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      Valorar el trabajo de farmworkers”: A thematic analysis of input from farmworkers, advocates, and students in a community documentary project about the future of farm work

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          Abstract

          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.

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          Toward a fourth generation of disparities research to achieve health equity.

          Achieving health equity, driven by the elimination of health disparities, is a goal of Healthy People 2020. In recent decades, the improvement in health status has been remarkable for the U.S. population as a whole. However, racial and ethnic minority populations continue to lag behind whites with a quality of life diminished by illness from preventable chronic diseases and a life span cut short by premature death. We examine a conceptual framework of three generations of health disparities research to understand (a) data trends, (b) factors driving disparities, and (c) solutions for closing the gap. We propose a new, fourth generation of research grounded in public health critical race praxis, utilizing comprehensive interventions to address race, racism, and structural inequalities and advancing evaluation methods to foster our ability to eliminate disparities. This new generation demands that we address the researcher's own biases as part of the research process.
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            Occupational health policy and immigrant workers in the agriculture, forestry, and fishing sector.

            Immigrant workers make up an important portion of the hired workforce in the Agricultural, Forestry and Fishing (AgFF) sector, one of the most hazardous industry sectors in the US. Despite the inherent dangers associated with this sector, worker protection is limited. This article describes the current occupational health and safety policies and regulatory standards in the AgFF sector and underscores the regulatory exceptions and limitations in worker protections. Immigration policies and their effects on worker health and safety are also discussed. Emphasis is placed on policies and practices in the Southeastern US. Worker protection in the AgFF sector is limited. Regulatory protections are generally weaker than other industrial sectors and enforcement of existing regulations is woefully inadequate. The vulnerability of the AgFF workforce is magnified by worker immigration status. Agricultural workers in particular are affected by a long history of "exceptionalism" under the law as many regulatory protections specifically exclude this workforce. A vulnerable workforce and high-hazard industries require regulatory protections that, at a minimum, are provided to workers in other industries. A systematic policy approach to strengthen occupational safety and health in the AgFF sector must address both immigration policy and worker protection regulations. Copyright © 2013 Wiley Periodicals, Inc.
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              Thematic coding and categorizing

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                Author and article information

                Journal
                8501498
                6570
                Public Health Nurs
                Public Health Nurs
                Public health nursing (Boston, Mass.)
                0737-1209
                1525-1446
                13 July 2024
                Mar-Apr 2024
                22 November 2023
                30 July 2024
                : 41
                : 2
                : 193-197
                Affiliations
                [1 ]Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA
                [2 ]Department of Applied Ecology, NC State University, Raleigh, North Carolina, USA
                [3 ]Student Action with Farmworkers, Durham, North Carolina, USA
                [4 ]College of Nursing, East Carolina University, Greenville, North Carolina, USA
                Author notes
                Correspondence: Leslie E. Cofie, East Carolina University, 3106 Carol Belk Building, Mailstop 529, Greenville, NC 27858. cofiel18@ 123456ecu.edu
                Author information
                http://orcid.org/0000-0001-6705-5944
                http://orcid.org/0000-0003-4641-0913
                Article
                NIHMS2005110
                10.1111/phn.13263
                11288523
                37994294
                d534bcaf-4f7c-4da1-a681-693056326e10

                This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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                community health workers,farm work visibility,health access,living conditions,migrant and seasonal farmworkers,policy change,public health,work conditions

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