Understanding Farmworker Fluid Intake Using Intersectionality Theory

Mizelle, Elizabeth; Larson, Kim; Doherty, Caroline

doi:10.1177/10482911221078964

Cited by 5 publications

(2 citation statements)

References 43 publications

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“…(2023) 24 New Haven, Connecticut, USA 2017–2018 Deficit-based Explore experiences of pregnant black women who are navigating employment Race, gender, pregnancy, socioeconomic status NR Mencher et al. (2022) 36 New Haven, Connecticut, USA 2019–2019 Both strength-based and deficit-based Explore how individual, familial, and cultural characteristics contribute to decision making about using diabetes devices for type 1 diabetes management Race, age, disease status NR Mizelle et al. (2022) 28 North Carolina, USA 2020 Deficit-based Explore how Latino farmworkers view their daily fluid intake and heat stress Race, occupation, immigration status, geographical location, class NR Nepali et al.…”

Section: Resultsmentioning

confidence: 99%

Intersectionality in nursing research: A scoping review

Sherman,

Febres-Cordero,

Bonds Johnson

et al. 2023

International Journal of Nursing Studies Advances

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Section: Resultsmentioning

confidence: 99%

Intersectionality in nursing research: A scoping review

Sherman,

Febres-Cordero,

Bonds Johnson

et al. 2023

International Journal of Nursing Studies Advances

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“…First, we conducted four focus group discussions (FGDs) with farmworkers to gain diverse perceptions on fluid intake (Mizelle et al, 2022). Next, we collected two surveys, microclimate temperatures and physiological markers; to determine the prevalence of pre- and post-shift dehydration and the associations between sociocultural factors, occupational factors, environmental heat stress and fluid intake with farmworker hydration status.…”

Section: Methodsmentioning

confidence: 99%

Fluid Intake and Hydration Status Among North Carolina Farmworkers: A Mixed Methods Study

Mizelle

Larson

Bolin

et al. 2022

Workplace Health Saf

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Background: Agricultural workers are disproportionately at risk for heat-related morbidity and mortality. The purpose of this study was to explore how sociocultural and occupational factors, and environmental heat stress influenced fluid intake and hydration status among Latino farmworkers working in eastern North Carolina. Methods: A community-informed, mixed methods research study was conducted in partnership with staff at a federally qualified health center. In summer 2020, we recruited Latino farmworkers at migrant camps. Twenty-eight male, migrant farmworkers participated in focus group discussions and 30 completed surveys and provided urine specimens. Wet bulb globe temperatures were measured in fields where workers labored. Content analysis and parametric analyses were performed. Data integration was completed using a meta-matrix. Results: Prior to work, 46.7% of farmworkers’ urine specific gravity measurements indicated dehydration, which increased to 100% after work. The farmworkers spent between 2 and 7.5 hours of their day working in conditions above the recommended limits for workplace heat exposure. Farmworkers described exposure to extreme heat and inconsistent occupational policy compliance. Farmworkers expressed the opportunity to drink water but accessibility and poor water quality limited hydration. The integrated data supported congruent findings of extreme heat, few work breaks, and substandard housing. Conclusion/Application to Practice: Farmworkers are dehydrated at work, placing them at higher risk for heat-related illness (HRI). By engaging with agricultural stakeholders, occupational health nurses can combine efforts and advocate for effective health and safety work policies to reduce HRIs and deaths among farmworkers. Legislation stipulating cooling and hydration practices would support safer work environments.

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US Farmworkers’ Barriers to Preventing Heat‐Related Illness: An Integrative Review

Edgerly,

Gillespie,

Hittle

et al. 2024

Public Health Challenges

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BackgroundOccupational heat‐related illness (HRI) is problematic in the United States. Farmworkers are disproportionately affected by HRI compared to other workers. Uncovering barriers that farmworkers face to the prevention of HRI is crucial to reducing HRI‐associated morbidity and mortality. This integrative review aimed to understand US farmworkers’ barriers to preventing HRI.MethodsAn integrative review occurred following Whittemore and Knafl guidelines. Literature searches occurred on PubMed, Medline, and Agricola. After applying inclusion and exclusion criteria and removing duplicates, nine articles remained for review.ResultsThere were nine articles in the review. The majority of articles used a convenience sample. In all studies, the populations were farmworkers or agricultural workers. The study designs included cross‐sectional, mixed methods, qualitative focus groups, and a longitudinal study. The articles revealed several themes related to prevention barriers: access to prevention, education and training, work culture, and compensation. Farmworkers often lack access to proper prevention measures, education, and training. Work culture and compensation were obstacles to preventing HRI as some workers feel powerless to speak up for themselves, whereas others are tempted to forgo breaks because of the way they are compensated.ConclusionsThis review indicates the need for more research to understand the barriers farmworkers face to HRI prevention. Providing prevention measures without considering obstacles to their use is ineffective in reducing HRI. Because many farmworkers lack oversight and regulation of prevention measures, focusing on barriers and areas over which farmworkers have more control could have a significant impact.

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Understanding Farmworker Fluid Intake Using Intersectionality Theory

Cited by 5 publications

References 43 publications

Intersectionality in nursing research: A scoping review

Intersectionality in nursing research: A scoping review

Fluid Intake and Hydration Status Among North Carolina Farmworkers: A Mixed Methods Study

US Farmworkers’ Barriers to Preventing Heat‐Related Illness: An Integrative Review

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