Abstract:Gute et al. | Peer Reviewed | Field Action Report | S495⏐ FIELD ACTION REPORT ⏐ We reviewed the key steps in the launch of the Vida Verde Women's Co-Op among Brazilian immigrant housecleaners in Somerville, MA. The co-op provides green housecleaning products, encourages healthy work practices, and promotes a sense of community among its members. We conducted in-depth interviews with 8 of the first co-op members, who reported a reduction in symptoms associated with the use of traditional cleaning agents and a n… Show more
“…A steering committee was established at the onset of the project, and consists of a professionally and culturally diverse membership, including project staff; Tufts researchers and students representing different specializations and leaders from five community organizations that work with immigrants in Somerville, MA. The community-university relationships were built prior to Live Well through two CBPR projects in the Somerville area; Shape up Somerville [37] and the Somerville Community Immigrant Worker Health Project [38, 39]. At the end of Shape up Somerville, community partners identified the need to address obesity among immigrant populations.…”
Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Haitian women. This is part of an ongoing community-based participatory intervention. Focus groups by immigrant group were conducted and themes extracted. Women expressed differences in beliefs, attitudes, and barriers regarding diet and physical activity in the US versus their home country. Participants thought food in the US is “less natural,” there is less time for preparation, and there is more variety. The weather is a barrier to physical activity in the US and work is more physically demanding. Job-related efforts were not considered physical activity. They reported higher levels of stress, less control of their time and less social support in the US. Providing immigrants with appropriate support and education early in the acculturation process has the potential to help prevent obesity.
“…A steering committee was established at the onset of the project, and consists of a professionally and culturally diverse membership, including project staff; Tufts researchers and students representing different specializations and leaders from five community organizations that work with immigrants in Somerville, MA. The community-university relationships were built prior to Live Well through two CBPR projects in the Somerville area; Shape up Somerville [37] and the Somerville Community Immigrant Worker Health Project [38, 39]. At the end of Shape up Somerville, community partners identified the need to address obesity among immigrant populations.…”
Our goal was to explore the perceived determinants of obesity in Brazilian, Latin American and Haitian women. This is part of an ongoing community-based participatory intervention. Focus groups by immigrant group were conducted and themes extracted. Women expressed differences in beliefs, attitudes, and barriers regarding diet and physical activity in the US versus their home country. Participants thought food in the US is “less natural,” there is less time for preparation, and there is more variety. The weather is a barrier to physical activity in the US and work is more physically demanding. Job-related efforts were not considered physical activity. They reported higher levels of stress, less control of their time and less social support in the US. Providing immigrants with appropriate support and education early in the acculturation process has the potential to help prevent obesity.
“…The project relied upon a core group of community based partners, Immigrant Services Providers Group/Health (ISPG/H), Community Action Agency of Somerville (CAAS), Haitian Coalition (HC), Brazilian Women’s Group (BWG) and benefitted from their ability to identify and interact with immigrant populations. The Haitian Coalition predominantly provided access to the Haitian population, CAAS to the Hispanic population and the Brazilian Women’s Group to the Brazilian population [42]. Since there were no Asian community organizations of sufficient scale, our work did not specifically target this population, however we did not exclude them from the surveys.…”
Section: Methodsmentioning
confidence: 99%
“…We also launched the Vida Verde Co-Op, a cooperative of Brazilian housecleaners using green cleaning products, which received substantial media publicity and further increased our visibility in the community and raised occupational health and safety awareness among the immigrant community [42]. The combination of these accomplishments and capacities greatly benefited our project through the creation of a high level of trust, interaction, and communication.…”
In this community based research initiative, we employed a survey instrument predominately developed and administered by Teen Educators to assess occupational health risks for Haitian, Salvadoran, and Brazilian immigrants (n = 405) in Somerville, MA, USA. We demonstrate that a combined analysis of ethnicity, years in the US, and English proficiency better characterized the occupational experience of immigrant workers than considering these variables individually. While years in the US (negatively) and English proficiency (positively) explained the occurrence of health risks, the country of origin identified the most vulnerable populations in the community. Brazilians, Salvadorans, and other Hispanic, all of whom who have been in the US varying length of time, with varying proficiency in English language had twice the odds of reporting injuries due to work compared to other immigrants. Although this observation was not significant it indicates that years in the US and English proficiency alone do not predict health risks among this population. We recommend the initiation of larger studies employing c community based participatory research methods to confirm these differences and to further explore work and health issues of immigrant populations. This study is one of the small number of research efforts to utilize a contemporaneous assessment of occupational health problems in three distinct immigrant populations at the community level within a specific Environmental Justice context and social milieu.
“…“Neighbor to neighbor” community outreach strategies, often by community health workers, developed portable illustrated flip charts, photos for digital storytelling and interactive exercises. They also used mass media outlets including radio, television and newspapers; and created educational fact sheets and pamphlets, posters, video/DVDs, audio cassettes, photo exhibits, and community theater performances [Adams et al, 2011; Azuma et al, 2010; Baron et al, 2009; Brody et al, 2009; Downs et al, 2009; Green et al, 2002; Gute et al,, 2009; Krieger et al, 2009a; Krieger et al, 2009b; May et. al, 2008; Morello-Frosch et al, 2009; Vallianatos et al, 2004].…”
Section: Program Settings To Reduce Low-income Workers' Health Inequimentioning
Nearly one of every three workers in the United States is low-income. Low-income populations have a lower life expectancy and greater rates of chronic diseases compared to those with higher incomes. Low- income workers face hazards in their workplaces as well as in their communities. Developing integrated public health programs that address these combined health hazards, especially the interaction of occupational and non-occupational risk factors, can promote greater health equity. We apply a social-ecological perspective in considering ways to improve the health of the low-income working population through integrated health protection and health promotion programs initiated in four different settings: the worksite, state and local health departments, community health centers, and community-based organizations. An example of successful approaches to developing integrated programs in each of these settings is described. Recommendations for improved research, training, and coordination among health departments, health practitioners, worksites and community organizations are proposed.
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