Ward Louise S
College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania 19102, USA.
Public Health Nurs. 2007 Nov-Dec;24(6):554-64. doi: 10.1111/j.1525-1446.2007.00668.x.
The purpose of this study was to propose and test an ecological model to structure research and practice concerning farmworker health in the United States. The research question was, "What is the relationship of selected social, cultural, and economic indicators to the health of adult Hispanic migrant farmworkers?"
A model of biogenetic, social, cultural, economic, individual response, and access factors affecting health was derived from the literature and nursing practice. Data from the 1998 National Agricultural Workers Survey (NAWS), conducted by the U.S. Department of Labor, were used in a secondary analysis to perform preliminary tests of the relationships proposed in the model.
The NAWS conducts interviews with a nationally representative sample of farmworkers employed in the United States. Because of the importance of theorized cultural factors, the sample for this study was limited to farmworkers who identified themselves as Hispanic, resulting in 1,864 subjects.
Variables were used directly from the data or constructed from the available data, and proposed relationships were tested statistically.
Analysis of the data supported the relationships proposed in the model.
The proposed model is a useful tool for organizing variables and giving direction to farmworker health research. Suggestions for future research are made.
本研究的目的是提出并检验一个生态模型，以构建关于美国农场工人健康的研究与实践。研究问题是：“选定的社会、文化和经济指标与成年西班牙裔流动农场工人的健康之间有何关系？”
从文献和护理实践中得出了一个影响健康的生物遗传、社会、文化、经济、个体反应和可及性因素的模型。美国劳工部进行的1998年全国农业工人调查（NAWS）的数据被用于二次分析，以对模型中提出的关系进行初步检验。
NAWS对在美国受雇的具有全国代表性的农场工人样本进行访谈。由于理论化文化因素的重要性，本研究的样本仅限于自认为是西班牙裔的农场工人，最终得到1864名受试者。
变量直接取自数据或根据现有数据构建，并对提出的关系进行统计学检验。
数据分析支持了模型中提出的关系。
所提出的模型是组织变量和指导农场工人健康研究的有用工具。并对未来研究提出了建议。
