Thomas Arcury

..This analysis delineates the predisposing, need, and enabling factors that are associated with regular and recent dental care in a multiethnic sample of rural older adults...

..Little is known about parents' perceptions of these therapies. This study describes the views of parents of patients with juvenile idiopathic arthritis (JIA) regarding conventional and CAM therapies...

..This article describes research designed to specify complementary therapies used among older adults by obtaining daily use data and the specific purposes for use...

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..These research needs include formal evaluations of existing programs and basic research to characterize the health services utilization patterns of farmworkers...

..Appropriate medical care for treating skin problems that are dangerous and reduce farmworkers' quality-of-life needs to be made available to this population...

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..This analysis documents CAM use among Black, Hispanic, Asian, and White adults age > or =65 and delineates the importance of ethnicity in predicting CAM use...

..The relative importance of para-occupational, residential, and environment risk factors are delineated...

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..This analysis describes physical activity levels and factors associated with physical activity in an ethnically diverse (African American, Native American, white) sample of rural older adults with diabetes...

..Interventions to reduce skin disease must be adapted to farmworkers' understanding of such disease, including their beliefs or knowledge of risk factors for skin disease...

..CAM is a widely used component of health self-management among rural among older adults with diabetes. Research on CAM use will benefit from theory that considers the specific behavior and cognitive characteristics of CAM therapies...

..This analysis describes the association of health and functional status with private and public religious practice among ethnically diverse (African American, Native American, white) rural older adults with diabetes...

..Skin diseases are highly prevalent among farmworkers. Research is needed to delineate specific factors causing high levels of infection and inflammation in this population...

..Finally, gaps in knowledge and practice are summarized and recommendations to develop educationally, culturally, and linguistically appropriate safety and health training are presented...

..Limited data document the multiple and repeated pesticide absorption experienced by farmworkers in an agricultural season or their risk factors...

..Future research needs to collect multiple exposure measures at frequent intervals over an extended period to characterize factors associated with exposure...

..Treatment of GTS must address nicotine poisoning. GTS affects laborers with limited resources. Research must disclose the extent of this occupational illness and investigate ways to prevent it...

..This article presents an overview of PACE3 and provides a descriptive analysis of participant characteristics and one set of pesticide biomarkers, the dialkylphosphate (DAP) urinary metabolites of organophosphorus (OP) pesticides...

..This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems...

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..To summarize current knowledge about the health and social consequences of tobacco production and to outline research needed to better understand these effects...

..Policy changes are needed to address circumstances outside of farmworkers' control that affect pesticide exposure...

..The primary aim of this analysis is to expand existing knowledge of GTS risk factors by delineating the association of measures of skin integrity with the prevalence of GTS among Latino farmworkers...

..Every social group shares beliefs about health and illness. Knowledge and understanding of these health beliefs are essential for education programs to address health promotion and illness prevention...

..However, little research has examined directly access to transportation in analyses of rural health care utilization...

..Staying healthy is maintaining the ability to function in a community. These results indicate that providers cannot assume that older patients will share their interpretation of general health promotion advice...

..97; fewer than 25% of workdays ID, 1.29) had the largest effect. More effort must be directed toward preventing this occupational illness that affects workers who have little control over workplace safety...

..These results argue that for pesticide safety education to be effective, it must address issues of farmworker control in implementing workplace pesticide safety...

..Further research is required with improved measurement of skin disease signs and symptoms, diagnosis of specific skin disease, and improved measurement of risk factors...

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..Documenting and understanding the beliefs and knowledge of agricultural employers is an important undertaking in our efforts to reduce occupational injury and illness among farmworkers...

..It is important to learn from farmworker safety experiences to develop effective measures to improve agricultural workplace safety...

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..CONCLUSIONS: These results show the importance of geographic and spatial behavior factors in rural health care utilization. They also indicate continuing inequity in rural health care utilization that must be addressed in public policy...

..Families living in farmworker households would benefit from health education programs that target their specific needs...

..Further research needs to account for social and cultural factors. Regulations should be compared with pesticide metabolite levels to measure their effectiveness. More effort is needed to enforce existing regulations...

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..Promoters' supervisors reported challenges and strategies experienced by the promoters. Promoter programs in occupational health and safety are feasible approaches to supplement training provided in the workplace...

..This situation creates the potential for organizational injustice, made visible through abusive supervisory practices, and leads to situations in which occupational illnesses and injuries are likely to occur...

..These results provide information for the design of health programs for the prevention of type 2 diabetes...

..Melasma is a common condition of Latino women that detracts from their quality of life (QOL). The prevalence and impact of melasma in Latino men is not well characterized...

..Pesticide safety education needs to reinforce behaviors that reduce take-home exposure in farmworker households...

..These older adults' narratives demonstrate their attempts to reconcile the important role of traditional foods in their identity as Southerners with their attempts to meet medical recommendations for healthy eating...

..This study compared education, race, and screening status to determine how each factor shapes men's knowledge of prostate cancer and screening...

..CONCLUSIONS: These data further elucidate the nature of CAM use among people with diabetes and stress the need for interaction between providers and diabetes patients on CAM use as a self-management modality...

..CONCLUSIONS: Wearing a rain suit while working in wet tobacco can significantly reduce the risk of GTS among tobacco workers. Care must be taken that farmworkers do not have heat stress from wearing rain suits...

..The pattern of results suggests that strategies to address mental health problems in this vulnerable population will require coordinated action at the individual and social level...

..The number of Latinos in rural regions of the United States is increasing. Little is known about factors that undermine the mental health of this segment of the rural population...

..This patient illustrates a common practice that exacerbates skin disease and sheds light on social and cultural factors of which health care providers serving this community should be aware...

..However, analyses produced several interaction effects, including evidence that high levels of control may buffer the effects of physical job demands on detection of DAP urinary pesticide metabolites...

..Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care...

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..Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources...

..Immigrant Latino women tended to embrace an assimilation strategy for acculturation, whereas immigrant Latino men embrace a separation strategy...

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..This study estimates the prevalence of self-reported skin problems among Latino farmworkers and identifies associated risk factors...

..Falls are a recognized danger for older adults with diabetes. Persons in rural communities with diabetes may face additional risks from falling due to environmental and activity differences...

..Little is known about the prevalence and correlates of depressive symptoms among older adults living in rural communities, particularly among ethnic minority groups, who are at increased risk of developing diabetes and complications...

..Overall, these findings suggest that immigrant Latinos experience significant levels of food insecurity that are not addressed by current governmental programs...

..Determine if complementary and alternative medicine (CAM) use for treating existing conditions and for health maintenance differs by age and ethnicity...

..We review the strengths and weaknesses of such an approach and suggest areas for future research in risk communication to communities affected by environmental health risks...

..To compare the validity of a modified Block food-frequency questionnaire (FFQ), a picture-sort administration of the FFQ (PSFFQ) and a meal pattern-based questionnaire (MPQ) in a multi-ethnic population of low socio-economic status (SES)...

..The results also highlight the significance of social and cultural factors in understanding patterns of complementary and alternative medicine use in the adult population...

..Pesticide exposure is an important environmental and occupational health risk for agricultural workers and their families, but health care providers receive little training in it...

..To determine if ethnic differences in elders' use of home remedies are explained by structured inequalities...

..These data indicate that older ethnic minorities in rural communities are at increased risk for diabetes complications and need diabetes management strategies to improve glycemic control...

..Because farmworkers are exposed to neurotoxic pesticides, they may be at risk for adverse health effects from the combined exposure...

..Hispanics have higher rates of diabetes and diabetes-related complications than do non-Hispanic whites. A meta-analysis was conducted to estimate the difference between the mean values of A1C for these two groups...

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..Poultry processing is the largest sector of the meat products industry. Many workers are immigrants; few data exist on their illness and injury rates and the impact of workplace safety environment...

..There was no evidence suggesting that associations differed by parental gender...

..Further research is needed to determine the best means of providing care to this underserved population...

..This study examines primary and specialty medical care utilization among a rural, ethnically diverse, older adult population with diabetes...

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..In this paper, a comparative analysis of alternating logistic regressions with generalized estimating equations and random-effects logistic regression is presented, and the relative strengths of the three methods are discussed...

..Participants were not sure if diabetes could be prevented. These results provide information to address primary prevention of diabetes in this at-risk group...

..The results provide preliminary evidence suggesting that the organization of work underlies injury and illness among immigrant workers in poultry processing...

..To assess determinants of health care visits among children in a 12-county region of western North Carolina representative of rural areas in the United States...

..Different levels of self-management have been reported among various populations, though little is known about ownership of equipment that can enhance accomplishment of these tasks...

..Farmworkers are at high risk for skin diseases, and are an appropriate population in which to explore these associations...

..This pattern most likely reflects a common occupational practice of holding the tobacco leaves under the arm and pressed against the body during harvesting...

..Of all, 38% reported never having visited any eyecare professional. Farmworkers have a high level of unmet need for both routine preventive eye care and treatment or correction of vision problems...

..Underreporting seemed to be due to omitting foods from major food groups as well as from omitting discretionary energy foods. There was a high degree of low energy reporting in this population, particularly by men, even with six 24HR...

..Differences among family members suggest that access to services, not lack of education, is the primary barrier facing farmworker families...

..Although a number of antihypertensive therapies are currently available, adherence and control are low. The purpose of this study was to assess the use of complementary and alternative medicine (CAM) among older adults with HT...

..These findings suggest points of intervention by diabetes educators with this vulnerable population. Further research is needed to determine how older adults use SMBG data in their self-care regimen...

..Test-retest correlations show the reliability of the battery. These support the use of this battery in both cross-sectional and longitudinal studies...

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..Finally, a clinic study will use telemedicine procedures to diagnosis OSD among 150 farm-workers who present at migrant clinics and delineate the risks associated with these diagnoses. ..

..A preliminary framework of the intervention strategy for this R01 application will be developed and evaluated as part of this project. ..

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..while the results of the project are disseminated to regional and national farmworker groups, to those providing health care to farmworkers, and in the research literature. ..

..The purpose of limiting the size of the conference is to facilitate active interaction, discussion and debate among leaders in the field. ..

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