Providing Care for Migrant Farm Worker Families in Their Unique Sociocultural Context and Environment

Connor, Ann; Layne, Laura; Thomisee, Karen

doi:10.1177/1043659609357631

Cited by 31 publications

(33 citation statements)

References 8 publications

(7 reference statements)

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“…Among migrant farm workers, our study and others [27] found that the primary structural barrier for seeking care was not cost as described by urban participants, but losing time at work and subsequent earnings. In rural areas, offering screenings, education, and preventive care in mobile clinics after work hours has been shown to increase access to mainstream healthcare for rural male immigrants [28–30]. …”

Section: Discussionmentioning

confidence: 99%

Barriers to Testing and Treatment for Chagas Disease among Latino Immigrants in Georgia

Minneman

Hennink²,

Nicholls³

et al. 2012

Journal of Parasitology Research

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Background. The lack of testing and treatment of Chagas disease (CD), caused by Trypanosoma cruzi, amongst infected immigrants in the USA increases the risk of serious health complications and transmission (congenital or via blood transfusions). Goal. Our goal was to identify the barriers to testing and treatment of CD and understand the process of seeking healthcare amongst Latino immigrants in Georgia. Methods. In this qualitative study, eleven focus group discussions were conducted with 82 Latino immigrants, including migrant farm workers. Grounded theory was used to collect and analyze the data to develop an inductive conceptual framework to explain the context and process of seeking healthcare for CD amongst this at-risk population. Results. Participants were not aware of CD. Three healthcare seeking behaviors were identified: delaying treatment, using traditional remedies, and using either mainstream or alternative health providers. Behaviors and motivations differed by gender, and the use of licensed medical providers was considered a last resort due to the cost of healthcare, loss of earnings while seeking care, and fear of diagnosis with fatal illness. Discussion. Providing free or low cost services, mobile clinics, and education regarding CD is critical to increase testing and treatment of CD in the US.

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Section: Discussionmentioning

confidence: 99%

Barriers to Testing and Treatment for Chagas Disease among Latino Immigrants in Georgia

Minneman

Hennink²,

Nicholls³

et al. 2012

Journal of Parasitology Research

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“…35 The challenges of accessing health care in rural areas have been reported, especially for those counties with a high proportion of minority populations. 36–39 Poignantly, these studies suggest that residence in a rural area contributes to limited access to health care as a result of geographic distances as well as low income and education, with reduced frequency of patient-provider contacts, reduced early and correct diagnosis and treatment, ineffectual follow-ups and hence poorer control of the disease. 40–43 Specifically, individuals are less likely to have regular checkups for IHD risk factors 44 and there may be lower compliance by health care providers to standardized therapies for these diseases.…”

Section: Discussionmentioning

confidence: 99%

Awareness, Treatment and Control of Hypertension, Diabetes and Hyperlipidemia and Area-Level Mortality Regions in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study

Shuaib¹,

Durant²,

Parmar³

et al. 2012

hpu

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Background Health Professional Shortage Areas (HPSA) receive extra federal resources, but recent reports suggest that HPSA may not consistently identify areas of need. Purpose To assess areas of need based on county-level ischemic heart disease (IHD) and stroke mortality regions. Methods Need was defined by lack of awareness, treatment, or control of hypertension, diabetes, or hyperlipidemia. Counties were categorized into race-specific tertiles of IHD and stroke mortality using 1999–2006 CDC data. Multivariable logistic regression was used to model the relationships between IHD and stroke mortality region and each element of need. Results Awareness and treatment of cardiovascular (CVD) risk factors were similar for residents in counties across IHD and stroke mortality tertiles, but control tended to be lower in counties with the highest mortality. Conclusions High stroke and IHD mortality identify distinct regions from current HPSA designations, and may be an additional criterion for designating areas of need.

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“…7,8 They must navigate the health care system with often limited access to care, language and cultural barriers, worries of job loss, and resource barriers, such as a lack of transportation or child care due to inconvenient work hours. 2,7,9,10 Historically, MSFWs have lower health care utilization rates compared with the general US population 11 because of these issues.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Disease Risk Factors Among Latino Migrant and Seasonal Farmworkers

Castañeda

Rosenbaum

Holscher

et al. 2015

Journal of Agromedicine

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Migrant and seasonal (MS) farmworkers are an important component of the US economy. Their unique occupational health concerns have garnered research, but chronic disease research in this population is lacking. It is unclear whether health differences exist between migrant (those who migrate to and travel a distance from the home environment and thus live in temporary housing for the purpose of employment) and seasonal workers (those who work in the agricultural industry on a seasonal basis, whose long-term home environments are often near work locations and thus may be considered more “settled”), since most research presents MS farmworkers as a homogenous group. This study explored potential differences in cardiovascular disease risk factors, (i.e., diabetes, current smoking, obesity, hypertension, and hypercholesterolemia) by sex and MS status among a sample of 282 English- and Spanish- speaking Latino MS farmworkers in the Midwest using cross–sectional survey and clinical laboratory data. Results showed that in multivariate logistic regression analyses, migrant workers (odds ratio [OR] = 2.15) had a higher likelihood of being obese compared with seasonal workers (P < .05). MS farmworkers did not differ in likelihood of smoking, diabetes, hypertension, or hypercholesterolemia. In adjusted analyses, females were more likely to be obese (OR = 3.29) and have diabetes (OR = 4.74) compared with males (P < .05); and males were more likely to be current smokers (OR = 7.50) as compared with females (P < .05). This study provides insight into chronic health concerns among this predominantly Latino farmworker population and suggests that future prevention and intervention research may need to focus on sex differences rather than MS farmworker status.

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Providing Care for Migrant Farm Worker Families in Their Unique Sociocultural Context and Environment

Cited by 31 publications

References 8 publications

Barriers to Testing and Treatment for Chagas Disease among Latino Immigrants in Georgia

Barriers to Testing and Treatment for Chagas Disease among Latino Immigrants in Georgia

Awareness, Treatment and Control of Hypertension, Diabetes and Hyperlipidemia and Area-Level Mortality Regions in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study

Cardiovascular Disease Risk Factors Among Latino Migrant and Seasonal Farmworkers

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