Community-Based Participatory Approach to Farmworker Housing, Exposures & Health

Summary

Principal Investigator: Thomas Arcury
Abstract: DESCRIPTION (provided by applicant): Adequate housing is a fundamental human right. However, the limited research that has been conducted demonstrates that inadequate housing is the most basic of all of the unjust and inequitable conditions that farmworkers in North Carolina and the southeast US endure. None of this research has examined how inadequate housing, as an environmental health risk, is related to the health of farmworkers or their families. The proposed research builds directly on our successful project Occupational Skin Disease among Minority Farmworkers (R01 ES012358), as well as several other community-based participatory research (CBPR) projects that have addressed the environmental health risks of farmworkers. Our results document the most prevalence skin problems experienced by farmworkers, particularly infectious diseases, are caused by exposures in houses. Other analyses document that farmworkers and the members of their family are exposed to pesticides in their homes. Together, this work indicates a need for research focused on farmworker housing. The North Carolina Farmworker Advocacy Network has identified farmworker housing as a major concern. The CBPR orientation of our research group requires a focus on farmworker housing conditions and their effects on farmworker health as a response to major concerns voiced by farmworkers, farmworker health care providers, and farmworker advocates. This project is based on a15 year collaboration among farmworkers, farmworker community-based organizations, farmworker advocates, and health science investigators. Within this collaboration, this research study will achieve five specific aims: (1) describe the experiences and perceptions of farmworkers concerning the quality of housing in which they live and how they relate housing quality to their health;(2) evaluate farmworker housing and delineate the associations of farmworker housing with exposures as moderated by resident characteristics and behaviors;(3) delineate the association of exposures in farmworker housing with indicators of farmworker health;(4) disseminate the results of this research to farmworkers in culturally and educationally appropriate formats that farmworkers can use to improve their housing or reduce their health risks;and (5) collaborate with farmworker advocates to affect public health, occupational safety and housing policy to improve the quality of housing in which farmworkers live and reduce the negative health outcomes of substandard housing. The project has four major components. First, it will use a systematic qualitative research design to document farmworker experiences and perceptions of housing quality and its association with health. Second, it will document housing quality in 200 farmworker camps and 200 farmworker family homes, and examine the association of housing quality with health indicators. Third, it will implement a plan to return information to farmworkers. Fourth, it will implement a plan to address state and national farmworker housing policy. PUBLIC HEALTH RELEVANCE: Migrant and seasonal farmworkers and their families are exposed to numerous environmental and occupational health hazards, and they experience high rates of injuries and illnesses. A major source of exposure for farmworkers and their families is the housing in which they live. This community-based participatory research project will be based on a collaboration of North Carolina Farmworkers Project, Student Action with Farmworkers, Farmworker Advocacy Network, several migrant clinics, and Wake Forest University School of Medicine. It will document the housing conditions of farmworkers, determine associations of housing conditions with health outcomes, disseminate information to farmworkers that they can use to improve their housing, and address policy changes needed to improve farmworker housing.
Funding Period: ----------------2009 - ---------------2011-
more information: NIH RePORT

Top Publications

  1. ncbi Latino farmworker perceptions of the risk factors for occupational skin disease
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1084, USA
    Am J Ind Med 49:434-42. 2006
  2. ncbi Blistering eruption in a Latino migrant farmworker
    Steven R Feldman
    Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA
    J Agromedicine 12:81-5. 2007
  3. pmc Pesticide exposures to migrant farmworkers in Eastern NC: detection of metabolites in farmworker urine associated with housing violations and camp characteristics
    J H Raymer
    Environmental and Industrial Sciences, RTI International, RTP, North Carolina
    Am J Ind Med 57:323-37. 2014
  4. pmc Safety, security, hygiene and privacy in migrant farmworker housing
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC 27157, USA
    New Solut 22:153-73. 2012
  5. pmc The quality of drinking water in North Carolina farmworker camps
    Werner E Bischoff
    Department of Internal Medicine, Section on Infectious Diseases, Wake Forest School of Medicine, Winston Salem, NC 27157 1042, USA
    Am J Public Health 102:e49-54. 2012
  6. pmc Association between housing quality and individual health characteristics on sleep quality among Latino farmworkers
    Joanne C Sandberg
    Department of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC, 27157 1084, USA
    J Immigr Minor Health 16:265-72. 2014
  7. pmc Cooking and eating facilities in migrant farmworker housing in North Carolina
    Sara A Quandt
    Department of Epidemiology, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC 27157, USA
    Am J Public Health 103:e78-84. 2013
  8. pmc The association of skin conditions with housing conditions among North Carolina Latino migrant farm workers
    Cheryl J Gustafson
    Center for Dermatology Research, Wake Forest School of Medicine, Winston Salem, NC, USA Department of Dermatology, Wake Forest School of Medicine, Winston Salem, NC, USA
    Int J Dermatol 53:1091-7. 2014
  9. pmc Heat index in migrant farmworker housing: implications for rest and recovery from work-related heat stress
    Sara A Quandt
    Department of Epidemiology, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA
    Am J Public Health 103:e24-6. 2013
  10. pmc Pesticides present in migrant farmworker housing in North Carolina
    Thomas A Arcury
    Department of Family and Community Medicine, Center for Worker Health, Wake Forest School of Medicine, Winston Salem, North Carolina
    Am J Ind Med 57:312-22. 2014

Scientific Experts

  • Steven Feldman
  • S D Rhodes
  • Thomas A Arcury
  • Sara A Quandt
  • Quirina M Vallejos
  • Mark R Schulz
  • Alan B Fleischer
  • Haiying Chen
  • Amit Verma
  • Werner E Bischoff
  • Gonzalo Cabral
  • Lara E Whalley
  • Thanh Brooks
  • Quirina Vallejos
  • Joanne C Sandberg
  • J H Raymer
  • Cheryl J Gustafson
  • Chaya R Spears
  • Maria Weir
  • MELINDA F WIGGINS
  • Phillip Summers
  • S A Quandt
  • Rita Pichardo
  • Stephen R Rapp
  • Judy Heck
  • Nina F Abraham
  • Jennifer F Conde
  • Michael Hinckley
  • J Krejci-Manwaring
  • Sarah L Taylor
  • L C Michael
  • M Gardner
  • H Chen
  • Jennifer W Talton
  • Walkiria R Doumani
  • Arjun B Chatterjee
  • J Talton
  • Scott Isom
  • M McCombs
  • W B Studabaker
  • Amy K Liebman
  • Leonardo Galvan
  • John S Preisser
  • Patricia Earp
  • S R Rapp
  • Michael L Coates
  • Q M Vallejos
  • M R Schulz

Detail Information

Publications28

  1. ncbi Latino farmworker perceptions of the risk factors for occupational skin disease
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1084, USA
    Am J Ind Med 49:434-42. 2006
    ..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...
  2. ncbi Blistering eruption in a Latino migrant farmworker
    Steven R Feldman
    Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA
    J Agromedicine 12:81-5. 2007
    ....
  3. pmc Pesticide exposures to migrant farmworkers in Eastern NC: detection of metabolites in farmworker urine associated with housing violations and camp characteristics
    J H Raymer
    Environmental and Industrial Sciences, RTI International, RTP, North Carolina
    Am J Ind Med 57:323-37. 2014
    ....
  4. pmc Safety, security, hygiene and privacy in migrant farmworker housing
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC 27157, USA
    New Solut 22:153-73. 2012
    ..Camps with residents having H-2A visas or North Carolina Department of Labor certificates of inspection posted had better safety, security, and hygiene. Regulations addressing the quality of migrant farmworker housing are needed...
  5. pmc The quality of drinking water in North Carolina farmworker camps
    Werner E Bischoff
    Department of Internal Medicine, Section on Infectious Diseases, Wake Forest School of Medicine, Winston Salem, NC 27157 1042, USA
    Am J Public Health 102:e49-54. 2012
    ..The purpose of this study was to assess water quality in migrant farmworker camps in North Carolina and determine associations of water quality with migrant farmworker housing characteristics...
  6. pmc Association between housing quality and individual health characteristics on sleep quality among Latino farmworkers
    Joanne C Sandberg
    Department of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC, 27157 1084, USA
    J Immigr Minor Health 16:265-72. 2014
    ..Further research is required to delineate how to improve the adequacy of farmworker housing to improve sleep quality and other health indicators. ..
  7. pmc Cooking and eating facilities in migrant farmworker housing in North Carolina
    Sara A Quandt
    Department of Epidemiology, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC 27157, USA
    Am J Public Health 103:e78-84. 2013
    ....
  8. pmc The association of skin conditions with housing conditions among North Carolina Latino migrant farm workers
    Cheryl J Gustafson
    Center for Dermatology Research, Wake Forest School of Medicine, Winston Salem, NC, USA Department of Dermatology, Wake Forest School of Medicine, Winston Salem, NC, USA
    Int J Dermatol 53:1091-7. 2014
    ..Skin conditions are common among Latino migrant farm workers. Although many skin conditions are related to occupational exposures, poor housing conditions may also contribute to skin ailments in migrant farm workers...
  9. pmc Heat index in migrant farmworker housing: implications for rest and recovery from work-related heat stress
    Sara A Quandt
    Department of Epidemiology, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA
    Am J Public Health 103:e24-6. 2013
    ..We recorded dangerous heat indexes in most rooms, regardless of time or air conditioning. Policies to reduce heat indexes in farmworker housing should be developed...
  10. pmc Pesticides present in migrant farmworker housing in North Carolina
    Thomas A Arcury
    Department of Family and Community Medicine, Center for Worker Health, Wake Forest School of Medicine, Winston Salem, North Carolina
    Am J Ind Med 57:312-22. 2014
    ....
  11. ncbi Common skin disorders seen in the migrant farmworker health care clinic setting
    Michael Hinckley
    Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA
    J Agromedicine 12:71-9. 2007
    ..Skin diseases are common occupational illnesses for farmworkers. Migrant farmworkers commonly access rural health clinics for diagnosis and treatment of skin disease...
  12. ncbi Vision problems, eye care history, and ocular protection among migrant farmworkers
    Sara A Quandt
    Wake Forest University School of Medicine, Department of Public Health Sciences, Medical Center Blvd, Winston Salem, NC 27157, USA
    Arch Environ Occup Health 63:13-6. 2008
    ..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...
  13. ncbi The association of dermatologist-diagnosed and self-reported skin diseases with skin-related quality of life in Latino migrant farmworkers
    Sara A Quandt
    Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Int J Dermatol 47:236-41. 2008
    ..Farmworkers are at high risk for skin diseases, and are an appropriate population in which to explore these associations...
  14. ncbi Skin disease among Latino farmworkers in North Carolina
    J Krejci-Manwaring
    Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1084, USA
    J Agric Saf Health 12:155-63. 2006
    ..Skin disease is prevalent among the North Carolina Latino farmworkers who participated in this study, with fungal disease being the most prevalent...
  15. ncbi Treating skin disease: self-management behaviors of Latino farmworkers
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157 1084, USA
    J Agromedicine 11:27-35. 2006
    ..Appropriate medical care for treating skin problems that are dangerous and reduce farmworkers' quality-of-life needs to be made available to this population...
  16. ncbi Pterygium among Latino migrant farmworkers in North Carolina
    Sarah L Taylor
    Department of Dermatology, Wake Forest University, Winston Salem, North Carolina 27157, USA
    Arch Environ Occup Health 61:27-32. 2006
    ..Research on the causes of pterygium among farmworkers is needed. In the interim, improvements in farmworkers' preventive behaviors, such as wearing ultraviolet protective lenses and brimmed hats, are reasonable and inexpensive measures...
  17. ncbi Contact dermatitis in tobacco farmworkers
    Nina F Abraham
    Center for Dermatology Research, Elm City, NC 27822, USA
    Contact Dermatitis 57:40-3. 2007
    ..This pattern most likely reflects a common occupational practice of holding the tobacco leaves under the arm and pressed against the body during harvesting...
  18. ncbi Diagnosed skin diseases among migrant farmworkers in North Carolina: prevalence and risk factors
    T A Arcury
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1084, USA
    J Agric Saf Health 13:407-18. 2007
    ..Skin diseases are highly prevalent among farmworkers. Research is needed to delineate specific factors causing high levels of infection and inflammation in this population...
  19. ncbi Cutaneous larva migrans in a migrant Latino farmworker
    Jennifer F Conde
    Center for Dermatology Research, Wake Forest University School of Medicine, Winston Salem, NC 27157 1084, USA
    J Agromedicine 12:45-8. 2007
    ..This report provides information on the case history of cutaneous larva migrans in a Latino migrant farmworker. Treatment options are reviewed, and information for prevention is discussed...
  20. ncbi Self report of skin problems among farmworkers in North Carolina
    Quirina M Vallejos
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27157 1084, USA
    Am J Ind Med 51:204-12. 2008
    ..This study estimates the prevalence of self-reported skin problems among Latino farmworkers and identifies associated risk factors...
  21. ncbi Green tobacco sickness and skin integrity among migrant Latino farmworkers
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27157 1084, USA
    Am J Ind Med 51:195-203. 2008
    ..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...
  22. ncbi Skin-related quality of life among migrant farmworkers
    Sara A Quandt
    Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC 27157 1063, USA
    J Cutan Med Surg 12:1-7. 2008
    ..Farmworkers in North America work in an environment likely to produce skin injuries and illnesses that affect quality of life (QOL)...
  23. pmc Migrant farmworker housing regulation violations in North Carolina
    Thomas A Arcury
    Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC 27157 1084, USA
    Am J Ind Med 55:191-204. 2012
    ..This analysis examines housing regulation violations experienced by migrant farmworkers in North Carolina, and the associations of camp characteristics with the presence of housing violations...
  24. pmc HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: Findings from a pilot CBPR study
    Scott D Rhodes
    Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1063, USA
    Am J Ind Med 53:976-83. 2010
    ..This study was designed to describe risk factors for HIV and STD infection, explore personal characteristics associated with condom use, and evaluate the feasibility of collecting self-report and biomarker data from farmworkers...
  25. pmc Teledermatology consultations provide specialty care for farmworkers in rural clinics
    Quirina M Vallejos
    Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27157 1084, USA
    J Rural Health 25:198-202. 2009
    ..Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care...
  26. pmc Health care utilization among migrant Latino farmworkers: the case of skin disease
    Steven R Feldman
    Department of Dermatology, School of Medicine, Wake Forest University, Winston Salem, NC 27157 1071, USA
    J Rural Health 25:98-103. 2009
    ..Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources...
  27. pmc The prevalence of melasma and its association with quality of life in adult male Latino migrant workers
    Rita Pichardo
    Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1071, USA
    Int J Dermatol 48:22-6. 2009
    ..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...