Purpose: This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts.Methods: Based on survey data collected online from respondents who self-identified as lesbian, gay, bisexual, and/or transgender persons over the age of 19 in Nebraska in 2010, this study performed bivariate t- or chi-square tests and multivariate logistic regression analysis to examine differences in reported discrimination, depression symptoms, suicide attempts, and self-acceptance of LGBT identity between 91 transgender and 676 nontransgender respondents.Results: After controlling for the effects of selected confounders, transgender identity was associated with higher odds of reported discrimination (OR=2.63, p<0.01), depression symptoms (OR=2.33, p<0.05), and attempted suicides (OR=2.59, p<0.01) when compared with nontransgender individuals. Self-acceptance of LGBT identity was associated with substantially lower odds of reporting depression symptoms (OR=0.46, p<0.001).Conclusion: Relative to nontransgender LGB individuals, transgender individuals were more likely to report discrimination, depression symptoms, and attempted suicides. Lack of self-acceptance of LGBT identity was associated with depression symptoms among transgender individuals.

I n the early months of the coronavirus disease (COVID-19) pandemic, meat processing facilities became among the largest epicenters of COVID-19 outbreaks in the United States (1). Declared a critical infrastructure industry in April 2020 (2), meat processing facilities are particularly vulnerable to COV-ID-19 because of the high density of workers required for operations, prolonged close contact of personnel on the production line, indoor work environments with compact cafeteria and locker room areas, and a workforce with diverse cultural and linguistic backgrounds that make educational efforts more challenging (3). A Centers for Disease Control and Prevention (CDC) report found that, as of May 31, 2020, >16,000 workers in meat and poultry processing facilities in the United States had been diagnosed with COVID-19 and 86 had died (4); as of October 2020, those case counts and deaths had more than tripled (5). Meat processing facilities in Nebraska employ ≈26,000 workers (6). The fi rst COVID-19 illness among meat processing facility workers in Nebraska was identifi ed March 9, 2020. As of July 2020, cases had been reported among workers in 23 Nebraska meat processing facilities. The University of Nebraska Medical Center (UNMC) and Nebraska Department of Health and Human Services partnered to mitigate COVID-19 risks in Nebraska among workers in this industry. Nebraska Department of Health and Human Services expanded case investigations and contact tracing teams and coordinated 2 mass testing events with participating meat processing facilities. UNMC created evidence-based guidelines for facilities (7) and assembled a team of infectious disease and infection prevention and control (IPC) experts to provide onsite and virtual technical assistance to facilities to evaluate gaps in IPC practices and provide facility-specifi c IPC recommendations. Local and state health departments conducted case investigations to collect information on demographics, employer, occupation, industry, illness descriptions, medical history, and outcomes among Nebraska meat processing workers. Moreover, although industry-specifi c guidelines for mitigating COVID-19 transmission in meat processing facilities have been issued by CDC and other public health

Migrant farmworkers represent a structurally vulnerable population coming to rural communities to work, but often are economically disadvantaged and socially isolated. Based on survey data from 200 migrant farmworkers in rural Nebraska in 2013, this study seeks to identify and categorize major stressors that have contributed to depression among farmworkers. Over 30% of respondents were identified to have high stress levels as indicated by the Migrant Farmworker Stress Inventory (MFWSI). The MFWSI was categorized into eight domains: economics and logistics; acculturation and social isolation; relationship with partner; health; entertainment; concerns for children; and substance use by others. Nearly half (45.8%) of respondents were depressed. Correlations between the principal component scores of the eight stressor domains and the cumulative depression score were significant for the domains: (1) economics and logistics and (2) health (r = 0.22, p < 0.01). Findings highlight the importance of improving economic and living conditions as well as addressing social and cultural needs by creating more welcoming receiving communities.

From the farms to the packing plants, essential workers in critical food production industries keep food on our tables while risking their and their families' health and well-being to bring home a paycheck. They work in essential industries but are often invisible. The disparities illuminated by COVID-19 are not new. Instead, they are the result of years of inequities built into practices, policies, and systems that reinforce societal power structures. As a society, we are now at an antagonizing moment where we can change our collective trajectory to focus forward and promote equity and justice for workers in agriculture and food-related industries. To that end, we describe our experience and approach in addressing COVID-19 outbreaks in meat processing facilities, which included three pillars of action based on public health ethics and international human rights: (1) worksite prevention and control, (2) community-based prevention and control, and (3) treatment. Our approach can be translated to promote the health, safety, and well-being of the broader agricultural workforce.

Agriculture is one of the most dangerous industries in the United States. Farmworkers, including migrant farmworkers, are at risk for work-related injuries. This study explores the association between stress, depression, and occupational injury among migrant farmworkers in Nebraska. Occupational injury was hypothesized to significantly increase the odds of farmworkers being stressed and depressed. Two hundred migrant farmworkers (mean age = 33.5 years, standard deviation (SD) = 12.53; 93.0% men, 92.9% of Mexican descent) were interviewed. In bivariate analyses, results indicated that stress and depression were positively associated with occupational injury. Two logistic regression models were developed. Occupational injury was a significant factor for depression, but not for stress. Participants who had been injured on the job were over seven times more likely to be depressed. These results highlight the interconnection between the work environment and mental health. More must be done to foster well-being in rural, agricultural communities. Improving occupational health and safety information and training, integrating behavioral health services into primary care settings, and strengthening the protections of the Migrant and Seasonal Agricultural Worker Protection Act may improve conditions for migrant farmworkers in the rural Midwest.

No abstract

The influx of Hispanic immigrants into rural areas of the United States has created demographic, economic, and social change within communities. Sense of community, a psychological construct that includes membership, influence, fulfilment of needs, and a shared emotional connection between community members, is a vital element in assessing the integration of immigrants into a community. This study used a sequential explanatory mixed methods design to describe and examine sense of community, community participation, and life satisfaction among Hispanic immigrants from two communities in rural Nebraska (N = 180 survey participants; N = 53 focus groups participants). The results indicated that participants felt a sense of community. Sense of community was significantly positively correlated with community participation, r = 0.29, p < 0.01, and life satisfaction, r = 0.31, p < 0.01. Participants identified that being part of the community was more than just sharing a geographic space. It encompassed a feeling of belonging, unity, and acceptance as well as a willingness to help others and participate. Respondents had participated in their communities by volunteering, donating to community organizations, talking to others about community issues, and participating in associations. The vast majority of participants were satisfied with their lives. Using linear regression, sense of community was found to be a significant predictor of both community participation, R 2 = 0.37, F(6, 168) = 16.45, p = 0.000, and life satisfaction, R 2 = 0.13, F(6, 168) = 4.00, p = 0.001. Implications of improving social well-being among rural Hispanic immigrants in the United States are discussed.

Migrant farmwork is often characterized by harsh working conditions that carry significant physical and mental health consequences. Using a learned helplessness framework, the current study examined the extent to which discrimination, immigration legal status difficulties, and adverse childhood experiences moderated the effects of harsh working conditions on depression and anxiety. The study also examined the extent to which harsh working conditions mediated the effects of discrimination, immigration legal status difficulties, and adverse childhood experiences on depression and anxiety. Participants were 241 migrant farmworkers recruited in the Midwest. Participants completed interviews consisting of the Migrant Farmworker Stress Index (MFWSI), Adverse Childhood Events Scale (ACEs), Everyday Discrimination Scale, the Centers for Epidemiology Scale for Depression (CES-D), and the 7-item Generalized Anxiety Disorder Scale (GAD-7). Tests of indirect effects suggested, working conditions mediated the effects of ACEs, immigration legal status fears, and discrimination on CES-D and GAD-7 scores (p values < .05). Higher ACEs and discrimination also appeared to be associated with larger effects of harsh working conditions on depression and anxiety (p values < .05), while legal status fears did not significantly moderate the effect of harsh working conditions on either outcome (p values > .05). Likely through different mechanisms, adverse childhood experiences, discrimination and immigration legal status are associated with higher risk of harsh working conditions and subsequently these conditions account for much of the relations between these 3 stressors with depression and anxiety. Additionally, discrimination and adverse childhood experiences appear to then enhance the effects of working conditions.