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Public health impact of heat-related illness among migrant farmworkers.

Authors
Fleischer-NL; Tiesman-HM; Sumitani-J; Mize-T; Amarnath-KK; Bayakly-AR; Murphy-MW
Source
Am J Prev Med 2013 Mar; 44(3):199-206
NIOSHTIC No.
20042242
Abstract
BACKGROUND: Migrant farmworkers are at risk for heat-related illness (HRI) at work. PURPOSE: The purpose of this study was to determine which risk factors could potentially reduce the prevalence of HRI symptoms among migrant farmworkers in Georgia. METHODS: Trained interviewers conducted in-person interviews of adults who attended the South Georgia Farmworker Health Project clinics in June 2011. The analysis was conducted in 2011-2012. Population intervention models were used to assess where the greatest potential impact could be made to reduce the prevalence of HRI symptoms. RESULTS: In total, 405 farmworkers participated. One third of participants had experienced three or more HRI symptoms in the preceding week. Migrant farmworkers faced barriers to preventing HRI at work, including lack of prevention training (77%) and no access to regular breaks (34%); shade (27%); or medical attention (26%). The models showed that the prevalence of three or more HRI symptoms (n=361, 34.3%) potentially could be reduced by increasing breaks in the shade (-9.2%); increasing access to medical attention (-7.3%); reducing soda intake (-6.7%); or increasing access to regular breaks (-6.0%). CONCLUSIONS: Migrant farmworkers experienced high levels of HRI symptoms and faced substantial barriers to preventing these symptoms. Although data are cross-sectional, results suggest that heat-related illness may be reduced through appropriate training of workers on HRI prevention, as well as regular breaks in shaded areas.
Keywords
Farmers; Agriculture; Agricultural-workers; Sociological-factors; Demographic-characteristics; Workers; Humans; Men; Women; Heat; Heat-exhaustion; Heat-exposure; Heat-stress; Heat-stroke; Surveillance
Contact
Nancy L. Fleischer, PhD, University of South Carolina Arnold School of Public Health, 800 Sumter Street, Columbia SC 29208
CODEN
AJPMEA
Publication Date
20130301
Document Type
Journal Article
Email Address
nfleischer@sc.edu
Funding Type
Cooperative Agreement
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-009870; B20130306
Issue of Publication
3
ISSN
0749-3797
NIOSH Division
DSR
Priority Area
Transportation, Warehousing and Utilities
Source Name
American Journal of Preventive Medicine
State
GA; WV; IN
Performing Organization
Georgia State Department of Public Health
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