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

VALES Tà：针对社会心理压力源，减少拉丁裔临时工的伤害差异

基本信息

批准号：
10365953
负责人：
MARIA EUGENIA FERNANDEZ-ESQUER
金额：
$ 62.27万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10365953
关键词：
Address Area Central American Cessation of life Chronic Cluster randomized trial Collaborations Communities Control Groups Dangerousness El Salvador Ethnic group Exposure to Face Fatal injury Funding Future Goals Grant Guatemala Honduras Immigrant Immigrant worker Immigration Industry Injury Intervention Interview Justice Latino Latino Population Mediating Mexican Americans National Institute on Minority Health and Health Disparities Occupational Health Occupations Outcomes Research Participant Phase Pilot Projects Play Population Prevention program Preventive Problem Solving Program Effectiveness Psychosocial Factor Randomized Reduce health disparities Reporting Research Risk Risk Reduction Rotation Safety Site Stress Testing Treatment/Psychosocial Effects United States Work Workplace base brief motivational intervention community based participatory research cost cost estimate economic disparity effective intervention efficacy testing experience follow-up hazard health disparity high risk improved injury prevention interest intervention effect intervention program peer portability post intervention primary outcome program dissemination programs psychosocial stressors public health priorities racial and ethnic randomized trial safety testing social stressor standard of care stressor

项目摘要

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.

VALES+Tú：针对社会心理压力源，减少拉丁裔日工受伤差异尽管美国工人的安全状况总体上持续改善，但拉丁裔工人的安全状况，尤其是临时工，拉丁裔临时工（LDL）的状况继续恶化。只讲西班牙语的移民工人经历心理多重社会压力，包括情境和移民压力会增加他们在工作中受伤的风险。在非正式招聘网站或“角落”工作，他们间歇性地被雇用做各种工作入门级工作的条件变化使他们面临多种安全隐患。这种不断轮换不可预测、危险工作的令人震惊的后果是，该人群中与工作相关的死亡率。尽管需求迫切，但目前还没有有效且经过严格测试的安全程序、便携式到 LDL 等待上班的角落，帮助他们应对增加风险的压力源我们项目的主要目标是解决这个问题：能否以角落为基础。解决低密度脂蛋白面临的社会心理压力的安全计划可减少他们的报告在工作中暴露于危险条件？我们提议的项目 VALES+Tú（你值得/值得更多）是一个为期 5 年的基于社区的项目与拉丁裔日工合作开发的参与性计划，其试点结果提供增加风险降低实践和减少危险暴露的证据我们建议实施由 LDL 以西班牙语提供的多层次干预措施。向角落里的同伴进行推广，并在集群中测试该计划的有效性该项目的中心目标是：(1) 确定 VALES+Tú 的疗效。减少工作中的危险暴露，以及 (2) 确定以下因素的中介效应：心理社会压力因素对 VALES+Tú 主要结果的影响。所有项目活动都将与我们的社区合作伙伴 Fe y Justicia 合作完成（信仰与正义）工人中心，并在我们的社区咨询委员会的指导下。 VALES+Tú 的短期目标是通过让员工参与一项活动来减少 LDL 工作场所危害。基于角落的安全计划，有效解决很少有针对性的情况和移民压力会增加工作中的风险行为，我们的长期目标是减少移民压力。拉丁裔日工的高受伤率是降低 LDL 安全风险的当务之急。可以通过采取有效、低成本的预防行动来解决的公共卫生优先事项。