Occupational Injuries Among Immigrant Poultry Workers: Development & Progression

移民家禽工人的职业伤害：发展

• 批准号: 8133204
• 负责人: Sara A Quandt
• 金额: $ 2.43万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8133204
• 关键词: Occupational; Injuries; Among; Immigrant; Poultry

DESCRIPTION (provided by applicant): U.S. poultry processing workers experience a disproportionate share of occupational injuries and illness compared to workers in other industries. Recent trends in this industry have resulted in a worker population that is poor, minority, and increasingly comprised of immigrants. Little research documents the onset of occupational injuries among immigrants in the poultry processing industry, the progression of these occupational injuries, or the occupational and personal characteristics associated with these occupational injuries. The overall goal of this research study is to document the nature and sources of occupational injuries among minority poultry processing workers. It follows several years of community participatory research by this team with workers in the target communities, in which a sampling frame has been developed. The specific aims are: (1) to compare the prevalence of selected musculoskeletal (MSDs) and skin disorders among Latino poultry processing workers and controls (non-poultry, Latino manual laborers), and assess the mediating and moderating effects of occupational (task, shift), structural (income, education, access to healthcare), and socio- cultural (ethnicity, beliefs, values, acculturation) factors on these disorders; (2) to document the development of selected MSDs and skin disorders and assess the mediating and moderating effects of occupational, structural, and socio-cultural factors on this development; (3) to delineate the impact of selected MSDs and skin disorders on workers' and controls' health-related quality of life, both cross-sectionally and over time; and (4) to determine the interpretation of occupational illness and injury symptomatology, self-care behaviors, and barriers to prevention, treatment seeking, and reporting among workers. These specific aims will be achieved using a linked cohort and ethnographic design, combining qualitative and quantitative research methods. 276 immigrant poultry workers with experience in processing line work </= 3 yr and 276 controls will be recruited. Data collected will include physical examination, nerve conduction, wrist ultrasound, and interview. 133 disease free new hires and 133 controls will be interviewed again at 6 months, and the complete examination at 12 months. 30 workers who have experienced progressive musculoskeletal injury or dermatological illness will be recruited for in-depth interviews based on an "explanatory models of illness" framework. PUBLIC HEALTH RELEVANCE: Poultry processing workers experience high rates of injuries, but good estimates of the number and types of injuries are unavailable. This study will provide such data, as well as information on the causes and consequences of these injuries. Such research will provide the basis of future efforts to reduce disparities in occupational injuries in the fastest growing segment of the meat processing industry through education and enforcement.

描述（由申请人提供）：与其他行业的工人相比，美国家禽加工工人遭受职业伤害和疾病的比例不成比例。该行业的最新趋势导致工人群体变得贫穷、少数族裔，并且越来越多地由移民组成。很少有研究记录家禽加工业移民中职业伤害的发生、这些职业伤害的进展或与这些职业伤害相关的职业和个人特征。本研究的总体目标是记录少数民族家禽加工工人职业伤害的性质和来源。该团队与目标社区的工作人员进行了数年的社区参与研究，并开发了一个抽样框架。具体目标是：（1）比较拉丁裔家禽加工工人和对照组（非家禽、拉丁裔体力劳动者）中特定肌肉骨骼（MSD）和皮肤疾病的患病率，并评估职业（任务、轮班）、结构（收入、教育、获得医疗保健）和社会文化（种族、信仰、价值观、文化适应）因素对特定肌肉骨骼（MSD）和皮肤疾病的调节作用。 这些疾病； (2) 记录选定的 MSD 和皮肤病的发展情况，并评估职业、结构和社会文化因素对此发展的中介和调节作用； (3) 描述选定的 MSD 和皮肤疾病对工人和对照者健康相关生活质量的影响（横向和长期影响）； (4) 确定对职业病和伤害症状、自我保健行为以及工人预防、寻求治疗和报告的障碍的解释。这些具体目标将通过结合定性和定量研究方法的关联队列和人种学设计来实现。将招募 276 名具有 3 年加工线工作经验的移民家禽工人和 276 名控制人员。收集的数据将包括体检、神经传导、手腕超声和访谈。 133名无病新员工和133名对照组将在6个月时再次接受访谈，并在12个月时进行全面检查。将招募 30 名经历过进行性肌肉骨骼损伤或皮肤病的工人，根据“疾病解释模型”框架进行深度访谈。 公共卫生相关性：家禽加工工人的受伤率很高，但无法准确估计受伤的数量和类型。这项研究将提供此类数据，以及有关这些伤害的原因和后果的信息。此类研究将为未来通过教育和执法努力减少肉类加工业增长最快的领域中职业伤害的差异奠定基础。