Boggess Bethany, Thomas Hannah, Ruiz Josue, Mandujano-Acevedo Nicandro, Rodriguez-Lainz Alfonso
National Center for Farmworker Health.
CSTE Applied Epidemiology Fellow. Atlanta, Georgia, United States. Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention. Atlanta, Georgia, United States..
Salud Publica Mex. 2024 Jan 26;66(2, mar-abr):119-129. doi: 10.21149/14856.
To compare Covid-19 risk factors, self-reported Covid-19 testing and infection, and Covid-19 vaccination among H-2A workers and agricultural workers without H-2A visas.
Farmworkers completed surveys at randomly selected sites in five U.S. states from March - August 2022. Descriptive statistics and bivariate analyses were conducted for key characteristics and outcomes.
A total of 532 H-2A workers and 748 non-H-2A workers participated in the surveys. H-2A workers had significantly higher Covid-19 primary vaccine series uptake than non-H-2A workers (94.7 vs. 65.9%). More than one in four H-2A workers (29.6%) continued working while ill or positive with Covid-19. Fewer H-2A than non-H-2A workers reported receiving a Covid-19 test (51.5 vs. 59.2%, respectively) and a positive test result for Covid-19 (24.5 vs. 44.9% among those tested).
Although H-2A workers had a lower self-reported prevalence of Covid-19 and higher Covid-19 primary vaccine series uptake than non-H-2A workers, findings such as reporting to work while ill or positive for Covid-19 indicate areas for improvement by binational public health leaders.
比较H-2A工人和没有H-2A签证的农业工人的新冠病毒病风险因素、自我报告的新冠病毒病检测及感染情况，以及新冠病毒病疫苗接种情况。
2022年3月至8月，农场工人在美国五个州的随机选定地点完成了调查。对关键特征和结果进行了描述性统计和双变量分析。
共有532名H-2A工人和748名非H-2A工人参与了调查。H-2A工人的新冠病毒病主要疫苗系列接种率显著高于非H-2A工人（94.7%对65.9%）。超过四分之一的H-2A工人（29.6%）在生病或新冠病毒病检测呈阳性时仍继续工作。报告接受过新冠病毒病检测的H-2A工人比非H-2A工人少（分别为51.5%和59.2%），在接受检测的人中，新冠病毒病检测呈阳性的比例也较低（分别为24.5%和44.9%）。
尽管H-2A工人自我报告的新冠病毒病患病率低于非H-2A工人，且新冠病毒病主要疫苗系列接种率高于非H-2A工人，但诸如生病或新冠病毒病检测呈阳性时仍报到上班等情况表明，双边公共卫生领导人仍有改进空间。
