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：
9883644
负责人：
MARIA EUGENIA FERNANDEZ-ESQUER
金额：
$ 68.33万
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 2023-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9883644
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 Immigration Industry Injury Intervention Interview Justice Latino Mediating Mexican Americans Occupational Health Occupations Outcomes Research Participant Phase Pilot Projects Play Population Population Research Prevention program Preventive Problem Solving Program Effectiveness Psychosocial Factor Randomized 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 effective intervention efficacy testing experience follow-up hazard health disparity health economics high risk improved injury prevention interest intervention effect intervention program peer portability post intervention primary outcome program dissemination programs psychosocial 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以减少拉丁美洲裔劳动者受伤差异即使美国工人的安全继续改善，拉丁裔工人的安全，尤其是日间工人，继续确定。拉丁美洲裔劳工（LDL）主要是西班牙单语移民工人，经历了多个社会心理压力源，包括情境和移民压力，以扩大其工作中受伤的风险。 LDL寻找在非正式的招聘网站或“角落”中工作，他们间歇性地雇用入门级工作的转移条件使他们面临多种安全危害。最多这种不断旋转不可预测的危险工作的令人震惊的后果是很高该人群中与工作有关的死亡率。尽管需要迫切需要，但没有有效且严格测试的安全计划，便携式到LDL等待工作的角落，以帮助他们应对增加风险的压力源工作场所受伤。我们项目的主要目标是解决这个问题：可以 LDL面临的心理社会压力源的安全计划减少了据报道工作中暴露于危险状况？我们拟议的项目Vale+Tú（您值得/值得更多）是一个5年的社区参与计划与拉丁美洲人的飞行员结果合作制定提供了增加风险降低惯例并减少危险暴露的证据工作。我们建议实施由LDL用西班牙语提供的多层次干预措施向角落的同龄人发起人，并测试该计划在集群中的有效性随机试验。该项目的中心目的是：（1）确定阀门+tú的效率在减少工作中的危险暴露时，以及（2）确定的中介作用对Vales+Tú的主要结果的社会心理压力源。所有项目活动都将与我们的社区合作伙伴合作完成（信仰和正义）工人中心，并在我们社区顾问委员会的指导下。 Vales+Tú的短期目标是通过将其参与其中来减少LDL工作场所危害基于角落的安全计划，有效地解决了有针对性的情况和移民压力增加了工作中的冒险实践。我们的长期目标是减少拉丁美洲裔劳动者的高伤害率。降低LDL的安全风险是紧急的可以通过采取有效的，低成本的预防措施来解决的公共卫生优先事项。