Evaluating the effectiveness of a lay health promoter-led, community-based participatory pesticide safety intervention with farmworker families.
Evaluating the effectiveness of a lay health promoter-led, community-based participatory pesticide safety intervention with farmworker families.
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DOI：
10.1177/1524839912459652
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发表时间：
2013-05
影响因子：
1.9
通讯作者：
Arcury TA
中科院分区：
文献类型：
--
作者：
Quandt SA;Grzywacz JG;Talton JW;Trejo G;Tapia J;D'Agostino RB Jr;Mirabelli MC;Arcury TA
强制对流动工人和季节性农场工人进行农药安全培训。然而，家庭成员不需要这样做，他们实施家庭卫生以防止农药接触，并需要控制不合格住房中的害虫。对照研究证明了农药教育计划对农场工人家庭的有效性，但没有经过仔细评估的示范项目显示在公共卫生环境中的有效性。该项目评估了一项非专业健康促进计划，以提高农药相关知识和实践。来自六个机构的促销员招募了有孩子的家庭来提供六节课、适合家庭、适合文化和教育的课程。独立进行的前测试和后测试评估了知识和实践的变化。 610 个家庭的成年人完成了这项研究。大多数人来自墨西哥，正规教育水平较低。所有六节课的知识都有显着提高。在与职业接触和住宅害虫控制相关的实践中观察到显着改进。接受有限培训和监督的非专业健康促进者可能会对家庭的知识和实践产生重大影响。他们代表着一支越来越被认为通过提供适合文化的健康教育和其他服务来减少健康差异的力量的劳动力队伍。这项研究通过严格的评估证明了它们在公共卫生环境中的有效性，从而丰富了文献。
Pesticide safety training is mandated for migrant and seasonal farmworkers. However, none is required for family members, who implement home sanitation to protect against pesticide exposure and need to control pests in substandard housing. Controlled studies have demonstrated the efficacy of pesticide education programs for farmworker families, but no carefully evaluated demonstration projects have shown effectiveness in public health settings. This project evaluates a lay health promoter program to improve pesticide-related knowledge and practices. Promotoras from six agencies recruited families with children to deliver a six-lesson, in-home, culturally and educationally appropriate curriculum. Independently conducted pre- and posttests evaluated changes in knowledge and practices. Adults in 610 families completed the study. Most were from Mexico, with low levels of formal education. Significant improvements in knowledge were observed for all six lessons. Significant improvements were observed in practices related to para-occupational exposure and residential pest control. Lay health promoters with limited training and supervision can have significant impacts on families’ knowledge and practices. They represent a workforce increasingly recognized as a force for reducing health disparities by providing culturally appropriate health education and other services. This study adds to the literature by demonstrating their effectiveness in a public health setting with rigorous evaluation.