Community participatory approaches to Total Worker Health®: improving structural and social determinants of health through community-led interventions.

Details

• Personal Author:
  Gulliot-Wright S
• Description:
  Community-led interventions that address structural and social determinants of health are lacking among (im)migrant workers, especially seafood workers. This lack of medical attention is especially alarming given their high rate of injury and death. The future of work equity demands a research agenda that looks at occupational health holistically, including a focus on social and economic risk factors and a specification of social policies and policy prescriptions to promote equity in the workplace. Therefore, we conducted semi-structured interviews (n=46) and observations (n=56 hrs) with Gulf Coast shrimp fishermen to understand their healthcare experiences and needs as well as policies that are impacting their health. Community-based participatory research (CBPR), a relational model that values the participants as equal partners in research, dissemination, and implementation, guided the interviews. Seafood workers were engaged throughout data collection, analysis, and interpretation and played a significant role in moving the findings from research into actionable change. To address the lack of healthcare options for (im)migrants, and at the request of the seafood workers participating in the ongoing CBPR study, we successfully implemented and treated workers through a free mobile clinic. Many of these individuals had not been seen by a healthcare provider in years, highlighting the importance of community trust and rapport building when addressing interconnected health and safety issues. CBPR, when applied to high-risk occupational settings with underreached populations (e.g., (im)migrant workers), have the ability to improve health and prevent injury. This intervention adds to the growing literature detailing the potential benefits of using CBPR, and meeting people where they are, especially with marginalized populations.
• Subjects:
  Accidents, Occupational Education Health Care Facilities Workforce And Services Health Personnel Occupational Health Safety
• Keywords:
  Community Based Immigrant Workers SDOH Social Determinants Of Health Total Worker Health TWH
• Publisher:
  National Institute for Occupational Safety and Health (NIOSH)
• Document Type:
  Text
• Funding:
  Grant; Cooperative Agreement
• Genre:
  Abstract
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  17
• NIOSHTIC Number:
  nn:20069958
• Citation:
  3rd International Symposium to Advance Total Worker Health(TM), October 12-14, 2022, Bethesda, Maryland. Atlanta, GA: National Institute for Occupational Safety and Health (NIOSH), 2022 Oct; :17
• Federal Fiscal Year:
  2023
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Texas Medical Branch, Galveston
• Peer Reviewed:
  False
• Start Date:
  20210901
• Source Full Name:
  3rd International Symposium to Advance Total Worker Health(TM), October 12-14, 2022, Bethesda, Maryland
• End Date:
  20240831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:afd7e740d3b7a1758c5c05b11e5c1612cc380522ffc0bd474bac77ce4076c8aeb81c80aaad07a1a3923e180da6c3ca4ba4ee870ae9a2210dc30064be03d543b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/181992/cdc_181992_DS1.pdf
• File Type:
  [PDF - 313.02 KB ]