LA FAMILIA REDUCING FARMWORKER PESTICIDE EXPOSURE

描述（摘自申请人的摘要） 家族！扩展了北卡罗来纳州农场工人之间的合作， 项目（NCFP），一个基于基层社区的组织， 维克森林大学医学院的健康研究人员评估了一种 非专业健康顾问（LHA）模式，以减少农场工人的农药暴露 家庭 这项研究建立在PACE的基础上， 北卡罗来纳州农场工人的化学品暴露（R21 ES 08739）， 成功地采取工作场所干预措施，减少移徙工人和季节性农场工人 农药暴露 关于iLa Familia！PACE的焦点转移到 农场工人家庭，特别是儿童，并扩大与北方的工作 从卡罗莱纳农场工人社区到西部的拉丁裔圣诞树工人 州的区域。 家庭！的具体目标是：1）记录和 评估农场工人对农药暴露的知识、信念和看法， 所有家庭成员，特别是与儿童接触有关的家庭成员; 2)确定农场工人儿童接触环境的途径， 3）制定、实施和评估文化上适当的LRA 采取干预措施，以减少儿童（18-48个月）接触农药的情况， 农场工人之家;以及4）汇编和传播最终干预措施 其他农场工人社区和农场工人服务提供商。 一 社区参与模式将在整个项目中实施 年 形成性研究（深入访谈;途径暴露评估） 将在第1年和第2年完成。 在PRECEDE中使用形成性结果- 在PROCEED框架下，LHA干预的内容和形式将 在第二年开发。 该干预（和翻修）将在 第3年和第4年采用分组随机设计。 终点将包括变更 了解儿童接触农药的途径， 他们的暴露;与安全有关的行为的变化;和家庭的变化 灰尘水平。 在最后一年，将继续支持LHA计划， NCFP在西部发展其健康外展使命进程的一部分 NC.，项目的成果将传播到区域和 国家农场工人团体，向农场工人提供医疗保健， 在研究文献中。

DESCRIPTION (Taken from the Applicant's Abstract) La Familia! extends collaboration between the North Carolina Farmworkers' Project (NCFP), a grassroots community based organization, and environmental health researchers at Wake Forest University School of Medicine to evaluate a Lay Health Advisor (LHA) model to reduce pesticide exposure among farmworker families. The proposed research builds on PACE, Preventing Agricultural Chemical Exposure among North Carolina Farmworkers (R21 ES08739), a highly successful workplace intervention to reduce migrant and seasonal farmworker pesticide exposure. With iLa Familia!, the PACE focus shifts to exposure of farmworker families, particularly children, and expands work with the North Carolina farmworker community to Latino Christmas tree workers in the western region of the state. iLa Familia!'s specific aims are to: 1) document and assess farmworker knowledge, beliefs and perceptions of pesticide exposure of all family members, particularly as they relate to exposure of children; 2) identify pathways for environmental exposure of farmworker children to pesticides; 3) develop, implement, and evaluate a culturally appropriate LRA intervention to reduce pesticide exposure of children (aged 18-48 mo) in farmworker homes; and 4) compile and disseminate the final intervention program to other farmworker communities and farmworker service providers. A model of community participation will be implemented throughout the 5 project years. Formative research (in-depth interviews; pathway exposure assessment) will be completed in Years 1 and 2. Using the formative results in a PRECEDE- PROCEED framework, the content and format of the LHA intervention will be developed in Year 2. This intervention (and a revision) will be evaluated in Years 3 and 4 using a group randomized design. End-points will include change in knowledge of pesticide exposure routes for children and ways to reduce their exposure; change in exposure-related behaviors; and changes in household dust levels. In the final year, support will continue for the LHA program as part of the process of NCFP developing its health outreach mission in western NC., while the results of the project are disseminated to regional and national farmworker groups, to those providing health care to farmworkers, and in the research literature.