VALES+Tú: Targeting psychosocial stressors to reduce Latino Day Laborers injury disparities

VALES Tà：针对社会心理压力源，减少拉丁裔临时工的伤害差异

• 批准号: 10365953
• 负责人: MARIA EUGENIA FERNANDEZ-ESQUER
• 金额: $ 62.27万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10365953
• 关键词: Address; Area; Central American; Cessation of life; Chronic; Cluster randomized trial; Collaborations; Communities; Control Groups; Dangerousness; El Salvador; Ethnic group; Exposure to; Face; Fatal injury; Funding; Future; Goals; Grant; Guatemala; Honduras; Immigrant; Immigrant worker; Immigration; Industry; Injury; Intervention; Interview; Justice; Latino; Latino Population; Mediating; Mexican Americans; National Institute on Minority Health and Health Disparities; Occupational Health; Occupations; Outcomes Research; Participant; Phase; Pilot Projects; Play; Population; Prevention program; Preventive; Problem Solving; Program Effectiveness; Psychosocial Factor; Randomized; Reduce health disparities; Reporting; Research; Risk; Risk Reduction; Rotation; Safety; Site; Stress; Testing; Treatment/Psychosocial Effects; United States; Work; Workplace; base; brief motivational intervention; community based participatory research; cost; cost estimate; economic disparity; effective intervention; efficacy testing; experience; follow-up; hazard; health disparity; high risk; improved; injury prevention; interest; intervention effect; intervention program; peer; portability; post intervention; primary outcome; program dissemination; programs; psychosocial stressors; public health priorities; racial and ethnic; randomized trial; safety testing; social stressor; standard of care; stressor

VALES+Tú: Targeting Psychosocial Stressors to Reduce Latino Day Laborers Injury Disparities Even as the safety of US workers continues to improve overall, the safety of Latino workers, especially day laborers, continues to deteriorate. Latino day laborers (LDL) are predominantly Spanish monolingual immigrant workers who experience multiple psychosocial stressors, including situational and immigration stress that amplify their risk for injury at work. LDL look for work at informal hiring sites or “corners” where they get hired intermittently to do a variety of entry-level jobs whose shifting conditions expose them to multiple safety hazards. The most alarming consequence of this constant rotation across unpredictable, dangerous jobs is the high rate of job-related fatalities in this population. Despite the urgent need, there are no effective and rigorously tested safety programs, portable to the corner where LDL wait for work, to help them cope with stressors that increase their risk for workplace injury. Our project's main goal is to address this question: Can a corner-based safety program addressing the psycho social stressors confronted by LDL reduce their reported exposure to hazardous conditions at work? Our proposed project, VALES+Tú (You are worth/worthy of more) is a 5 year community-based participatory program developed in partnership with Latino day laborers whose pilot results provide evidence of increasing risk reduction practices and reducing hazardous exposures at work. We are proposing to implement a multilevel intervention delivered in Spanish by LDL promotores to their peers at the corners and to test the program's effectiveness in a cluster randomized trial. The central aims of the project are: (1) to determine the efficacy of VALES+Tú in reducing hazardous exposures at work, and (2) to determine the mediating effect of psychosocial stressors on the primary outcomes of VALES+Tú. All project activities will be done in collaboration with our community partner, the Fe y Justicia (Faith and Justice) Worker Center, and with guidance from our Community Advisory Board . The short-term goal of VALES+Tú is to reduce LDL workplace hazards by involving them in a corner-based safety program that effectively addresses seldom targeted situational and immigration stress that increase risky practices at work. Our long-term goal is to reduce the high injury rates among Latino day laborers. Mitigating safety risks among LDL is an urgent public health priority that can be addressed by taking effective, low-cost, preventive action.

VALES+Tú：针对心理社会压力，以减少拉丁美洲日间实验室损伤 差距 尽管美国工人的安全状况总体上继续改善，但拉丁裔工人的安全状况， 尤其是日工的情况继续恶化拉丁裔日工（LDL）主要是 西班牙单语移民工人经历多种心理社会压力， 包括环境压力和移民压力，这些压力放大了他们在工作中受伤的风险。LDL寻找 在非正式的招聘网站或“角落”工作，在那里他们间歇性地被雇用做各种各样的工作， 入门级的工作，其变化的条件使他们面临多种安全隐患。最 这种在不可预测的、危险的工作中不断轮换的令人担忧的后果是， 这一人群中与工作有关的死亡率。 尽管迫切需要，但没有有效和严格测试的安全程序，便携式 到LDL等待工作的角落，帮助他们科普增加风险的压力源 工伤赔偿我们的项目的主要目标是解决这个问题： 解决低密度脂蛋白面临的心理社会压力源的安全计划可以减少他们的 报告说在工作中暴露于危险环境？ 我们建议的项目，VALES+Tú（你值得/值得更多）是一个为期5年的社区为基础的 与拉丁美洲日工合作开发的参与性计划，其试点结果 提供证据，证明在下列情况下增加风险降低做法和减少危险暴露： 工作我们建议实施一项多层次的干预措施，由LDL用西班牙语提供。 向角落里的同龄人宣传，并在集群中测试该计划的有效性 随机试验该项目的主要目标是：（1）确定VALES+Tú的有效性 在减少工作中的危险暴露方面，以及（2）确定 社会心理压力因素对VALES+Tú主要结局的影响。 所有项目活动都将与我们的社区合作伙伴Fe y Justicia合作完成 （信仰和正义）工人中心，并与我们的社区咨询委员会的指导。 VALES+Tú的短期目标是通过让他们参与一个 基于角落的安全计划，有效地解决很少有针对性的情况， 移民问题突出表明工作中危险做法日益增多。我们的长期目标是减少 拉丁裔日工的受伤率很高降低低密度脂蛋白的安全风险是一项紧迫的任务。 公共卫生优先事项可以通过采取有效、低成本的预防行动加以解决。