Occupational Injuries Among Immigrant Poultry Workers: Development & Progression

移民家禽工人的职业伤害：发展

• 批准号: 8133204
• 负责人: Sara A Quandt
• 金额: $ 2.43万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8133204
• 关键词: Occupational; Injuries; Among; Immigrant; Poultry

DESCRIPTION (provided by applicant): U.S. poultry processing workers experience a disproportionate share of occupational injuries and illness compared to workers in other industries. Recent trends in this industry have resulted in a worker population that is poor, minority, and increasingly comprised of immigrants. Little research documents the onset of occupational injuries among immigrants in the poultry processing industry, the progression of these occupational injuries, or the occupational and personal characteristics associated with these occupational injuries. The overall goal of this research study is to document the nature and sources of occupational injuries among minority poultry processing workers. It follows several years of community participatory research by this team with workers in the target communities, in which a sampling frame has been developed. The specific aims are: (1) to compare the prevalence of selected musculoskeletal (MSDs) and skin disorders among Latino poultry processing workers and controls (non-poultry, Latino manual laborers), and assess the mediating and moderating effects of occupational (task, shift), structural (income, education, access to healthcare), and socio- cultural (ethnicity, beliefs, values, acculturation) factors on these disorders; (2) to document the development of selected MSDs and skin disorders and assess the mediating and moderating effects of occupational, structural, and socio-cultural factors on this development; (3) to delineate the impact of selected MSDs and skin disorders on workers' and controls' health-related quality of life, both cross-sectionally and over time; and (4) to determine the interpretation of occupational illness and injury symptomatology, self-care behaviors, and barriers to prevention, treatment seeking, and reporting among workers. These specific aims will be achieved using a linked cohort and ethnographic design, combining qualitative and quantitative research methods. 276 immigrant poultry workers with experience in processing line work </= 3 yr and 276 controls will be recruited. Data collected will include physical examination, nerve conduction, wrist ultrasound, and interview. 133 disease free new hires and 133 controls will be interviewed again at 6 months, and the complete examination at 12 months. 30 workers who have experienced progressive musculoskeletal injury or dermatological illness will be recruited for in-depth interviews based on an "explanatory models of illness" framework. PUBLIC HEALTH RELEVANCE: Poultry processing workers experience high rates of injuries, but good estimates of the number and types of injuries are unavailable. This study will provide such data, as well as information on the causes and consequences of these injuries. Such research will provide the basis of future efforts to reduce disparities in occupational injuries in the fastest growing segment of the meat processing industry through education and enforcement.

描述（由申请人提供）：与其他行业的工人相比，美国家禽加工工人在职业伤害和疾病中的比例不成比例。该行业的最新趋势导致工人人口贫穷，少数且越来越由移民组成。很少的研究记录了家禽加工行业移民的职业伤害，这些职业伤害的发展或与这些职业伤害相关的职业和个人特征。这项研究的总体目标是记录少数族家禽加工工人职业伤害的性质和来源。随后，该团队与目标社区中的工人进行了数年的社区参与研究，并在其中开发了抽样框架。具体目的是：（1）比较拉丁裔家禽加工工人和控制者（非家乡，拉丁裔手动劳动者）中选定的肌肉骨骼（MSD）和皮肤疾病的普遍性，并评估职业（任务，教育，访问医疗）的介导和调解和调节作用这些疾病； （2）记录选定的MSD和皮肤疾病的发展，并评估职业，结构和社会文化因素对这一发展的中介和调节作用； （3）描述所选MSD和皮肤疾病对工人和控制与健康相关的生活质量的影响，无论是横截面还是随着时间的流逝； （4）确定对职业疾病和伤害症状，自我保健行为以及预防，寻求治疗和报告障碍的解释。这些特定目标将使用链接的队列和民族志设计实现，结合了定性和定量研究方法。 276个具有处理线路工作经验的移民家禽工人</= 3年和276个控制。收集的数据将包括体格检查，神经传导，腕部超声和访谈。 133个无疾病的新员工和133个对照将在6个月时再次接受采访，并在12个月时进行全面检查。 30名经历过肌肉骨骼损伤或皮肤病性疾病的工人将根据“疾病的解释模型”框架进行深入访谈。 公共卫生相关性：家禽加工工人的伤害率很高，但对伤害的数量和类型却没有良好的估计。这项研究将提供此类数据，以及有关这些伤害的原因和后果的信息。这样的研究将为通过教育和执法部门的肉类加工行业发展最快的领域中降低职业伤害差异的未来努力提供基础。