Pamela Rao

Housing Characteristics of Farmworker Families in North Carolina

Adequate housing is a basic human right and an important determinant of environmental health. Little research has documented the housing quality of immigrant Latino farmworker families. This analysis uses data from four surveys of North Carolina farmworker communities conducted in 2001 and 2003 to document aspects of housing quality that could affect farmworker family health. Three housing domains are considered: dwelling characteristics, household characteristics, and household behaviors. Most farmworker families live in mobile homes, and few own their dwellings. Many are located near agricultural fields. Most houses are small, but household size is large, containing adults, in addition to the nuclear family. Crowding is common among farmworker families. Many farmworker households lack basic facilities, such as washing machines. Farmworkers attempt to reduce exposure by frequently cleaning their dwellings. These findings suggest that the health of farmworker families is at risk due to inadequate housing. Further research on housing-related health effects among farmworker families is needed.

Oral Health of Children and Adults in Latino Migrant and Seasonal Farmworker Families

Oral health is one of the greatest unmet health needs of immigrant farmworkers. This paper describes use of dental services and current oral health problems of children and parents in farmworker families. Interviews were conducted with 108 women in Latino farmworker families in western North Carolina and southwestern Virginia. Dental care had been received in the past year by 73% of children, 47% of mothers, and 37% of spouses. Children were most likely to have received care on a regular basis, while adults usually received no care or emergency care. In general, children’s teeth were in better condition than parents’ teeth. Children’s receipt of dental care and their teeth condition were predicted by being born in the US. No family member’s care was related to acculturation or mother’s education, typical predictors of health behavior. Differences among family members suggest that access to services, not lack of education, is the primary barrier facing farmworker families.

Acculturation and Conflict in Mexican Immigrants’ Intimate Partnerships: The Role of Women’s Labor Force Participation

This study explores women’s workforce participation as a potential agent for acculturation, and how it shapes conflict dynamics within intimate partnerships among Mexican immigrants. Analysis of in-depth interview data from 20 immigrant Mexican women and men believed to be in violent relationships indicated that women’s employment following migration created several sources of intracouple conflict by challenging gender-based norms and behaviors surrounding the division of household labor, financial decision making, and how women and men interact within intimate relationships. Immigrant Latino women tended to embrace an assimilation strategy for acculturation, whereas immigrant Latino men embrace a separation strategy.

Pesticides in the Homes of Farmworkers Latino Mothers' Perceptions of Risk to Their Children's Health

Pesticide exposure has been linked with immediate and delayed health effects. Anyone who lives in a farmworker household may be exposed to pesticides. Studies with farmworkers have found generally low levels of awareness of pesticide exposure and prevention. Less is known about the perceptions of nonfarmworkers living with farmworkers. This article presents the results of 41 in-depth interviews conducted with Latino women in farmworker households regarding their knowledge of pesticides and perceptions of risk to their childrens health. Their perceptions and behavior differ from scientific understanding and policy recommendations for exposure management, resulting in behaviors that may increase childrens risk of exposure and subsequent health problems. Because the level at which exposure becomes harmful remains a subject of scientific debate, the wisest course of action is to minimize exposure (the precautionary principle). Families living in farmworker households would benefit from health education programs that target their specific needs.

Student Participation in Community-Based Participatory Research To Improve Migrant and Seasonal Farmworker Environmental Health: Issues for Success

Involving students in community-based participatory research is a useful mechanism for engaging the community and helping it build future capacity. This article describes student involvement in a series of community-based environmental health research projects with migrant and seasonal farmworkers in North Carolina. High school, undergraduate, graduate, and professional school students have participated in various aspects of these projects, including planning, data collection, analysis, and reporting results. Students were required to invest time in learning about the farm-worker population, as well as in learning to conduct community-based environmental health research. Drawing on these experiences, we offer observations regarding successful student integration in this type of research. Community-based projects benefit from student participation while encouraging the development of future community-oriented environmental health researchers.