LA FAMILIA REDUCING FARMWORKER PESTICIDE EXPOSURE

LA FAMILIA 减少农民工农药接触

• 批准号: 6655718
• 负责人: Thomas A. Arcury
• 金额: $ 37.82万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6655718
• 关键词: African American; Hispanic Americans; agriculture worker; behavioral /social science research tag; clinical research; community; disease /disorder prevention /control; education evaluation /planning; environmental toxicology; health care service availability; health education; human subject; immigrant; medical outreach /case finding; musculoskeletal disorder; occupational hazard; poultry products; public health; racial /ethnic difference; respiratory disorder epidemiology; skin disorder; social status

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.

描述（取自申请人的摘要） 拉家族！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和环境 维克森林大学医学院的健康研究人员评估 外行健康顾问（LHA）模型，以减少农场工人的农药暴露 家庭。 拟议的研究以速度为基础，防止农业 北卡罗来纳州农场工人之间的化学暴露（R21 ES08739），高度 成功的工作场所干预措施减少移民和季节性农场工作者 农药暴露。 随着iLa familia！ 农场工人家庭，尤其是儿童，并扩大与北方的工作 卡罗来纳州农业工人社区到西方的拉丁裔圣诞树工人 国家地区。 Ila Familia的具体目的是：1）文件和 评估农场工人的知识，信念和对农药暴露的看法 所有家庭成员，尤其是与儿童接触有关的时候； 2）确定农场儿童环境暴露的途径 农药； 3）开发，实施和评估文化适当的LRA 干预以减少儿童的农药暴露（18-48 mo） 农场工人的房屋； 4）编译和传播最终干预措施 向其他农场工人社区和农场工人服务提供商进行计划。 一个 社区参与模型将在整个5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和2年内完成。在先前使用形成性结果 进行框架，LHA干预的内容和格式将是 在第二年开发。将评估此干预措施（和修订） 使用组随机设计的3年级和4年。 终点将包括更改 了解儿童的农药暴露路线和减少方法 他们的曝光；改变与暴露有关的行为；和家庭的变化 尘埃水平。 在最后一年，LHA计划的支持将继续 NCFP发展其在西方的健康外展任务的一部分 NC。，而项目的结果被传播到区域和 全国农场工人团体，向农场工人提供医疗保健的人，以及 在研究文献中。