VALES+Tú: Targeting psychosocial stressors to reduce Latino Day Laborers injury disparities

Vales Tú：瞄准心理社会应激源以减少拉丁裔日间劳动者的伤害 差距 尽管美国工人的安全总体上继续改善，但拉美裔工人的安全， 特别是临时工，继续恶化。拉丁裔日工(Ldl)主要是 经历多重心理社会压力的西班牙语移民工人， 包括情况和移民压力，这会放大他们在工作中受伤的风险。低密度脂蛋白寻找 在非正式的招聘网站或“角落”工作，在那里他们会断断续续地被雇佣去做各种 入门级工作，其变化的条件使他们面临多种安全隐患。最多的 这种在不可预测的、危险的工作之间不断轮换的令人震惊的后果是 这一人群中与工作相关的死亡率。 尽管迫切需要，但没有有效的和经过严格测试的安全程序，便携 到低密度脂蛋白等待工作的角落，帮助他们应对增加风险的压力源 工伤赔偿。我们项目的主要目标就是解决这个问题：一个基于角落的 针对低密度脂蛋白面临的心理社会应激源的安全计划减少了他们 是否报告在工作中暴露在危险环境中？ 我们建议的项目，Vales Tú(你值得/值得更多)是一个为期5年的社区项目 与拉丁裔临时工合作制定的参与性方案，其试点结果 提供增加风险降低做法和减少危险暴露的证据 工作。我们正在提议实施由低密度脂蛋白用西班牙语提供的多层次干预 向角落里的同行推广，并在集群中测试该计划的有效性 随机试验。该项目的中心目标是：(1)确定Vales Tú的疗效 在减少工作中的危险暴露方面，以及(2)确定 心理社会应激源对Vales Tú的主要结局的影响。 所有项目活动都将与我们的社区合作伙伴Fey Justica合作完成 (信仰和正义)工作者中心，并得到我们社区咨询委员会的指导。 淡水河谷的短期目标是通过让他们参与到一个 基于角落的安全计划，有效地解决了很少针对的情况和 移民压力增加了工作中的危险做法。我们的长期目标是减少 拉丁裔临时工的高伤害率。降低低密度脂蛋白中的安全风险是当务之急 可以通过采取有效、低成本的预防性行动来解决的公共卫生优先事项。

VALES+Tú: Targeting Psychosocial Stressors to Reduce Latino Day Laborers Injury Disparities Even as the safety of US workers continues to improve overall, the safety of Latino workers, especially day laborers, continues to deteriorate. Latino day laborers (LDL) are predominantly Spanish monolingual immigrant workers who experience multiple psychosocial stressors, including situational and immigration stress that amplify their risk for injury at work. LDL look for work at informal hiring sites or “corners” where they get hired intermittently to do a variety of entry-level jobs whose shifting conditions expose them to multiple safety hazards. The most alarming consequence of this constant rotation across unpredictable, dangerous jobs is the high rate of job-related fatalities in this population. Despite the urgent need, there are no effective and rigorously tested safety programs, portable to the corner where LDL wait for work, to help them cope with stressors that increase their risk for workplace injury. Our project's main goal is to address this question: Can a corner-based safety program addressing the psycho social stressors confronted by LDL reduce their reported exposure to hazardous conditions at work? Our proposed project, VALES+Tú (You are worth/worthy of more) is a 5 year community-based participatory program developed in partnership with Latino day laborers whose pilot results provide evidence of increasing risk reduction practices and reducing hazardous exposures at work. We are proposing to implement a multilevel intervention delivered in Spanish by LDL promotores to their peers at the corners and to test the program's effectiveness in a cluster randomized trial. The central aims of the project are: (1) to determine the efficacy of VALES+Tú in reducing hazardous exposures at work, and (2) to determine the mediating effect of psychosocial stressors on the primary outcomes of VALES+Tú. All project activities will be done in collaboration with our community partner, the Fe y Justicia (Faith and Justice) Worker Center, and with guidance from our Community Advisory Board . The short-term goal of VALES+Tú is to reduce LDL workplace hazards by involving them in a corner-based safety program that effectively addresses seldom targeted situational and immigration stress that increase risky practices at work. Our long-term goal is to reduce the high injury rates among Latino day laborers. Mitigating safety risks among LDL is an urgent public health priority that can be addressed by taking effective, low-cost, preventive action.