Preventing Eye Injuries Among Citrus Harvesters: The Community Health Worker Model

Monaghan, Paul; Forst, Linda; Tovar-Aguilar, J. Antonio; Bryant, Carol A.; Israel, Glenn D.; Galindo‐Gonzalez, Sebastian; Thompson, Zachary; Zhu, Yiliang; McDermott, Robert J.

doi:10.2105/ajph.2011.300316

Cited by 34 publications

(34 citation statements)

References 24 publications

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“…However, attendance at the farm clinics was high, so there was a constant flow of survey participants, combined with a low refusal rate. Regarding protective practices, since the data are self-reported, social desirability bias may have been introduced, with farmworkers reporting relatively high usage of safety glasses in the fields (14.8%) compared with other recent studies reported by Verma et al 29 (8.3%) and by Monaghan et al 23 (2.2%, control group; and 11.1%, intervention group baseline rates). From anecdotal observation of workers returning from the fields, most of the onion farmworkers used caps and long sleeves, but few were wearing safety glasses.…”

Section: Discussionmentioning

confidence: 92%

“…7 Intervention programs using trained community health workers have been shown to be promising approaches to reduce eye injuries in migrant citrus workers by addressing acute eye injuries in the field and increasing safety glasses usage. 23,33 Georgia is one of 16 states that do not require employers to provide workers' compensation insurance for migrant and seasonal farmworkers, so acute care is critical. Since workers may be reluctant to stop working due to what they perceive as minor injuries, training workers to provide first aid or assistance with eye wash stations in the fields are examples of potential measures that could prevent future chronic health conditions.…”

Section: Discussionmentioning

confidence: 99%

“…22,23 It is the authors' hope that information from this study can contribute to the occupational health and safety field and help inform medical needs of farmworkers and future intervention research with migrant farmworkers.…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Mobile Farm Clinic Outreach to Address Health Conditions Among Latino Migrant Farmworkers in Georgia

Luque

Ortíz

Marella

et al. 2012

Journal of Agromedicine

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Agricultural labor involves exposure to many occupational hazards, some of which can lead to chronic health conditions. The purpose of this study was to conduct an occupational health needs assessment of illnesses and work-related injuries among a Latino migrant farmworker population (recruited to harvest Vidalia onions) in South Georgia. Study data included survey responses from 100 farmworkers attending mobile farm clinics in 2010 at their worker housing residences, supplemented by medical diagnoses data from the same clinics collected over 3 years (2009-2011) for 1161 farmworkers at six different farms. From the survey, the main health problems reported were hypertension (25%), eye problems (12%), musculoskeletal problems (11%), diabetes (10%), and depression (7%). In multivariate analyses, depression scores were associated with having a history of musculoskeletal problems (p = .002). According to the mobile farm clinic data, the most common medical diagnoses included back pain (11.8%), hypertension (11.4%), musculoskeletal problems (11.3%), gastrointestinal disorders (8.6%), eye problems (7.2%), dermatitis or rash (7.0%), and tinea or fungal skin infections (5.6%). The study identified eye and musculoskeletal problems as the major occupational health conditions for this population of farmworkers.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mobile Farm Clinic Outreach to Address Health Conditions Among Latino Migrant Farmworkers in Georgia

Luque

Ortíz

Marella

et al. 2012

Journal of Agromedicine

View full text Add to dashboard Cite

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“…12,13 Calls for systems-level interventions to identify and understand populations experiencing disparities and then explore community-based action are on the rise, 14,15 as evidenced by the increase of community health worker models. [16][17][18][19] For example, the Grand-Aides® program utilizes trained health care members, under the supervision of a nurse, to conduct home visits and telephone consultations with patients to prevent emergency department visits and readmissions. The model has averted 62 % of drop-in clinic visits and eliminated 74 % emergency department visits.…”

Section: Introductionmentioning

confidence: 99%

Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention

et al. 2016

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It is well known that health disparities exist and that a significant majority of patients who suffer disproportionately from them are lower income, non-white residents of dense, and diverse urban neighborhoods. It is our belief that factors hindering the reduction of health disparities in these neighborhoods are a lack of a framework and preparation needed to engage these communities in identifying specific health care needs. This paper describes one curricular intervention, a graduate level community engagement course, developed within an academic medical center located in an urban setting, that demonstrates promise in effecting change in the extent to which clinicians are able to engage communities and practice Bneighborhood-engaged care^with the central goal of mitigating disparities.

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“…Another intervention trained men to facilitate participatory, non-directive groups with farm workers around intimate partner violence in four states (Nelson, et al, 2010). Finally, in Florida LHA encouraged eyewear protection use among citrus migrant workers (Monaghan, et al, 2011). …”

Section: Introductionmentioning

confidence: 99%

A Male Promotores Network for Latinos

Documét

Macía

Thompson

et al. 2015

Health Promotion Practice

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Background. Lay health advisor (LHA) interventions with Latino men are rare, especially in emerging Latino communities. We present a process evaluation of a male LHA network aiming at connecting Latino men to various kinds of services and to the Latino community. It assesses the feasibility of (1) maintaining a steering coalition; (2) hiring, training, and retaining male LHA; and (3) recruiting and assisting underserved participants. Methods. Project management data and LHA debriefings were analyzed qualitatively and compared to a logic model and evaluation table prepared before the project started. Results. The community coalition steered the project during its implementation. Eleven men attended the initial LHA training. Two thirds of them reflected the community in educational level. One third did not and required extra mentoring from the other LHA to recruit participants. LHA requested topics for monthly trainings according to their needs in the field, including housing, sexual health, and immigration. LHA enrolled 182 participants. Participants' needs went beyond health issues. Therefore, LHA needed to forge new collaborations with local social service organizations. Conclusions. Recruiting male LHA is feasible. LHA and the community coalition can suggest adaptations to fit the local context.

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Preventing Eye Injuries Among Citrus Harvesters: The Community Health Worker Model

Abstract: Adaptation of the community health worker model for this setting improved injury prevention practices and may have relevance for similar agricultural settings.

Cited by 34 publications

References 24 publications

Mobile Farm Clinic Outreach to Address Health Conditions Among Latino Migrant Farmworkers in Georgia

Mobile Farm Clinic Outreach to Address Health Conditions Among Latino Migrant Farmworkers in Georgia

Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention

A Male Promotores Network for Latinos

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