess health care utilization for skin disease by migrant Latino farmworkers. 304 migrant and seasonal Latino farmworkers in North Carolina were enrolled in a longitudinal study of skin disease and healthcare utilization over a single agricultural season. Self-reported and dermatologist-diagnosed skin condition data were collected at baseline and at up to four follow-up assessments. Medical visit rates were compared to national norms. Self-reported skin problems and diagnosed skin disease were common among farmworkers. However, only 34 health care visits were reported across the entire agricultural season, and none of the visits were for skin diseases. Nevertheless, self-treatment for skin conditions was common, including use of non-prescription preparations (63%), prescription products (9%), and home remedies (6%). General medical office visits were reported in 3.2% of the assessments, corresponding to 1.6 office visits per person year. The migrant farmworker population consists largely of young men who make little use of clinic services. Skin conditions are very common among these workers, but use of medical services for these conditions is not common. Instead, farmworkers rely primarily on self-treatment. Clinic-based studies of farmworker skin conditions will not account for most injury or disease in this population and have the potential for biased estimates.
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影响因子：
1
作者：
Arcury, T. A.;Feldman, S. R.;Quandt, S. A.
通讯作者：
Quandt, S. A.
影响因子：
2.4
作者：
Arcury, Thomas A;Vallejos, Quirina M;Quandt, Sara A
通讯作者：
Quandt, Sara A
影响因子：
3.5
作者：
RUBEL, AJ
通讯作者：
RUBEL, AJ
影响因子：
3.5
作者：
Earle-Richardson, G;Jenkins, PL;May, JJ
通讯作者：
May, JJ
影响因子：
2.4
作者：
Rabinowitz, Peter M;Sircar, Kanta D;Slade, Martin D
通讯作者：
Slade, Martin D