Cofie Leslie E, LePrevost Catherine E, Harwell Emery L, Bustos Yessie Y, Welborn Joanna, Firnhaber Gina C, Lee Joseph G L
Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA.
Department of Applied Ecology, NC State University, Raleigh, North Carolina, USA.
Public Health Nurs. 2024 Mar-Apr;41(2):193-197. doi: 10.1111/phn.13263. Epub 2023 Nov 22.
Farm work is one of the nation's most hazardous occupations, and migrant and seasonal farmworkers face significant health inequities. Awareness and understanding of the needs of this population are crucial in assuring they receive appropriate support. Documentary programs can raise awareness of community member views to better inform services and advocacy efforts. Visions for the future of farm work were collected from farmworkers and persons supporting them through a community-based, participatory documentary project led by Student Action with Farmworkers (SAF) from 2021 to 2022. Seventy-nine submissions from participants in North and South Carolina, including text responses and file uploads, were collected and thematically analyzed. Five themes were identified: (1) employment benefits and conditions, (2) living conditions, (3) health access and quality, (4) dignity and visibility of farm work, and (5) policy change for a better future. The visions for the future of farm work expressed by these agricultural workers, advocates, and students raise important implications for agricultural communities, public health practitioners, researchers, funders, and policymakers. Application of these findings in the development and delivery of public health services for farmworkers has the potential to positively impact the morbidity and mortality rates of this at-risk population.
农业工作是美国最危险的职业之一，流动和季节性农业工人面临着严重的健康不平等问题。了解和认识这一人群的需求对于确保他们获得适当的支持至关重要。纪录片项目可以提高对社区成员观点的认识，以便更好地为服务和宣传工作提供信息。通过学生与农业工人行动组织（SAF）在2021年至2022年牵头开展的一个基于社区的参与性纪录片项目，收集了农业工人及其支持者对农业工作未来的展望。收集了来自北卡罗来纳州和南卡罗来纳州参与者的79份意见书，包括文字回复和文件上传，并进行了主题分析。确定了五个主题：（1）就业福利和条件，（2）生活条件，（3）医疗保健的可及性和质量，（4）农业工作的尊严和受关注度，以及（5）为更美好的未来进行政策变革。这些农业工人、倡导者和学生对农业工作未来的展望对农业社区、公共卫生从业者、研究人员、资助者和政策制定者具有重要意义。将这些研究结果应用于为农业工人开发和提供公共卫生服务，有可能对这一高危人群的发病率和死亡率产生积极影响。
