Heat-related illness and farmworker’s health: Climate change and precarious employment

与高温相关的疾病和农场工人的健康：气候变化和不稳定的就业

• 批准号: 10696431
• 负责人: Dana Dolinoy
• 金额: $ 14.97万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-15 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10696431
• 关键词: Acceleration; Address; Agricultural Crops; Agricultural Workers; Agriculture; Cardiovascular Diseases; Censuses; Cessation of life; Chronic Disease; Communication; Communities; Country; County; Data; Data Reporting; Data Set; Death Rate; Development; Diabetes Mellitus; Disease; Economic Factors; Employment; Environmental Exposure; Environmental Health; Environmental Impact; Epidemiologist; Essential worker; Etiology; Event; Fatality rate; Food; Frequencies; Funding; Goals; Health; Heat Stress Disorders; Heat Waves; Hour; Human; Hypertension; Individual; Inequity; Knowledge; Latina; Latino; Latino Population; Life; Link; Medical; Mentors; Michigan; Mission; National Institute for Occupational Safety and Health; National Institute of Environmental Health Sciences; Occupational; Occupational Health; Occupational injury; Outcome; Patient Self-Report; Personal Satisfaction; Policies; Policy Maker; Population; Predisposition; Preventive; Public Health; Regulation; Research; Research Personnel; Research Support; Review Literature; Risk Factors; Surveys; System; Temperature; Time; Training; Translating; Translations; United States; United States National Center for Health Statistics; Universities; Vulnerable Populations; Work; Workplace; cardiovascular risk factor; career development; climate change; community based research; community organizations; community partnership; environmental justice; epidemiology study; experience; extreme heat; farm worker; feeding; health equity; health inequalities; improved; insight; marginalization; meteorological data; public health intervention; public health relevance; social; social factors; social health determinants; social media; statistics; trend analysis

ABSTRACT The Michigan Lifestage Environmental Exposures and Disease (M-LEEaD) Core Center (P30), funded by the National Institute of Environmental Health Sciences (NIEHS), is based at the University of Michigan and is organized around the theme of critical windows of susceptibility to environmental exposures as important determinants of disease. Its mission is to accelerate research that defines impacts of environmental exposures during vulnerable stages of life, and to translate those findings to improve medical and public health interventions. The goal of this diversity supplement to M-LEEaD is to conduct epidemiological research to study the impact of heat related illness (HRI) on the health of farmworkers. Extreme heat events are increasing in the United States (US) in frequency, intensity, and duration. Analysis from a 15 year period (1992-2006) showed that the heat-related average annual death rate for agricultural crop workers was 0.39 per 100,000 workers, compared with 0.02 for the US civilian population. As climate change causes temperatures to continue to rise, heat waves are expected to become more frequent and severe in the coming decades. This is a public health concern for US farmworkers—primarily Latinos(as) working under precarious working conditions and impacted by a wide range of chronic diseases, social and economic factors that may exacerbate their vulnerability to heat-related illnesses. Precarious employment for farmworkers--and the resulting inequitably distributed environmental exposures—is a key social determinant of health with implications for environmental justice. Our specific aims are: (1) To examine cross-sectional associations of employment-based risk factors for HRI and cardiovascular disease using qualitative data from the Michigan Farmworker project and conducting a systematic literature review to identify employment-based risk factors for HRI and health. Then, quantitative analysis will be conducted using data from the National Agricultural Worker Survey (NAWS 1999-2018) to assess its association with self-reported data on cardiovascular risk factors (hypertension and diabetes) collected in NAWS, (2) To assess nationwide trend analysis in fatality rates due to HRI in farmworkers (1992 – 2020) using data from the Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFOI) and data on heat-related deaths identified in the CFOI as an exposure and calculate fatality rates among farmworkers nationwide. Using national and publicly available meteorological data, we will assess the correlation of heat waves with fatalities in farmworkers during the same time-period, (3) To develop dissemination materials for farmworkers based on findings in Aim 1 and 2 by using “policy briefs” in English and Spanish through a social media platform that provides accessible scientific information in environmental health and justice in the context of the findings of the proposed study. The proposed supplement is aligned with the mission of the M-LEEaD center with the central goal to further scientific knowledge on the environmental and occupational health impact of precarious employment in farmworkers.

抽象的 密歇根生命阶段环境暴露和疾病 (M-LEEaD) 核心中心 (P30)，由 国家环境健康科学研究所 (NIEHS) 位于密歇根大学， 围绕对环境暴露敏感度的关键窗口这一主题进行组织，同样重要 其使命是加速确定环境暴露影响的研究。 在生命的脆弱阶段，并将这些发现转化为改善医疗和公共卫生 M-LEEaD 的这种多样性补充的目的是进行流行病学研究。 研究高温相关疾病（HRI）对农场工人健康的影响。 15 年期间美国 (US) 的频率、强度和持续时间不断增加。 （1992-2006）表明，农作物工人与高温相关的年平均死亡率为 0.39% 100,000 名工人，而美国平民人口为 0.02。 由于气候变化导致气温升高。 持续上升，预计未来几十年热浪将变得更加频繁和严重。 美国农场工人（主要是工作不稳定的拉丁裔）的公共卫生问题 条件并受到多种慢性病、社会和经济因素的影响 加剧了他们对与高温有关的疾病的脆弱性——以及农场工人的不稳定就业。 导致环境暴露分布不均——是健康的一个关键社会决定因素 我们的具体目标是：（1）研究跨部门关联。 使用密歇根州的定性数据确定 HRI 和心血管疾病的就业风险因素 农场工人项目并进行系统的文献综述，以确定基于就业的风险因素 然后，将利用全国农业工人的数据进行定量分析。 评估其与心血管危险因素自我报告数据关联的调查（NAWS 1999-2018） NAWS 收集的（高血压和糖尿病），(2) 评估全国范围内死亡率的趋势分析 使用劳工统计局致命职业普查的数据对农场工人进行 HRI（1992 年至 2020 年） 伤害 (CFOI) 和 CFOI 中确定的与高温相关的死亡数据作为暴露并计算死亡率 我们将利用国家和公开的气象数据来评估全国农场工人的比率。 同一时期热浪与农场工人死亡人数的相关性，（3）制定 根据目标 1 和 2 的调查结果，使用英文“政策简报”向农场工人传播材料 通过社交媒体平台提供西班牙语和环境科学信息 拟议的补充是与健康和正义相一致的。 M-LEEEaD 中心的使命是进一步加深有关以下方面的科学知识： 农场工人不稳定就业对环境和职业健康的影响。