Reduction of Hazardous Exposures in Small Businesses through a Community Health Worker Intervention

通过社区卫生工作者干预减少小型企业的危险暴露

• 批准号: 10174504
• 负责人: Paloma I Beamer
• 金额: $ 37.69万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-12-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10174504
• 关键词: Address; Administrative Supplement; Area; Arizona; Asthma; Beauty; Businesses; COVID-19; COVID-19 pandemic; Cardiovascular Diseases; Chemical Exposure; Chemicals; Color; Communities; Community Health; Community Health Aides; Complex; Computers; Coronavirus; Data; Economic Factors; Economics; Education; Employee; Environmental Exposure; Equipment; Evaluation; Event; Exposure to; Future; Goals; Government; Government Agencies; Grant; Guidelines; Hazardous Chemicals; Health; Health Promotion; Individual; Industrial Health; Industry; Intervention; Knowledge; Labor Unions; Language; Linguistics; Measures; Media Campaign; Methods; Modeling; Neighborhood Health Center; Occupational Exposure; Occupational Health; Outcome; Parents; Phase; Recommendation; Reproducibility; Research; Research Institute; Resources; Risk; Risk Factors; Safety; Services; Shelter facility; Social Distance; Solvents; Theoretical model; Translational Research; Trust; United States National Institutes of Health; Universities; Update; Vulnerable Populations; Wages; Work; Workplace; base; density; economic impact; empowered; hazard; health care availability; health disparity; high risk; improved; innovation; literacy; multidisciplinary; new technology; novel; novel strategies; outreach; pandemic disease; parent grant; parent project; preservation; programs; randomized trial; repaired; research study; response; risk perception; skills; social; social factors; social media; virtual; volatile organic compound; webinar

PROJECT SUMMARY This administrative supplement application is in response to NOT-ES-20-020, which calls for proposals assessing the impact of Coronavirus 2019 (COVID-19) on environmental exposures. Our parent project aims to reduce negative health outcomes in small businesses that primarily employ high-risk Latinx workers by characterizing their exposures to hazardous chemicals and assessing if a community health worker (CHW) intervention can decrease these exposures. Workers in small businesses may have increased risk of COVID- 19 exposure and severe economic impacts due to social distancing and shelter-in-place guidelines. In addition, small businesses may be unable to obtain needed personal protective equipment and may significantly increase their cleaning practices, and thus their chemical exposures. Small businesses are more likely to employ low-wage Latinx workers, and use hazardous solvents, including volatile organic chemicals (VOCs), that can cause asthma and cardiovascular disease which are risk factors for COVID-19 complications. Yet their workers lack access to culturally and linguistically appropriate occupational health information, including for COVID-19. Due to social distancing and shelter-in-place guidelines, we currently cannot measure chemical exposures or conduct face-to-face CHW interventions. The primary goal of our supplement application is to enhance our relationships with our small business partners by responding to their immediate needs during the COVID-19 pandemic and helping them through the crisis, while promoting worker safety through a novel tele- promotora program. CHWs are an innovative method to bridge the gap between small businesses and other stakeholders. The proposed project will capitalize on the strong, established partnership between the University of Arizona, the Sonora Environmental Research Institute, Inc., and the El Rio Community Health Center. A community-engaged research framework will be used to complete the following specific aims: 1) develop a novel “tele-promotora” program to deliver occupational health information to these vulnerable small business owners while face-to-face interactions are not possible; 2) determine how the COVID-19 pandemic has changed VOC exposures in two high-risk industries: auto repair shops and beauty salons; and 3) assess competing risk perceptions regarding COVID-19, economic impacts, and hazards of VOC exposures. These proposed aims directly relate to our previous aims, regarding: 1) assessing workplace exposures and risk perceptions in these two industries and 2) developing a CHW-intervention. It is essential that we gather information on COVID-19 impacts and update our CHW intervention in order to be sensitive to these concerns during the cluster-based trial (Aim 3, parent). Completing this supplement will preserve and/or increase the intervention’s impact by helping marginalized, Latinx workers and small business owners who may have limited education, literacy, and computer skills to understand the risks of COVID-19 and chemical hazards associated with their work, while empowering them to have greater control over their occupational exposures.

项目摘要 本行政补充申请是对NOT-ES-20-020的回应，该申请要求提交建议书 评估2019冠状病毒（COVID-19）对环境暴露的影响。我们的母项目旨在 减少主要雇用高风险拉丁裔工人的小企业的负面健康结果， 描述他们接触危险化学品的情况，并评估社区卫生工作者（CHW） 干预可以减少这些风险。小企业的工人可能会增加新冠病毒的风险- 19由于社交距离和就地庇护准则而造成的暴露和严重的经济影响。此外，本发明还提供了一种方法， 小型企业可能无法获得所需的个人防护设备， 增加他们的清洁习惯，从而增加他们的化学接触。小企业更有可能 雇用低工资的拉丁工人，并使用危险溶剂，包括挥发性有机化学品（VOC）， 这可能导致哮喘和心血管疾病，而这些疾病是COVID-19并发症的风险因素。然而他们的 工人无法获得文化和语言上适当的职业健康信息，包括 2019冠状病毒病。由于社会距离和庇护所的指导方针，我们目前无法测量化学品 接触或进行面对面的CHW干预。我们补充申请的主要目标是 加强我们与我们的小企业合作伙伴的关系，响应他们在 COVID-19大流行，并帮助他们度过危机，同时通过一种新颖的远程控制系统促进工人安全， promotora程序。CHW是一种创新的方法，可以弥合小企业和其他企业之间的差距。 持份者拟议的项目将利用 亚利桑那大学、索诺拉环境研究所，El Rio社区健康中心 中心社区参与的研究框架将用于完成以下具体目标：1） 开发一个新的“远程宣传”方案，向这些脆弱的小企业提供职业健康信息。 企业主，而面对面的互动是不可能的; 2）确定如何COVID-19疫情 改变了两个高危行业的VOC暴露：汽车修理店和美容院; 3）评估 关于COVID-19、经济影响和VOC暴露危害的竞争性风险认知。这些 建议的目标与我们以前的目标直接相关，涉及：1）评估工作场所的暴露和风险 在这两个行业的看法和2）制定CHW干预。我们必须聚集在一起 COVID-19影响的信息，并更新我们的CHW干预措施，以便对这些问题保持敏感 在基于聚类的试验期间（目标3，父代）。完成此补充将保留和/或增加 干预的影响，帮助边缘化，拉丁裔工人和小企业主谁可能有限 教育、识字和计算机技能，以了解COVID-19的风险和相关的化学危害 同时使他们能够更好地控制其职业暴露。