LA FAMILIA REDUCING FARMWORKER PESTICIDE EXPOSURE

描述(摘自申请人的摘要) La Familia！扩大北卡罗来纳州农民工人之间的合作 以基层社区为基础的组织项目(NCFP)和环境 维克森林大学医学院的健康研究人员将评估一种 LHA(LHA)模式减少农场工人接触杀虫剂 家人。拟议的研究建立在PACE的基础上，防止农业 北卡罗来纳州农场工人的化学品暴露(R21 ES08739)，高度 成功的工作场所干预措施，以减少外来务工人员和季节性农场工人 接触杀虫剂。有了Ila Familia！，步伐重点转移到了曝光 农场工人家庭，特别是儿童，并扩大与北方的工作 卡罗莱纳州农场工人社区到西部的拉丁裔圣诞树工人 该州的区域。《Ila Familia！》S的具体目标是：1)记录和 评估农场工人对农药暴露的知识、信念和认知 所有家庭成员，特别是涉及儿童接触的家庭成员； 2)确定农场工人子女暴露在环境中的途径 农药；3)制定、实施和评估适合文化的上帝抵抗军 年减少儿童(18~48mo)农药暴露的干预措施 农场工人之家；以及4)汇编和传播最后干预 方案提供给其他农场工人社区和农场工人服务提供商。一个 社区参与模式将贯穿整个5个项目 好几年了。形成性研究(深度访谈；途径暴露评估) 将在第一年和第二年完成。利用前面的形成结果- 继续框架，LHA干预的内容和形式将是 在第二年开发。这项干预(和修订)将在 第3年和第4年采用组随机设计。端点将包括更改 了解儿童接触农药的途径和减少农药接触的方法 他们的暴露；暴露相关行为的变化；以及家庭的变化 尘埃水平。在最后一年，将继续支持LHA计划，因为 NCFP在西部发展其卫生推广任务的过程的一部分 北卡罗来纳州，同时将项目成果传播给区域和 国家农场工人团体，向农场工人提供医疗保健的团体，以及 在研究文献中。

DESCRIPTION (Taken from the Applicant's Abstract) La Familia! extends collaboration between the North Carolina Farmworkers' Project (NCFP), a grassroots community based organization, and environmental health researchers at Wake Forest University School of Medicine to evaluate a Lay Health Advisor (LHA) model to reduce pesticide exposure among farmworker families. The proposed research builds on PACE, Preventing Agricultural Chemical Exposure among North Carolina Farmworkers (R21 ES08739), a highly successful workplace intervention to reduce migrant and seasonal farmworker pesticide exposure. With iLa Familia!, the PACE focus shifts to exposure of farmworker families, particularly children, and expands work with the North Carolina farmworker community to Latino Christmas tree workers in the western region of the state. iLa Familia!'s specific aims are to: 1) document and assess farmworker knowledge, beliefs and perceptions of pesticide exposure of all family members, particularly as they relate to exposure of children; 2) identify pathways for environmental exposure of farmworker children to pesticides; 3) develop, implement, and evaluate a culturally appropriate LRA intervention to reduce pesticide exposure of children (aged 18-48 mo) in farmworker homes; and 4) compile and disseminate the final intervention program to other farmworker communities and farmworker service providers. A model of community participation will be implemented throughout the 5 project years. Formative research (in-depth interviews; pathway exposure assessment) will be completed in Years 1 and 2. Using the formative results in a PRECEDE- PROCEED framework, the content and format of the LHA intervention will be developed in Year 2. This intervention (and a revision) will be evaluated in Years 3 and 4 using a group randomized design. End-points will include change in knowledge of pesticide exposure routes for children and ways to reduce their exposure; change in exposure-related behaviors; and changes in household dust levels. In the final year, support will continue for the LHA program as part of the process of NCFP developing its health outreach mission in western NC., while the results of the project are disseminated to regional and national farmworker groups, to those providing health care to farmworkers, and in the research literature.