Agricultural Workers Digital Equity Initiative

农业工人数字股权倡议

• 批准号: 10776449
• 负责人: Elizabeth Freeman
• 金额: $ 112.49万
• 依托单位: NC STATE DEPT/HLTH & HUMAN SERVICES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2028-09-20
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10776449
• 关键词: Address; Agricultural Workers; Agriculture; Area; Censuses; Chronic; Chronic Disease; Clinic; Communication; Communities; Community Health; Community Health Aides; Comprehensive Health Care; Cross-Sectional Studies; Crowding; Data; Diabetes Mellitus; Disease Management; Economics; Emergency Situation; Equity; Essential worker; Ethnic Origin; Family; Food; Friends; Health; Health Services Accessibility; Healthcare Systems; Hospitals; Housing; Hypertension; Inequity; Information Systems; Internet; Intervention; Learning; Medical; Mental Health; Migrant; Modeling; Neighborhood Health Center; North Carolina; Occupations; Outcome; Participant; Patients; Price; Privacy; Race; Research; Resources; Risk Factors; Rural; Service delivery model; Site; Societies; Speed; Stress; System; Vision; Voice; Weather; Work; access disparities; agricultural community; community engagement; digital; electronic health record system; experience; farm worker; food insecurity; health care delivery; health determinants; health equity; health inequalities; improved; innovation; intervention mapping; member; next generation; pandemic response; pesticide exposure; poor health outcome; population health; primary care services; primary health service; programs; rurality; social determinants; student participation; telehealth; theories; virtual

Abstract Agricultural workers are essential to the US economy and its food systems yet experience a “digital divide” that limits access to health services, including telehealth, and results in poor health outcomes. The purpose of the proposed Agricultural Workers Digital Equity Initiative (AWDEI) is to transform agricultural workers’ access to affordable, reliable high-speed broadband internet to enhance telehealth models and reduce health inequities. The proposed AWDEI will engage community-based partners across North Carolina (NC) that serve agricultural workers and their families. The project team will use intervention mapping in combination with input from the NC Agriculture Digital Alliance and its Health Equity Research Assembly workgroup. The NC Farmworker Health Program maintains an existing data system for tracking health outcomes among agricultural worker patients, and it will leverage a partnership with its research team to implement a longitudinal, repeated cross-sectional survey of agricultural workers to assess changes in internet access over the course of the project. The outcome of this project will improve internet connectivity for agricultural workers and their families. This will allow for better utilization of comprehensive health care delivery systems and contribute to improved management of chronic medical conditions including mental health. This project will also leverage opportunities for improvement of electronic health record system communication among community health sites.

摘要 农业工人对美国经济及其粮食系统至关重要，但他们正在经历一场“数字化”危机。 “鸿沟”限制了获得包括远程医疗在内的医疗服务的机会，并导致健康状况不佳。的 农业工人数字公平倡议（AWDEI）的目的是改变 农业工人获得负担得起的、可靠的高速宽带互联网，以加强远程保健 模式，减少卫生不平等。拟议的AWDEI将与社区合作伙伴一起， 北卡罗来纳州（NC），为农业工人和他们的家庭服务。项目团队将使用 干预测绘结合NC农业数字联盟及其健康 公平研究大会NC农场工人健康计划维护现有数据 农业工人患者的健康结果跟踪系统，它将利用伙伴关系 与其研究小组对农业工人进行纵向、重复的横断面调查， 评估项目实施过程中互联网接入的变化。该项目的成果将 改善农业工人及其家庭的互联网连接。这将允许更好地 利用全面的保健服务系统，并有助于改善对 慢性疾病，包括精神健康。该项目还将利用机会， 改善社区卫生服务站之间电子健康档案系统的沟通。