Improving eye safety in citrus harvest crews through the acceptance of personal protective equipment, community-based participatory research, social marketing, and community health workers.
Improving eye safety in citrus harvest crews through the acceptance of personal protective equipment, community-based participatory research, social marketing, and community health workers.
复制标题
通过接受个人防护设备、基于社区的参与性研究、社会营销和社区卫生工作者，改善柑橘采摘人员的眼睛安全。
DOI：
10.1080/1059924x.2014.884397
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发表时间：
2014
影响因子：
2.4
通讯作者：
McDermott,RobertJ
中科院分区：
文献类型：
--
作者：
Tovar-Aguilar,JAntonio;Monaghan,PaulF;Bryant,CarolA;Esposito,Andrew;Wade,Mark;Ruiz,Omar;McDermott,RobertJ
在过去的10年里，柑橘工人健康伙伴关系(PCWH)一直是一个以证据为基础的干预计划，旨在促进佛罗里达州讲西班牙语的农场工人采用保护性眼睛安全设备。该计划的根本是系统地使用基于社区的预防营销(CBPM)，并利用普及教育在柑橘收割机中培训社区卫生工作者(CHW)。CBPM是一种结合了基于社区的参与性研究(CBPR)的组织体系和社会营销策略的模式。这一特定计划依赖于形成性研究数据，使用混合方法和多层次利益相关者分析，允许快速传播，有效增加个人防护装备(PPE)的使用，并随后对收养工人和公司产生影响。研究采用焦点小组、面对面访谈、问卷调查、参与者观察法、拉丁方测验和准实验测验等方法。20小时的大众教育培训产生了CHW，将形成性研究的结果转化为潜在的接受者，还提供了眼睛损伤的急救技能。减少伤害不仅限于使用安全眼镜，更要采取及时干预和定期眼部卫生。限制包括仅在大公司采用，眼镜安全眼镜在没有持续干预的情况下迅速衰落，眼镜的技术限制，以及全面的成本效益分析。
For the last 10 years, the Partnership for Citrus Workers Health (PCWH) has been an evidence-based intervention program that promotes the adoption of protective eye safety equipment among Spanish-speaking farmworkers of Florida. At the root of this program is the systematic use of community-based preventive marketing (CBPM) and the training of community health workers (CHWs) among citrus harvester using popular education. CBPM is a model that combines the organizational system of community-based participatory research (CBPR) and the strategies of social marketing. This particular program relied on formative research data using a mixed-methods approach and a multilevel stakeholder analysis that allowed for rapid dissemination, effective increase of personal protective equipment (PPE) usage, and a subsequent impact on adoptive workers and companies. Focus groups, face-to-face interviews, surveys, participant observation, Greco-Latin square, and quasi-experimental tests were implemented. A 20-hour popular education training produced CHWs that translated results of the formative research to potential adopters and also provided first aid skills for eye injuries. Reduction of injuries is not limited to the use of safety glasses, but also to the adoption of timely intervention and regular eye hygiene. Limitations include adoption in only large companies, rapid decline of eye safety glasses without consistent intervention, technological limitations of glasses, and thorough cost-benefit analysis.