Walton AnnMarie Lee, LePrevost Catherine E, Linnan Laura, Sanchez-Birkhead Ana, Mooney Kathi
School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Department of Applied Ecology, North Carolina State University, Raleigh, NC 27695, USA.
Int J Environ Res Public Health. 2017 Jun 23;14(7):677. doi: 10.3390/ijerph14070677.
Pesticide exposure is associated with deleterious health effects. Prior studies suggest Latino farmworkers perceive little control over their occupational health. Using the Health Belief Model as a theoretical guide, we explored the perceptions of Latino farmworkers working in tobacco in North Carolina ( = 72) about benefits and facilitators of pesticide protective behaviors as well as barriers, and strategies to overcome barriers to their use. Interviews were conducted with participants at farmworker housing during non-work time. Qualitative data were analyzed using ATLAS.ti. Farmworkers recognized pesticide protective behaviors as helping them to not get sick and stay healthy. Farmworkers perceived work experience as facilitating protective behaviors. Wetness in the field was the most commonly cited barrier to protective behavior use. To overcome this barrier, farmworkers suggested use of water-resistant outerwear, as well as packing a change of clothes for mid-day, with space and time to change provided by employers. Examination of the efficacy and feasibility of farmworkers' suggestions for addressing barriers is warranted. Training and behavior modeling by experienced peers may improve behavior adoption and perceived control.
接触农药会对健康产生有害影响。先前的研究表明，拉丁裔农场工人认为自己对职业健康几乎没有控制权。以健康信念模型作为理论指导，我们探讨了北卡罗来纳州从事烟草种植工作的拉丁裔农场工人（n = 72）对农药防护行为的益处和促进因素、障碍以及克服使用障碍的策略的看法。在非工作时间，我们在农场工人的住所对参与者进行了访谈。使用ATLAS.ti对定性数据进行了分析。农场工人认识到农药防护行为有助于他们不生病并保持健康。农场工人认为工作经历有助于防护行为的实施。田间潮湿是防护行为使用中最常被提及的障碍。为克服这一障碍，农场工人建议使用防水外套，以及中午更换衣服，并由雇主提供更换的空间和时间。有必要检验农场工人提出的解决障碍建议的有效性和可行性。由经验丰富的同行进行培训和行为示范可能会提高行为的采纳率和感知控制能力。
