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.

抽象的 亚利桑那州尤马（Yuma）和全国各地的农场工人面临着许多社会和健康风险，这些社会和健康风险源于农业的性质以及统治劳动的劳动法。农场在身体上处于惩罚和低薪劳动，漫长的日子，环境暴露，没有加班或生病的薪水。很少有农场工人拥有健康保险。农场的季节性性质导致夏季失业的创纪录水平，从而增加了农场工人及其家人的经济压力。结果，农场工人患有高工作相关的伤害和疾病率，压力和抑郁症以及慢性疾病。在为农场社区服务数十年的基础上，Campesinos Sin Fronteras（CSF）将使用基于社区的参与性研究方法来开发，实施和评估针对与1）劳动实践相关的结构性因素的干预措施； 2）住房质量和负担能力； 3）农场工人社区的医疗保健机会。在与学术研究合作伙伴合作的农业工作人员健康项目中，CSF将利用其现有的与多样化的多部门组织的关系来召集健康公平研究大会（HERA），以监督研究过程的各个方面。 CSF社区卫生工作者（CHWS）将通过一系列参与式参与策略来招募农场工作者。将使用社区主导和参与者的定性和定量方法评估结构因素和健康成果的范围内变化。在分析健康的结构决定因素并开发和实施干预措施时，HERA成员将建立他们的研究能力和结构能力，以解决农场工人之间的健康问题。