Evaluation of a pilot promotora program for Latino forest workers in southern Oregon.
Bush-DE; Wilmsen-C; Sasaki-T; Barton-Antonio-D; Steege-AL; Chang-C
Am J Ind Med 2014 Jul; 57(7):788-799
Background: Forest work, an occupation with some of the highest injury and illness rates, is conducted primarily by Latino immigrant workers. This study evaluates a pilot program where promotoras (lay community health educators) provided occupational health and safety trainings for Latino forest workers. Methods: Evaluation methods included a focus group, post-tests, and qualitative feedback. Results: Community capacity to address working conditions increased through (i) increased leadership and community access to information and resources; and (ii) increased worker awareness of workplace health and safety rights and resources. Fear of retaliation remains a barrier to workers taking action; nevertheless, the promotoras supported several workers in addressing-specific workplace issues. Conclusions: For working conditions to significantly improve, major structural influences need to be addressed. A long-term, organizationally supported promotora program can play a key role in linking and supporting change at the individual, interpersonal and community levels, contributing to and supporting structural change.
Humans; Men; Women; Forestry; Forestry-workers; Injuries; Traumatic-injuries; Environmental-exposure; Environmental-hazards; Exposure-levels; Risk-factors; Sociological-factors; Demographic-characteristics; Racial-factors; Education; Training; Health-programs; Workers; Work-environment; Worker-health; Surveillance-programs;
Author Keywords: promotora; forest workers; workplace health and safety; community capacity; program evaluation; community health worker; lay health educator; social ecological framework
Diane Bush, Labor Occupational Health Program, UC Berkeley, 2223 Fulton St.,Berkeley,CA 94720-5120
American Journal of Industrial Medicine