Department of Community Development and Applied Economics, University of Vermont, Burlington, Vermont 05405, USA.
J Agromedicine. 2012;17(3):277-87. doi: 10.1080/1059924X.2012.686384.
Vermont is a new Latino destination where many Spanish-speaking migrants have found work on dairy farms. One hundred twenty Latino workers were surveyed on 59 Vermont dairy farms to develop a demographic profile and evaluate their self-assessed health status and barriers to care. The study found, similar to other studies, the majority of workers were young, male Mexicans. However, the workers in this study, as compared to others, originated farther south in Mexico and there were significant regional differences in educational attainment. Workers defined health in terms of their ability to work and the majority believed themselves to be in good health. The majority felt that moving to the United States has not changed their health status. The most common health issue reported was back/neck pain, followed by dental and mental health issues. Workers are both physically and linguistically isolated and reported isolation as the most challenging aspect of dairy farm work. Fear of immigration law enforcement was the primary barrier to care. Community-based initiatives, including partnerships with colleges and universities, outreach to farm employers and the adoption of "bias-free policing" are strategies that can increase access to health care for Latino dairy farmworkers in the United States.
佛蒙特州是一个新的拉丁裔目的地，许多讲西班牙语的移民在奶牛场找到了工作。为了建立人口特征档案并评估他们自我评估的健康状况和护理障碍，对 59 家佛蒙特州奶牛场的 120 名拉丁裔工人进行了调查。研究发现，与其他研究类似，大多数工人是年轻的墨西哥男性。然而，与其他研究相比，本研究中的工人来自墨西哥更南部，受教育程度存在显著的地区差异。工人根据自己的工作能力来定义健康，大多数人认为自己健康状况良好。大多数人认为移居美国并没有改变他们的健康状况。报告的最常见健康问题是背部/颈部疼痛，其次是牙科和心理健康问题。工人在身体上和语言上都与外界隔绝，他们表示隔离是奶牛场工作中最具挑战性的方面。对移民执法的恐惧是获得医疗保健的主要障碍。基于社区的举措，包括与学院和大学的合作、向农场雇主宣传和采用“无偏见执法”，是可以增加在美国的拉丁裔奶牛场工人获得医疗保健的策略。
