Journal of Agromedicine最新文献

{"title":"From Knowledge to Action: Engaging Washington's Commercial Fishing Community in Substance Use Awareness and Prevention.","authors":"Autumn Dennistoun, Edward Kasner, Denise Damewood, Robert Maw, Mayumi Willgerodt","doi":"10.1080/1059924X.2026.2642324","DOIUrl":"10.1080/1059924X.2026.2642324","url":null,"abstract":"<p><strong>Objectives: </strong>Commercial fishing is among the most hazardous occupations in the United States, with high rates of injury, chronic pain, and opioid-related overdose deaths. Washington's fishing community has expressed concern about substance use, highlighting the need for practical, industry-specific training.</p><p><strong>Methods: </strong>This project applied the Knowledge to Action (KTA) framework to adapt and implement an overdose response training within the Fishermen First Aid and Safety Training (FFAST) program in Washington state. Training combined a didactic presentation, hands-on naloxone (NARCAN®) administration practice, and distribution of harm reduction materials.</p><p><strong>Results: </strong>There were 25 commercial fishermen who participated, primarily shellfish harvesters. In pre-training, 54% reported knowledge of naloxone (NARCAN®) administration, yet 91% did not carry naloxone (NARCAN®) on their vessels, revealing a gap between knowledge and practical application. Post-training, 100% reported increased knowledge and confidence, and 70% indicated plans to include naloxone (NARCAN®) in their first aid kits. Participants emphasized the value of hands-on practice and identified several barriers, including occupational isolation, limited access to healthcare, and stigma.</p><p><strong>Conclusions: </strong>Integrating overdose response into established safety programs provides a feasible, community-driven strategy to address opioid risk among fishermen. This training improves emergency preparedness and highlights the importance of translating theoretical knowledge into action within high-risk, remote occupational settings such as commercial fishing vessels.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"428-435"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Ultraviolet Radiation on the Health of Rural Workers: A Global Review.","authors":"Lucas Moraes Rufini de Souza, Luciano José Minette, Stanley Schettino, Marcelo de Almeida Guimarães, Cássio Furtado Lima","doi":"10.1080/1059924X.2026.2637931","DOIUrl":"10.1080/1059924X.2026.2637931","url":null,"abstract":"<p><strong>Introduction: </strong>This study was a global review of the health, exposure levels, and prevention and protection strategies of rural workers in conditions of direct sunlight.</p><p><strong>Methods: </strong>The authors conducted a review based on the PRISMA guidelines using the ScienceDirect, Scopus, and PubMed databases. The selection included articles published between 2019 and 2025 that focused on rural workers and exposure to solar radiation. The screening resulted in 18 studies being analysed.</p><p><strong>Findings: </strong>In general, it was observed that rural workers are exposed to solar ultraviolet radiation for long hours, do not receive guidance, and do not have adequate protective equipment. Most rural workers do not use sunscreen regularly, are unaware of the cumulative effects of radiation, and adopt minimal photoprotection practices. These routines compromise skin and eye health and increase the risk of occupational skin cancer for these workers. The lack of specific regulations makes it difficult for companies to adopt assertive preventive measures and for workers to incorporate protective habits into their daily work routines.</p><p><strong>Conclusion: </strong>This study found risk management of sun exposure in rural areas is ineffective and highlights the need for coordinated actions by governments, companies, and institutions to protect workers exposed to ultraviolet radiation.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"488-497"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hand-arm Vibration Syndrome Among Thai Farmers: A Daily Vibration Exposure Study.","authors":"Chaiwat Sritanarach, Teeraphun Kaewdok","doi":"10.1080/1059924X.2026.2639064","DOIUrl":"10.1080/1059924X.2026.2639064","url":null,"abstract":"<p><p>Prolonged exposure to hand-arm vibration (HAV) has been associated with hand-arm vibration syndrome (HAVS). This cross-sectional study aimed to examine the association between daily hand-arm vibration exposure and HAVS among farmers. A convenience sampling method was used to select 76 farmers from the Nong Suea district in Pathum Thani province. Data were collected using a three-part questionnaire that included demographics, work conditions, initial screening for HAVS, and VM31 vibration meter (Hand-Arm Accelerator sensor: KS963B10). The vibration measured based on the technical method described in ISO 5349-1: 2001. The association between HAV and HAVS was evaluated using chi-square tests. The results revealed that most farmers were men (73.7%), with an average age of 48.6 years (SD = 10.0). Famers had experience working with vibrating tools with an average of 18.4 years (SD = 11.4). The results of a daily hand-arm vibration exposure indicated that most of the farmers were at the low risk level (HAV exposure <2.5 m/s² (A8)) with 60.5%, followed by the high risk with 39.5% (HAV exposure ≥2.5 m/s² (A8)). The mean daily vibration exposure categorized by agricultural tools was a walking tractor of 11.2 m/s² (SD = 0.3), a brush cutter of 4.7 m/s² (SD = 1.0) and a backpack sprayer of 2.4 m/s² (SD = 0.6). The prevalence of HAVS among farmers was 77.6%. Of these, the proportions of HAVS were musculoskeletal, neurological, and vascular complications, with 63.2%, 60.5%, and 35.5%, respectively. A daily hand-arm vibration exposure was significantly associated with HAVS (<i>p-value <</i>.05). The results of the study revealed that the farmers had a high daily vibration exposure of HAVS and related HAV. This information can be provided for vibration monitoring and equipment maintenance schedules. A systematic monitoring program for vibration exposure among farmers should be considered.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"405-413"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work Safety Climate, Heat-Related Illness, and Potential Pesticide Exposure Among Latino Farmworker Adolescents and Young Adults in Arizona.","authors":"Fiorella L Carlos Chavez, Priscilla Carmiol-Rodríguez, Taylor J Arnold, Keenan A Pituch, Evan P Anderson, Amber Wutich, Alexandra Brewis, David W Coon, Thomas A Arcury","doi":"10.1080/1059924X.2026.2656164","DOIUrl":"10.1080/1059924X.2026.2656164","url":null,"abstract":"<p><strong>Introduction: </strong>Latino farmworker adolescents and young adults (FW-AYA) face risks related to work safety climate (WSC) and occupational risks, including heat-related illness (HRI) and potential pesticide exposure (PE). This study describes the HRI, potential PE, and WSC realities of the Latino FW-AYA population in Arizona, correlates the HRI, PE, and WSC, and examines their associations with FW-AYA personal and work characteristics.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of FW-AYA in Arizona from February 2023 to January 2024 (N=180; 72.2% born in Mexico; 100% Mexican descent; age range = 16-25 years; 42% migrant workers). Descriptive statistics, bivariate correlations, and chi-square tests were used to examine the prevalence and associations of WSC, HRI, and PE among FW-AYA.</p><p><strong>Results: </strong>A total of 48.9% of FW-AYA indicated taking risks was part of their job; 33.3% expressed a high probability of injury at work in the next 12 months. 57.3% reported at least one HRI symptom, and 30% of FW-AYA worked in the sight of fields with pesticide or fertilizer application. Age, hours worked per day and per week, and provider of own welfare were associated with HRI; hours worked per day and per week, provider of own welfare, and remittance were associated with PE. Remittance and family financial dependency to meet basic needs were associated with WSC.</p><p><strong>Conclusion: </strong>This study highlights the need for employers to improve the quality of WSC, HRI, and PE training for FW-AYA and to raise awareness of personal and family factors that may affect FW-AYAs' ability to detect HRI symptoms and potential PE.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"470-487"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Shade Materials for Agricultural Worker Heat Exposure Mitigation.","authors":"John C Flunker, Carolyn Reeb-Whitaker, Érica Chavez-Santos, Maria Blancas, Stefani Florez-Acevedo, Kristina Garbuz, Todd Schoonover, June T Spector","doi":"10.1080/1059924X.2026.2639063","DOIUrl":"10.1080/1059924X.2026.2639063","url":null,"abstract":"<p><strong>Objectives: </strong>Agricultural workers are at high risk of morbidity and mortality from workplace heat stress. Shade contributes to reduced heat exposure by blocking solar radiation. Though several US states have adopted occupational heat rules that require shade, implementation of specific shade approaches is typically not specified in rules. We compared different shade materials for agricultural worker heat exposure mitigation to inform decision-making.</p><p><strong>Methods: </strong>We conducted a quantitative field comparison study over three summer days in a real-world agricultural setting in Central Washington State. We examined the effect of five different shade materials on solar radiation and heat exposure, measured using Black Globe (BG) and Wet Bulb Globe Temperature (WBGT) sensors, respectively. We used multivariable linear mixed-effects regression to examine the effect of different materials on BG and WBGT while accounting for repeated measures and small cluster sizes. We also performed a qualitative assessment of shade preferences among agricultural partners, including workers and supervisors.</p><p><strong>Results: </strong>The mean (SD) dry air temperature across all study days was 28.3(1.3)°C [82.9(2.4)]°F. Shade materials reduced BG by 6.1-8.8°C and WBGT by 1.7-2.2°C, on average, depending on the material, compared to no shade. Compared to no shade, the largest reduction in BG (-8.81ºC) was seen for a hay tarp material (HAY: 95% Confidence Interval [CI]: -9.39, -8.23) followed by an 80% monofilament material (M80: -7.68°C; 95%CI -8.27,-7.10). For WBGT, we also found the largest reductions among HAY (-2.22°C; 95%CI -2.44,-2.00) and M80 (-2.07°C; 95%CI -2.29,-1.84). Comparing between shade materials, we did not find substantial differences in BG and WBGT. Ease of use and mobility of shade structures near work locations, in addition to effectiveness in reducing heat exposure, was identified in qualitative analyses as factors that may influence workplace shade implementation decisions.</p><p><strong>Conclusions: </strong>In this study, we found that all studied shade materials significantly reduced BG and WBGT compared to no shade, but we observed no substantial differences in heat exposure mitigation between the shade materials themselves. For similarly performing shade materials, worker and supervisor preferences and practical considerations should be considered when selecting shade approaches in specific workplaces that are likely to be adopted and sustained.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"393-404"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147372696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Beekeepers Have a Sweet Life? Work-Related Musculoskeletal Disorders and Their Impact Among Apiarists in New Zealand.","authors":"Jane Pierce, Felicity Lamm, Irene Suilan Zeng, Christopher Peace, Mark Boocock, Joanne O Crawford","doi":"10.1080/1059924X.2025.2591056","DOIUrl":"10.1080/1059924X.2025.2591056","url":null,"abstract":"<p><strong>Objectives: </strong>Agriculture employs about a third of the world's workforce and has been identified as having a high prevalence of work-related musculoskeletal disorders (WRMSDs); however, little is known about specific agricultural sectors, particularly apiculture (commercial beekeeping). This paper presents the results of a questionnaire survey investigating the prevalence of MSDs among apiarists (commercial beekeepers) in New Zealand. A further objective was to gain an understanding of the impact of MSDs on apiarists.</p><p><strong>Methods: </strong>Apiarists in New Zealand were invited to complete a self-reported questionnaire to assess a 12-month and 7-day prevalence of MSDs using a modified Nordic Musculoskeletal Questionnaire (NMQ). Supplementary questions assessed frequency of MSD, the discomfort severity, and limitations with work. In addition, open-ended questions invited apiarists to suggest what they believed contributed to their MSD. We categorized the responses into five key WRMSD risk factors (Physical/Biomechanical; Work Organizational; Individual; Environmental; Psychosocial).</p><p><strong>Results: </strong>Results from a sample of 73 apiarists showed the overall 12-month prevalence of any MSD to be 89% (95%CI = 79.6-94.6), with a 7-day prevalence of 68.5% (95%CI = 57.1-78.0). The most frequently reported body parts affected were low back (74%), neck (54.8%), wrist/hands (47.9%), and shoulders (56.2%). Despite the relatively high prevalence and discomfort levels of MSDs, apiarists reported minimal limitations to work which may reflect the attitude that MSDs are an accepted part of their role. Physical demands of the beekeeping role were reported by most apiarists as contributing to MSDs, with individual factors such as age being the second most cited contributor. Only 3% of the responses identified psychosocial factors associated with MSDs.</p><p><strong>Conclusions: </strong>High prevalence of MSDs among this sample of apiarists is similar to previous reports of MSD prevalence among non-commercial beekeepers in other overseas studies. Results indicate musculoskeletal discomfort among apiarists is commonplace and suggest apiarists are likely to be working while experiencing discomfort. This potentially could have long-term ramifications for apiarists' musculoskeletal health. This is a concern for sustainability of this essential industry.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"242-253"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience, Loneliness, and Mental Well-Being in the UK Farming Community.","authors":"Sarah Nyczaj Kyle, Stephen Dunne, Emma Barkus","doi":"10.1080/1059924X.2025.2583409","DOIUrl":"10.1080/1059924X.2025.2583409","url":null,"abstract":"<p><strong>Objectives: </strong>Farmers and their families are at risk of loneliness due to frequent solitary working, geographical isolation, and narrow social networks. These circumstances compromise the mental well-being of farming communities, highlighting the need for a better understanding of protective psychological factors. Resilience may serve as a pathway between the negative effects of loneliness and mental well-being; however, evidence of its role in agricultural populations is scarce. This study considers whether resilience mediates the relationship between loneliness and mental well-being in the UK farming community.</p><p><strong>Methods: </strong>A cross-sectional survey collected data from 320 members of the UK farming community (39.4% males; 59.4% females, 1.2% prefer not to say; Median age = 43.1 years). The convenience sample was collected through online and paper surveys and promoted via social media, farming groups, auction marts, and agricultural organizations. Participants completed the Brief Resilience Scale, Loneliness RULS-6 scale, and Warwick-Edinburgh Mental Wellbeing Scale (Short).</p><p><strong>Results: </strong>Over half of participants (54.5%) scored within a range for mental well-being consistent with possible mild or probable clinical depression. Higher loneliness was associated with lower resilience and mental well-being, whilst higher resilience was related to higher mental well-being. A regression-based mediation analysis with 1,000 bootstrap samples (without covariates) revealed that resilience partially mediates the relationship between loneliness and mental well-being in farming community members.</p><p><strong>Conclusion: </strong>This study provides vital evidence of the mediating role that resilience plays in the relationship between loneliness and mental well-being in UK farming community members. Our findings emphasize the importance of resilience-building as a key mechanism to support the well-documented mental well-being challenges faced by people in farming communities. These findings add to the limited but growing body of evidence that supports the development of targeted interventions that integrate both resilience-building and loneliness reduction as a comprehensive support package. Our study demonstrates that addressing these factors in tandem is essential for improving the mental well-being of UK farming communities, ensuring people receive the necessary tools and resources to foster strength and connection.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"224-234"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Adoption of Winch Safety Equipment in Two U.S. Commercial Fisheries.","authors":"Tristan M Victoroff, Theodore D Teske","doi":"10.1080/1059924X.2025.2582650","DOIUrl":"10.1080/1059924X.2025.2582650","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored commercial fishermen's perspectives and decision-making process related to investment in winch safety equipment for fishing vessels.</p><p><strong>Methods: </strong>The study employed semi-structured interviews during 2019-2021 with commercial fishing captains, owners, equipment manufacturers, and suppliers (<i>n</i> = 19) from two different commercial fisheries: the Pacific Northwest purse seine fleet, and the Southern shrimp fleet. Interview recordings were transcribed and qualitatively analyzed to identify themes related to adoption of winch safety gear.</p><p><strong>Results: </strong>Overall, perception of risk from deck winches was high in both populations. Fishermen generally regarded safety engineering interventions for winches positively, in principle. However, cost, installation complexity, and competing safety priorities are often barriers to adopting such equipment. In discussing safety-related investments, fishermen commonly prioritized maintenance of the vessel and management of the crew over mechanical safety equipment for the deck winch, despite its potential for causing injury. We identified several potential facilitators of adoption of winch safety equipment, particularly for the Southern shrimp fleet.</p><p><strong>Conclusions: </strong>Fishermen tend to view deck winch safety as part of a larger, complex set of safety considerations encompassing the vessel and crew as a whole. This risk balancing sometimes does not favor investment in safety gear specifically for the deck winch, even if it is perceived as a primary hazard. Fundamental economic conditions in these two fisheries continue to pose a challenge to widespread adoption of winch safety equipment. Reducing cost barriers would potentially be the most effective way to increase adoption, but additional work is needed to improve risk communication, increase awareness of available winch safety equipment, and address installation complexity barriers.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"173-185"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poor Mental Health Days and Depression by Farming Occupation and Sociodemographic Factors: BRFSS 2019 Data from 13 States.","authors":"Jeanne M Ward, John R Blosnich","doi":"10.1080/1059924X.2025.2582655","DOIUrl":"10.1080/1059924X.2025.2582655","url":null,"abstract":"<p><strong>Background: </strong>Farmers are disproportionately affected by suicide, which is frequently preceded by signs of poor mental health. Findings on mental health outcomes among individuals in farming occupations are mixed. This analysis of a major national dataset sought to identify the sociodemographic factors related to poor mental health days and lifetime depression diagnosis among U.S. farming-related occupations versus the general population of people employed in non-farming occupations.</p><p><strong>Methods: </strong>Data were from 13 states providing industry and occupational data from the Behavioral Risk Factor Surveillance Survey (BRFSS) 2019 survey. Bivariate statistics and logistic regression investigated correlates (sex, race/ethnicity, marital status, education level, and age) associated with poor mental health days in the last 30 days (14 or more days vs. 13 or fewer days) and with a depression diagnosis among farmers versus non-farmers.</p><p><strong>Results: </strong>The analysis included 55,253 individuals, with 2,773 individuals in farming occupations. In unadjusted models, people in farming occupations were significantly more likely than those in non-farming occupations to be older, White, with lower educational attainment, and a lower prevalence of poor mental health days or depression. In adjusted models, farming and non-farming occupations had no significant difference in the odds of having poor mental health days or a depression diagnosis.</p><p><strong>Conclusions: </strong>Sociodemographic differences between farming and non-farming occupations echoed previous findings. Being in a farming occupation was not associated with odds of poor mental health days or a depressive disorder diagnosis compared to non-farming occupations, which supports other findings from national datasets. These findings, along with statistics showing a higher rate of suicide among farmers and farmworkers, suggest that additional research is needed about factors related to farm-related occupational wellness and distress.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"186-197"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"All-Hazard Preparedness Among H-2A Guest Workers.","authors":"Nicandro Mandujano Acevedo, Bethany Boggess, Jocelyn Claudel Suarez, Abigail Riggenbach, Josue Ruiz","doi":"10.1080/1059924X.2026.2615784","DOIUrl":"10.1080/1059924X.2026.2615784","url":null,"abstract":"<p><strong>Objectives: </strong>H-2A workers are a rapidly growing segment of the U.S. farm labor force. They may face unique challenges in emergency preparedness. The primary objectives of this rapid community assessment (RCA) were to assess 1) the prevalence of emergency preparedness training, 2) the prevalence of general emergency preparedness behaviors, and 3) emerging infectious disease vaccination uptake and access to local health care resources among H-2A workers.</p><p><strong>Methods: </strong>Surveys were conducted in Monterey County, California, and Yakima County, Washington, due to the high number of H-2A workers who arrive on a seasonal basis. Participants were recruited at randomly selected housing sites and non-randomly selected community sites. A descriptive analysis of participants' responses and a comparative analysis of Indigenous and non-Indigenous participants were conducted.</p><p><strong>Results: </strong>A total of 307 surveys were completed in-person in Monterey County (<i>n</i> = 144) and Yakima County (<i>n</i> = 163). Data collection took place in August for both counties. The majority of participants had received training on emergency preparedness topics and had access to recommended emergency preparedness items, but this was less common among Indigenous participants. Vaccine uptake was similar among Indigenous and non-Indigenous participants, but uptake of the Tdap/TD vaccine was lower among Indigenous participants.</p><p><strong>Conclusion: </strong>This RCA provides actionable insight into emergency preparedness, healthcare access, and vaccine uptake among H-2A workers. While most participants indicated receiving training on critical aspects of emergency preparedness, a substantial minority had not. Critical gaps remain in emergency preparedness, such as education and overall emergency readiness, that need enhancement in these communities.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"300-312"},"PeriodicalIF":1.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}