Farm Worker Family Health Cohort Study

农场工人家庭健康队列研究

• 批准号: 8106338
• 负责人: Marc B Schenker
• 金额: $ 62.37万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8106338
• 关键词: Farm; Worker; Family; Health; Cohort

DESCRIPTION (provided by applicant): Hired farm workers provide the majority of the workforce for California's labor-intensive agricultural sector, and they also suffer the greatest health burden. California's hired farm workers face increased risks of morbidity and mortality from respiratory disease, musculoskeletal problems, infectious diseases, stress- related mental health disorders and lifestyle-related diseases such as obesity. There has been very little research into the etiology of the poor health outcomes that occur disproportionately in this population. The overall goal of this proposed project is to continue with a longitudinal follow-up of a cohort of hired farm worker families in California that was established through supplemental funding from NIOSH. We propose to conduct two follow-up assessments of the MICASA study cohort in Mendota, California to assess the incidence and prevalence of diseases in this population. These follow-up assessments will be conducted on the 400 families comprising our farm worker cohort in Mendota. Interviews will be conducted with all MICASA study participants (both the head of household and spouse) twice during the five-year study period. We will also conduct pulmonary function testing, measure vital signs and take anthropometric measurements at two time periods in the population. Finally, the exposure assessment component will collect quantitative data on particulate exposure in this population. The specific aims of the study are to: 1) measure the incidence of respiratory symptoms and agricultural injuries and assess the independent association of agricultural exposures and lifestyle factors to respiratory symptoms, agricultural injuries, and musculoskeletal problems; 2) examine the prevalence and determinants of atopy, asthma and asthma symptoms; 3) determine levels of particulate matter exposure for tasks and crops commonly conducted by agricultural workers in our population; 4) examine incident respiratory symptoms and changes in pulmonary function over time and assess the relationship between predictors such as occupational factors with incident symptoms and changes in pulmonary function. This approach allows us to address a wide range of factors affecting health including work, home environment, and personal health behaviors. This cohort is being established to improve understanding of important health risks and to provide a basis for the design of effective public health and clinical interventions, and ultimately to improve the health of this underserved population.

描述（由申请人提供）：雇用的农场工人为加利福尼亚州劳动密集型农业部门提供了大部分劳动力，他们也承担着最大的健康负担。加利福尼亚州雇用的农场工人面临呼吸道疾病，肌肉骨骼问题，传染病，与压力相关的心理健康疾病以及与生活方式有关的疾病（如肥胖）的发病率和死亡风险。关于该人群中不成比例的健康结果的病因，对病因的研究很少。这个拟议项目的总体目标是继续对加利福尼亚州一批雇用的农场工人家庭进行纵向跟进，这些家庭是通过NIOSH的补充资金而建立的。我们建议对加利福尼亚州门多达的云索研究队列进行两次随访评估，以评估该人群中疾病的发病率和患病率。这些后续评估将对包括我们在门多达的农场工人队列组成的400个家庭进行。在五年的研究期间，将对所有云母研究参与者（家庭和配偶负责人）进行访谈。我们还将进行肺功能测试，测量生命体征并在人群的两个时间段内进行人体测量。最后，暴露评估部分将收集有关该人群中颗粒物暴露的定量数据。该研究的具体目的是：1）衡量呼吸症状和农业伤害的发生率，并评估农业暴露和生活方式因素与呼吸道症状，农业损伤以及肌肉骨骼问题的独立关联； 2）检查特亚特，哮喘和哮喘症状的患病率和决定因素； 3）确定农业工人在我们人口中通常进行的任务和农作物的颗粒物水平； 4）检查出现的呼吸症状和肺功能随时间的变化，并评估预测因子（例如职业因素与事件症状和肺功能变化）之间的关系。这种方法使我们能够解决影响健康，家庭环境和个人健康行为的广泛因素。正在建立该队列，以提高对重要健康风险的理解，并为有效的公共卫生和临床干预措施设计基础，并最终改善服务不足的人群的健康状况。