Lessons Learned from Data Collection as Health Screening in Underserved Farmworker Communities

Flocks, Joan; Tovar, Jessica; Economos, Eugenia; Mac, Valerie; Mutic, Abby; Peterman, Katherine; McCauley, Linda

doi:10.1353/cpr.2018.0024

Cited by 11 publications

(7 citation statements)

References 17 publications

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“…This finding is surprising, given the assumption that that piece‐rate payment incentivizes the worker to work faster and harder to earn more money . This is especially true when work is seasonal and irregular, though we found no statistically significant differences in the workload categories between those who were paid by the piece and those who were paid hourly or on salary. Studies of workers who are paid by the piece continuously cite increased risks from this method of compensation, even though this is a popular method of payment because workers can make more money for less time working .…”

Section: Discussioncontrasting

confidence: 72%

Acute kidney injury and workload in a sample of California agricultural workers

Moyce

Armitage

Mitchell

et al. 2019

American J Industrial Med

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Background: Kidney damage is associated with an increased workload in high ambient temperatures and may represent a pathway to chronic kidney disease of unknown origin in agricultural workers. We tested the associations of workload and heat with acute kidney dysfunction in California agricultural workers. Methods:We recruited a convenience sample of 471 agricultural workers from 29 farms in California during two summer harvest seasons. The sustained 3-minute maximum workload was estimated using accelerometer data collected from Actical monitors and individual heat load through elevations in core body temperature. Acute kidney injury (AKI) was defined by a change in serum creatinine of ≥0.3 mg/dL or ≥1.5 times the preshift creatinine over the course of the work shift. Associations between AKI and workload were modeled using logistic regression, controlling for demographic, physiologic, and occupational variables.Results: Of the total, 357 workers (75.8%) had accelerometer readings in the moderate workload category, 93 (19.7%) had readings in the vigorous category. 177 (36%) had elevations of core body temperature ≥1°C; 72 workers (14.9%) demonstrated evidence of AKI after a single day of agricultural work. The workload category was associated with an increased adjusted odds of AKI (1.92; 95% confidence interval, 1.05-3.51). Piece-rate work was also associated with increased adjusted odds of AKI (3.02; 95% CI, 1.44-6.34).Conclusions: Heavy occupational workload and piece-rate work were associated with acute effects on the renal health of agricultural workers. This indicates that occupations requiring high physical effort put workers at risk for AKI, possibly independent of ambient and core body temperature. Changes to agricultural practices may reduce the risk of renal disorders for these workers.

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Section: Discussioncontrasting

confidence: 72%

Acute kidney injury and workload in a sample of California agricultural workers

Moyce

Armitage

Mitchell

et al. 2019

American J Industrial Med

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“…In a sample of patient who were employed but socioeconomically disadvantaged, Abbas and colleagues, found that worksite-based screenings followed by appropriate referral improved self-reported and objective measures of health, including body mass index and cardiovascular disease risk scores [ 1 ]. Given the low wages, long work hours, and prevalence of a minority workforce, agricultural workers and other rural populations may derive the greatest benefit from worksite-based health screenings [ 6 , 9 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Factors responsible for healthcare avoidance among rural adults in the Eastern Region of North Carolina

Burch

2022

J Community Health

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Purpose Previous research has identified three common reasons for healthcare avoidance, cost, complexity, and privacy. This study extends prior work by examining the antecedents to these barriers and determining the extent to which they contribute to healthcare avoidance in a rural population. Methods A cross-sectional, regional survey of rural residents from Eastern North Carolina was conducted with questions focused on self-perceived health, healthcare utilization, and healthcare avoidance. Bivariate logistic regression was employed to investigate the predictors of cost, complexity, and privacy-related avoidance. Results Among 946 respondents, a quarter of the sample (N = 240) had not visited a doctor within the past year. Respondents who were uninsured were almost 6-times more likely to endorse avoiding healthcare due to cost (OR = 5.98) and those who had a chronic illness were 3-times as likely to report cost-related avoidance (OR = 3.01). Complexity-related avoidance was predicted by having a chronic illness (OR = 3.77) and a low perception of healthcare value (OR = 2.80). Lastly, privacy-related avoidance was related to being in fair/poor health (OR = 2.61), having a chronic illness (OR = 2.63), reporting low healthcare value (OR = 2.72), and having an external locus of control (OR = 2.96). Conclusions Among avoidant individuals, those with a chronic illness, who could benefit most from continuity of healthcare, are 3-times more likely to avoid healthcare due to cost, complexity, and privacy. The perceived value of healthcare is also associated with complexity- and privacy-related healthcare avoidance. Utilizing alternative methods of healthcare delivery, such as telemedicine and free or reduced cost mobile health clinics, could improve continuity of medical care for rural residents.

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“…Personal protection is no substitute for social protections" (Fawcett & Gupta, 2020, p. 1). Complicating this constrained access to medical care is the lack of translation services and cultural awareness by some healthcare providers (Flocks et al, 2018;Herbst & Gonzalez-Guarda, 2018).…”

Section: Unavoidable Exposure From Housing and Transportationmentioning

confidence: 99%

Pandemic Impacts on Florida Farmworkers: Emerging Takeaways to Inform Outreach and Policymaking

Silvert¹,

Stone

Diaz

et al. 2021

EDIS

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This new 5-page publication aims to synthesize emerging takeaways from reporting and literature on the challenges experienced by US farmworkers during the COVID-19 pandemic, highlighting examples from Florida, when possible. Written by Colby Silvert, Whitney A. Stone, John M. Diaz, and LaToya J. O’Neal, and published by the UF/IFAS Department of Agricultural Education and Communication.https://edis.ifas.ufl.edu/wc402

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Lessons Learned from Data Collection as Health Screening in Underserved Farmworker Communities

Cited by 11 publications

References 17 publications

Acute kidney injury and workload in a sample of California agricultural workers

Acute kidney injury and workload in a sample of California agricultural workers

Factors responsible for healthcare avoidance among rural adults in the Eastern Region of North Carolina

Pandemic Impacts on Florida Farmworkers: Emerging Takeaways to Inform Outreach and Policymaking

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