Occupational Injuries Among Immigrant Poultry Workers: Development & Progression

移民家禽工人的职业伤害：发展

• 批准号: 7687470
• 负责人: Sara A Quandt
• 金额: $ 73.53万
• 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/7687470
• 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人口贫困，少数民族，越来越多地由移民组成。很少有研究文件中的家禽加工业，这些职业伤害的进展，或与这些职业伤害的职业和个人特征的移民职业伤害的发病。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。在此之前，该小组与目标社区的工作人员进行了数年的社区参与性研究，并制定了抽样框架。具体目标是：（1）比较拉丁裔家禽加工工人和对照组中选定的肌肉骨骼（MSD）和皮肤病的患病率（非家禽，拉丁美洲体力劳动者），并评估中介和调节作用的职业（task，shift），结构性的（收入、教育、医疗保健）和社会文化（2）记录选定的MSD和皮肤病的发展，并评估职业、结构和社会文化因素对这种发展的中介和调节作用;（3）描述选定的MSD和皮肤病对工人和对照组健康相关生活质量的影响，包括跨部门和随时间的变化;（4）确定对职业病和伤害的解释，自我护理行为，以及工人预防，治疗寻求和报告的障碍。这些具体目标将通过使用一个关联的队列和人种学设计，结合定性和定量研究方法来实现。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名对照人员。收集的数据将包括体格检查、神经传导、腕部超声和访谈。133名无疾病的新员工和133名对照人员将在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”框架进行深入访谈。 公共卫生相关性：家禽加工工人的受伤率很高，但对受伤的数量和类型没有很好的估计。这项研究将提供这些数据以及关于这些伤害的原因和后果的信息。这些研究将为今后通过教育和执法减少肉类加工业增长最快的部分职业伤害的差异提供基础。