Reducing the risk of heat-related illness in western agricultural workers; physio

降低西部农业工人患热病的风险；

• 批准号: 8875490
• 负责人: Marc B Schenker
• 金额: $ 57.38万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8875490
• 关键词: Reducing; risk; heat; related; illness

DESCRIPTION (provided by applicant): Although the major environmental and personal risk factors for heat-related illness (HRI) are known and California regulations have been enacted to protect workers, deaths and significant numbers of HRI continue to occur, particularly in agriculture. There continue to be many uncertainties surrounding factors that place workers at risk for HRI and employers' ability to utilize risk reduction strategies for worker protection. Missing from occupational studies on factors contributing to HRI are considerations of the metabolic heat load from working in diverse agricultural environments, and the socio-cultural factors affecting the mostly immigrant workers' work practices/behaviors. Without thorough understanding of these aspects, effective strategies to reduce agricultural HRI are diminished. This multidisciplinary effort brings together investigators from medicine, epidemiology, public health, physiology, anthropology and community outreach/education who are uniquely positioned to address HRI in agricultural populations. Our goal is to obtain novel data on internal body temperature as it relates to crop type and geography, external heat and internal metabolic loading, including accounting for work type and personal factors. Our innovative approach will obtain critical information on knowledge, work practices and social-cultural issues that impact a worker's decisions with regard to HRI prevention. By combining these approaches, we aim to develop protective strategies to be translated and broadcast through outreach and education programs. The specific aims of this proposal are: (1) Increase understanding of the physiological responses to increased environmental heat and physical exertion among farmworkers through the analyses of personal characteristics, monitors and sensors, and use the protocols developed to generate and validate risk models. 2) Examine socio-cultural perspectives of HRI using focus groups and key interviews, and identify barriers to adoption of prevention strategies and potential solutions acceptable to all parties. (3) Assess normal practices of farmworkers that impact HRI risk using epidemiological techniques. (4) Increase awareness of HRI as a credible personal risk to farmworkers, and translate project findings into HRI prevention strategies.

描述（由申请人提供）：尽管已知热相关疾病（HRI）的主要环境和个人风险因素，并且加州已颁布法规以保护工人，但死亡和大量HRI继续发生，特别是在农业领域。仍然有许多不确定的因素，使工人处于危险的人权倡议和雇主的能力，利用减少风险的战略，工人的保护。职业研究中缺少对HRI因素的考虑，即在不同的农业环境中工作的代谢热负荷，以及影响大多数移民工人工作实践/行为的社会文化因素。如果不彻底了解这些方面，有效的战略，以减少农业人力资源投资减少。这一多学科的努力汇集了来自医学，流行病学，公共卫生，生理学，人类学和社区推广/教育谁是独特的定位，以解决农业人口的HRI的调查。我们的目标是获得新的数据， 体温，因为它涉及作物类型和地理、外部热量和内部代谢负荷，包括考虑工作类型和个人因素。我们的创新方法将获得有关知识，工作实践和社会文化问题的关键信息，这些信息会影响工人在预防HRI方面的决定。通过结合这些方法，我们的目标是制定保护战略，并通过推广和教育计划进行翻译和广播。该提案的具体目标是：（1）通过分析个人特征、监测器和传感器，增加对农场工人对环境高温和体力消耗增加的生理反应的理解，并使用制定的协议来生成和验证风险模型。2)利用焦点小组和关键访谈，审查人权倡议的社会文化观点，并确定采取预防战略和各方都能接受的潜在解决办法的障碍。(3)使用流行病学技术评估影响HRI风险的农场工人的正常做法。(4)提高对HRI的认识，将其视为农场工人的一种可信的个人风险，并将项目结果转化为HRI预防战略。