Herrán Keren, Mandujano-Acevedo Nicandro, Suarez Jocelyn Claudel, Boggess Bethany, Frongillo Edward A
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
National Center for Farmworker Health, Buda, TX, United States.
Front Public Health. 2025 Jun 10;13:1503383. doi: 10.3389/fpubh.2025.1503383. eCollection 2025.
The nexus of farmworker and COVID-19 peer-reviewed research has yet to be advanced by qualitative analysis that: (1) focuses on multiple dimensions of farmworker's daily life and (2) uses a geographically diverse sample. The present data collection project fills this gap by using the National Center for Farmworker Health's (NCFH) Farmworker COVID-19 Community Assessment (FCCA) Phase 2 dataset which contains a varied sample of farmworkers and local experts across selected counties in five states. The NCFH FCCA Phase 2 data were analyzed to characterize how farmworkers from a multistate sample experienced COVID-19 impact their daily lives, with particular focus on understanding farmworker vaccine experiences, familial dynamics, and actions implemented by employers.
Participants ( = 28; farmworker n = 19, local expert n = 9) were recruited via purposive and snowball sampling. NVivo software and grounded theory coding were used for data analysis. Techniques utilized to ensure rigorous qualitative research were: (1) continuously applying researcher reflexivity, (2) purposive sampling, and (3) investigator and data triangulation.
COVID-19 primarily impacted three spheres of farmworker's daily life: health, family, and the workplace. Of the emergent themes, novel findings include farmworkers' motivation for vaccination, farmworkers' anguish concerning extended family, the deterioration of unity in farmworkers' families, and identification of what workplace changes farmworkers deemed helpful. These novel findings widen understanding of how farmworker health can be promoted in the event of another pandemic. Although present recommended strategies (e.g., improving housing conditions and disseminating health information in Spanish) are valuable in ensuring optimal well-being of farmworkers long-term, policymakers and public health professionals should also design and integrate actions that target farmworkers' vaccine motivations, promote unity/connection within the extended and nuclear family, and incentivize employers to implement workplace changes that farmworkers value.
关于农场工人与新冠病毒同行评审研究的关联，尚未通过以下定性分析得到推进：（1）关注农场工人日常生活的多个维度；（2）使用地理上多样化的样本。当前的数据收集项目通过使用美国国家农场工人健康中心（NCFH）的农场工人新冠病毒社区评估（FCCA）第二阶段数据集填补了这一空白，该数据集包含了五个州选定县的不同农场工人和当地专家样本。对NCFH FCCA第二阶段数据进行了分析，以描述来自多州样本的农场工人如何经历新冠病毒对其日常生活的影响，特别关注了解农场工人的疫苗接种经历、家庭动态以及雇主采取的行动。
通过立意抽样和滚雪球抽样招募参与者（n = 28；农场工人n = 19，当地专家n = 9）。使用NVivo软件和扎根理论编码进行数据分析。用于确保严格定性研究的技术包括：（1）持续运用研究者反思性；（2）立意抽样；（3）研究者与数据三角互证。
新冠病毒主要影响了农场工人日常生活的三个领域：健康、家庭和工作场所。在新出现的主题中，新发现包括农场工人接种疫苗的动机、农场工人对大家庭的痛苦、农场工人家庭团结的恶化，以及确定农场工人认为有帮助的工作场所变化。这些新发现拓宽了对在另一场大流行情况下如何促进农场工人健康的理解。尽管目前推荐的策略（如改善住房条件和用西班牙语传播健康信息）对于确保农场工人长期的最佳福祉很有价值，但政策制定者和公共卫生专业人员还应设计并整合针对农场工人疫苗接种动机的行动，促进大家庭和核心家庭内部的团结/联系，并激励雇主实施农场工人重视的工作场所变化。
