Achieving Equity in Farmworker Health Through Community-Led Research

通过社区主导的研究实现农场工人健康的公平

• 批准号: 10777372
• 负责人: Emma Torres
• 金额: $ 112.5万
• 依托单位: CAMPESINOS SIN FRONTERAS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-22 至 2028-09-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10777372
• 关键词: Address; Arizona; Chronic Disease; Collaborations; Communities; Community Health Aides; Competence; Economics; Environmental Exposure; Equity; Face; Family; Health; Health Insurance; Housing; Injury; Intervention; Laws; Mental Depression; Methods; Nature; Outcome; Participant; Process; Punishment; Research; Risk; Seasons; Series; Services; Stress; Unemployment; Wages; Work; community based participatory research; farm worker; health care availability; health equity; member; social; stem; structural determinants; structural health determinants

ABSTRACT Farmworkers in Yuma, Arizona, and across the nation face numerous social and health risks stemming from the nature of farmwork and the labor laws that govern it. Farmwork is physically punishing and low-wage labor, with extremely long days, environmental exposures, and no overtime or sick pay. Few farmworkers have health insurance. The seasonal nature of farmwork results in record levels of summer unemployment, increasing the economic stress on farmworkers and their families. As a result, farmworkers suffer from high work-related injury and illness rates, stress and depression, and chronic disease. Building on decades of service to the farmworker community, Campesinos Sin Fronteras (CSF) will use a community-based participatory research approach to develop, implement and evaluate an intervention addressing structural factors related to 1) labor practices; 2) housing quality and affordability; and 3) health care access for the farmworker community. In the Achieving Equity in Farmworker Health project, in collaboration with an academic research partner, CSF will leverage its existing relationships with diverse, multi-sector organizations to convene a health equity research assembly (HERA) that will oversee all aspects of the research process. CSF Community health workers (CHWs) will enlist farmworkers in the research process through a series of participatory engagement strategies. Community-wide changes in structural factors and health outcomes will be evaluated using community-led and participant-responsive qualitative and quantitative methods. In analyzing structural determinants of health and developing and implementing the intervention, HERA members will build their research capacity and structural competence in addressing health issues among farmworkers.

摘要 亚利桑那州尤马和全国各地的农场工人都面临着许多社会和健康风险，这些风险来自农场工作的性质和管理农场工作的劳动法。农场工作是对身体的惩罚和低工资劳动，工作时间非常长，暴露在环境中，没有加班费或病假工资。很少有农场工人有医疗保险。农场工作的季节性导致夏季失业率达到创纪录水平，增加了农场工人及其家庭的经济压力。因此，农场工人遭受与工作有关的伤害和疾病、压力和抑郁以及慢性疾病的高比率。建立在几十年的服务，以农民工社区，无国界农民（CSF）将使用基于社区的参与式研究方法来开发，实施和评估干预措施，解决相关的结构性因素1）劳动实践; 2）住房质量和负担能力;和3）为农民工社区的医疗保健服务。在与学术研究合作伙伴合作的实现农场工人健康公平项目中，CSF将利用其与不同的多部门组织的现有关系，召集一个健康公平研究大会（HERA），该大会将监督研究过程的各个方面。CSF社区卫生工作者（CHW）将通过一系列参与式参与战略在研究过程中招募农场工人。将采用社区主导和参与者响应的定性和定量方法，评价全社区在结构因素和保健成果方面的变化。在分析健康的结构性决定因素以及制定和实施干预措施时，HERA成员将建立他们的研究能力和解决农场工人健康问题的结构能力。