Bush Diane E, Wilmsen Carl, Sasaki Timothy, Barton-Antonio Dinorah, Steege Andrea L, Chang Charlotte
Labor Occupational Health Program, University of California Berkeley, Berkeley, California.
Am J Ind Med. 2014 Jul;57(7):788-99. doi: 10.1002/ajim.22347. Epub 2014 Jun 2.
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.
Evaluation methods included a focus group, post-tests, and qualitative feedback.
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.
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.
林业工作是受伤率和患病率极高的职业之一,主要由拉丁裔移民工人从事。本研究评估了一个试点项目,其中社区健康促进员(非专业社区健康教育工作者)为拉丁裔林业工人提供职业健康与安全培训。
评估方法包括焦点小组、后测和定性反馈。
社区应对工作条件的能力通过以下方式得到提高:(i)增强了领导力以及社区获取信息和资源的机会;(ii)提高了工人对工作场所健康与安全权利及资源的认识。对报复的恐惧仍然是工人采取行动的障碍;尽管如此,社区健康促进员还是支持了几名工人解决特定的工作场所问题。
为了显著改善工作条件,需要解决主要的结构性影响因素。一个长期的、得到组织支持的社区健康促进员项目可以在个人、人际和社区层面上联系和支持变革方面发挥关键作用,促进并支持结构性变革。