Achieving Equity in Farmworker Health Through Community-Led Research

通过社区主导的研究实现农场工人健康的公平

• 批准号: 10777372
• 负责人: Emma Torres
• 金额: $ 112.5万
• 依托单位: CAMPESINOS SIN FRONTERAS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-22 至 2028-09-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10777372
• 关键词: Address; Arizona; Chronic Disease; Collaborations; Communities; Community Health Aides; Competence; Economics; Environmental Exposure; Equity; Face; Family; Health; Health Insurance; Housing; Injury; Intervention; Laws; Mental Depression; Methods; Nature; Outcome; Participant; Process; Punishment; Research; Risk; Seasons; Series; Services; Stress; Unemployment; Wages; Work; community based participatory research; farm worker; health care availability; health equity; member; social; stem; structural determinants; structural health determinants

ABSTRACT Farmworkers in Yuma, Arizona, and across the nation face numerous social and health risks stemming from the nature of farmwork and the labor laws that govern it. Farmwork is physically punishing and low-wage labor, with extremely long days, environmental exposures, and no overtime or sick pay. Few farmworkers have health insurance. The seasonal nature of farmwork results in record levels of summer unemployment, increasing the economic stress on farmworkers and their families. As a result, farmworkers suffer from high work-related injury and illness rates, stress and depression, and chronic disease. Building on decades of service to the farmworker community, Campesinos Sin Fronteras (CSF) will use a community-based participatory research approach to develop, implement and evaluate an intervention addressing structural factors related to 1) labor practices; 2) housing quality and affordability; and 3) health care access for the farmworker community. In the Achieving Equity in Farmworker Health project, in collaboration with an academic research partner, CSF will leverage its existing relationships with diverse, multi-sector organizations to convene a health equity research assembly (HERA) that will oversee all aspects of the research process. CSF Community health workers (CHWs) will enlist farmworkers in the research process through a series of participatory engagement strategies. Community-wide changes in structural factors and health outcomes will be evaluated using community-led and participant-responsive qualitative and quantitative methods. In analyzing structural determinants of health and developing and implementing the intervention, HERA members will build their research capacity and structural competence in addressing health issues among farmworkers.

抽象的 亚利桑那州尤马和全国各地的农场工人面临着许多社会和健康风险，这些风险源于农场工作的性质和管辖该农场的劳动法。农活是体力劳动和低工资劳动，工作时间极长，暴露在环境中，而且没有加班费或病假工资。很少有农场工人有医疗保险。农业劳动的季节性导致夏季失业率创历史新高，增加了农场工人及其家庭的经济压力。因此，农场工人的工伤和患病率、压力和抑郁以及慢性病都很高。 Campesinos Sin Fronteras (CSF) 在数十年为农场工人社区提供服务的基础上，将使用基于社区的参与性研究方法来开发、实施和评估针对与以下方面相关的结构性因素的干预措施：1) 劳动实践； 2）住房质量和承受能力； 3) 农场工人社区获得医疗保健的机会。在实现农场工人健康公平项目中，CSF 将与学术研究合作伙伴合作，利用其与多元化、多部门组织的现有关系，召开健康公平研究大会 (HERA)，该大会将监督研究过程的各个方面。 CSF 社区卫生工作者 (CHW) 将通过一系列参与性策略让农场工人参与研究过程。将使用社区主导和参与者响应的定性和定量方法来评估社区范围内结构因素和健康结果的变化。在分析健康的结构性决定因素以及制定和实施干预措施时，HERA 成员将建立解决农场工人健康问题的研究能力和结构能力。