Workplace stress likely plays a role in health disparities; however, applying standard measures to studies of immigrants requires thoughtful consideration. The goal of this study was to determine the appropriateness of two measures of occupational stressors (‘decision latitude’ and ‘job demands’) for use with mostly immigrant Latino farm workers. Cross-sectional data from a pilot module containing a four-item measure of decision latitude and a two-item measure of job demands were obtained from a subsample (N = 409) of farm workers participating in the National Agricultural Workers Survey. Responses to items for both constructs were clustered toward the low end of the structured response-set. Percentages of responses of ‘very often’ and ‘always’ for each of the items were examined by educational attainment, birth country, dominant language spoken, task, and crop. Cronbach’s α, when stratified by subgroups of workers, for the decision latitude items were (0.65–0.90), but were less robust for the job demands items (0.25–0.72). The four-item decision latitude scale can be applied to occupational stress research with immigrant farm workers, and potentially other immigrant Latino worker groups. The short job demands scale requires further investigation and evaluation before suggesting widespread use.
There is substantial interest in the role of workplace psychosocial stressors in creating and exacerbating health disparities experienced by racial minorities and immigrants [
Farm workers provide an excellent model for illustrating the challenges of measuring workplace psychosocial stressors among immigrants. There are an estimated 1.4 million hired crop and nursery workers in the United States [
The demands-control model is among the most prominent theories of job stress [
The goal of this study is to determine the appropriateness of decision latitude and job demands measures for use with immigrant Latino (mostly rural Mexican) farm workers. To achieve this goal we used data collected from a field test of a module added to the NAWS to: (1) determine the amount of variability within decision latitude and job demands ratings of farm workers, given the highly physical, low-skilled nature of many farm work jobs; (2) examine variability in decision latitude and job demands ratings by personal and job characteristics; (3) examine internal consistency of items to form scales and scale variation across personal and job characteristics; and (4) determine if decision latitude and job demands ratings are predicted by objectively different job characteristics.
Data for this analysis are from interviews collected during the spring 2006 cycle of the NAWS (N = 409). The NAWS is the primary source of data on U.S. hired farm workers. Each year since federal fiscal year 1989, NAWS interviews have been conducted with a national probability sample of field workers employed in crop agriculture, not including workers with a temporary work permit (H-2A visa). The U.S. Department of Labor (DOL), Employment and Training Administration (ETA) sponsors the NAWS, and it is fielded by a private company under contract to DOL/ETA. Data used for these analyses include those from a National Institute for Occupational Safety and Health (NIOSH)-sponsored psychosocial supplement.
A detailed description of the NAWS sampling, weighting, field data collection procedures and questionnaire can be found elsewhere (see
During each interview cycle, sample selection is implemented in four levels: region, county cluster, employer, and field worker. At the highest level, the NAWS sampling scheme divides the continental United States into 12 regions. Each region in turn consists of clusters of counties that have similar farm labor usage patterns. County selection is made from a roster of randomly selected county clusters. For every cycle, in each region, a random sample of county clusters from the roster is selected. Following this, agricultural employers are selected using simple random sampling. NAWS staff compile a list of agricultural employers from public agency records. Field staff review, supplement, and update the lists annually using local information. A $20 honorarium given to farm workers has enabled the study to achieve an estimated worker response rate of 90 %.
All NAWS data are collected through questionnaires in a face-to-face interview by trained interviewers. Before approaching workers, interviewers are trained to contact the selected farm employers, explain the purpose of the survey, and obtain access to the work site in order to schedule interviews. Interviewers then go to the farm, ranch, or nursery, and select a random sample of workers using field sampling techniques. As such, the sample includes only workers actively employed in agriculture at the time of the interview. DOL obtained Office of Management and Budget approval to add the psychosocial supplement to the NAWS. Human Subjects approval was obtained as a surveillance activity through the Centers for Disease Control and Prevention/NIOSH Human Subjects Internal Review Board. Prior to collecting data, interviewers explained the purpose of the survey to the workers, asked them to participate, and obtained informed consent. Interviewers administered the questionnaire in the location and language of the worker’s choice; in 2006 78 % of interviews were conducted in Spanish. The average interview length of the NAWS questionnaire is about 1 h. The instrument includes questions on sociodemographic, cultural, employment, and job characteristics from the core NAWS questionnaire. Psychosocial questions were included in the 2006 NAWS pilot questionnaire for all respondents; the refusal rate was 40 % for growers and ten percent for farm workers.
The measures used were adapted and condensed from the Job Content Questionnaire [
Decision latitude was measured with four items asking ‘In your current farm work job, how often…’ (1) do you have a lot of say about what happens on your job?’ (2) does your job require a high level of skill?’ (3) do you have the freedom to decide how to do your farm work?’ and (4) does your job require you to be creative?’ Questions 1 and 3 reflected ‘control’ while questions 2 and 4 reflected ‘variety.’ Job demands was measured with two items asking ‘In your current farm work job, how often…: (1) does your job in farm work require you to work very hard?’ and (2) are you asked to do an excessive amount of work?’ The response-set for both the decision latitude and job demands items was: 0 = ‘Never’ or ‘
Several personal and occupational characteristics were used to examine discriminative validity for evaluating the decision latitude and job demands measures. Three personal characteristics with the potential to create systematic sources of response patterns were examined. First, we focused on educational attainment as an indicator of the participants’ ability to understand relatively abstract concepts, and respond to structured interview items. Second, to capture possible cultural variation in item interpretation we considered country of birth (i.e., U.S., Mexico, Other), and third, as an additional indicator of cultural variation in interpretation, we examined language preference for conversing (i.e., English, Spanish, Indigenous language).
Our analyses also focused on job characteristics rated by two substantive experts as likely to have objectively different decision latitude and job demands characteristics. Semi-skilled jobs included all machine operations including preparing and harvesting crops, as well as jobs that involve more decision making and are self-paced such as irrigator and pesticide applicator. The remaining jobs, generally, done by hand were divided into pre-harvest, harvest, and post-harvest; Pre-harvest tasks are related to cultivation and involve pruning and caring for trees, hoeing, thinning, weeding of plants and transplanting when done or assisted by hand as well as caring for seedlings and plants in greenhouses. All of these tasks involve care for the crop so as to ensure future harvest. These jobs are sometimes done individually and in crews, but rarely are they machine-paced. Harvesting jobs are generally performed in crews, under tight supervision and are frequently machine-paced. Post-harvest tasks usually require intense fine motor activity in sorting, packing, labeling, bunching and care for product presentation. They can be machine-paced and are often done in an assembly line-like setting located near or in the fields.
Differences in decision latitude and job demands may also be found in type of crop (field crops, fruits and nuts, horticulture, vegetables, and miscellaneous and multiple crops). For example, tree fruit and nut crops often involve tasks that require working with ladders and implements, such as pruning shears, and consideration such as how and where to place the ladder and which and how much growth should be removed in order to maximize the current year’s harvest while preserving next year’s yield. Vegetable crops generally involve tasks that require stooping and bending, and the required level of care and technique on the part of the worker that is typically determined by the cultivation or harvesting method. Horticultural crops often involve tasks that require workers to be cross-trained to regularly perform multiple activities, such as soil preparation, transplanting, and plant propagation. Field crops, except tobacco, are highly mechanized and the pace of work is often set by the speed of the planter or harvester.
Frequency counts and percentages were calculated for each item for the overall sample and selected subsamples. Counts and percentages were then calculated for those participants responding ‘very often (
Participants were predominantly men (78 %) from Mexico (72 %) (
Responses to the decision latitude items were clustered towards the bottom of the scale (
Responses to the job demands questions were also clustered at the low end of the response set (
First we examined variability in item response across personal characteristics as potential sources of difference in item understanding. Percentages for responses of ‘very often’ and ‘always’ to each item by educational attainment, country of birth, and primary language spoken are presented in
Farm workers who reported having higher education and being born in the U.S. had higher percentages of indicating “very often” and “always” to each decision latitude item. In addition, a greater percentage of farm workers whose dominant spoken language was English in contrast to those whose dominant language was Spanish reported ‘very often’ or ‘always’ for 3 of the 4 decision latitude items.
Response patterns for educational attainment were less clear by educational attainment. A greater percentage of farm workers having 10 or more years of education in contrast to those with less education reported ‘very often’ or ‘always’ for the item ‘my job requires working hard.’ Responses to the item ‘asked to do excessive work’ did not differ by education. Neither country of birth, nor dominant language spoken were significantly associated with either job demand item.
The second approach to evaluating differential response patterns was consideration of the consistency and correspondence of farm worker ratings across jobs with known variability in decision latitude and job demands. To examine the relationship between scale items and job characteristics, we compared the percent of farm workers responding ‘very often’ or ‘always’ to each item by crop and task categories (
Farm workers performing semi-skilled tasks had higher percentages of responses of ‘very often’ or ‘always’ to each decision latitude item compared to pre-harvest, harvest, and other tasks. Counter to our expectation, farm workers who worked in field crops had higher percentages of responses of ‘very often’ or ‘always’ to 3 of the 4 decision latitude items compared to those working on other crops.
For the item ‘job requires working hard’ farm workers performing semi-skilled tasks had a higher percentage of responses of ‘very often’ or ‘always’ compared to pre-harvest. Percentages between tasks for the item ‘asked to do excessive work’ were not significantly different. Farm workers who worked in field crops had higher percentages of responses of ‘very often’ or ‘always’ to the item ‘job requires working hard’ than those in working in other crops The percentages of responses of ‘very often’ or ‘always’ did not significantly differ by crop for the item ‘asked to do excessive work’.
The Cronbach’s α for the decision latitude scale showed good internal consistency (α = 0.85; 95 % CI 0.72–0.99) (
Results of multivariate regression analyses examining associations of high decision latitude and high psychological demands scores with personal and job characteristics are presented in
The job demands-control model is widely used in occupational stress research. Although there have been some applications of the demands-control model to health-related outcomes among immigrant workers [
The item-set intended to measure decision latitude (i.e., the ‘control’ element of the demands-control model) performed well. Farm workers’ responses to each of the decision latitude items clustered at the low end of the response continuum, which was expected given previous qualitative analyses of these items [
The second main finding of this analysis is that the items intended to measure psychological demands (i.e., the ‘demands’ element of the demands-control model) performed comparatively poorly. Like the decision latitude items, responses to the individual demands items clustered toward the low end of the response continuum. However, unlike the decision latitude items, there was no clear pattern in bivariate differences observed in responses to individual items. For example, although previous research suggests that individuals with higher levels of education report greater psychological demands (see Landsbergis et al. [
The results of this study must be interpreted in light of its limitations. Foremost is the absence of a gold-standard criterion for evaluating the construct and discriminative validity of the scales measuring job demands and decision latitude. Thus, further research will require the development of alternative strategies for validating measures of farm worker psychosocial workplace characteristics. The number of farm workers who reported that their primary spoken language was an indigenous language, for example, was very small (n = 15), suggesting that the pattern of results observed for this subgroup should be interpreted cautiously. Future research with larger samples, from across each of the, so called, ‘migrant streams’, where there is a greater variety of tasks and crops would provide additional insight into these factors that may impact farm worker occupational stress.
The results of this study contribute to the small but growing literature devoted to farm worker occupational health. This is the first study to evaluate instruments intended to measure exposure to workplace psychosocial stressors by immigrant Latino workers. Data were collected from workers employed in crop and nursery agriculture, a sector that may be representative of many jobs occupied by immigrant Latino workers with low levels of education because the work is labor intensive and likely provides little opportunity for workers to exercise control over their tasks while also being exposed to other workplace stressors. The overall pattern of results suggests that farm workers and presumably other Latino immigrants understand and respond appropriately to items intended to measure decision latitude. By contrast, the two-item job demands measure generally behaved poorly. Researchers can, therefore, feel comfortable applying the decision latitude items to studies focused on occupational stress among immigrant Latino workers. However, more theoretical and empirical attention needs to be given to measures of psychological demands before strong conclusions can be made about the importance of this concept to the health of immigrant Latinos.
We would like to thank the farm workers and interviewers for their participation. We would also like to thank Dr. Thomas A. Arcury, Dr. Sara A. Quandt, and Dr. Annie Georges for their careful review of this paper. Funding was provided by the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, and by the U.S., Department of Labor, Employment and Training Administration.
The findings and conclusions in this report are those of the authors, and do not necessarily represent the views of the National Institute for Occupational Safety and Health, nor the U.S. Department of Labor.
Characteristics of the farm worker sample (NAWS, 2006)
| Characteristic | N | % |
|---|---|---|
| Sex | ||
| Male | 318 | 77.7 |
| Female | 91 | 22.2 |
| Country of birth | ||
| Mexico | 294 | 71.9 |
| U.S. | 96 | 23.5 |
| Other | 19 | 4.6 |
| Age (years) | ||
| 18–24 | 107 | 26.2 |
| 25–29 | 61 | 14.9 |
| 30–39 | 92 | 22.5 |
| 40 or more years | 149 | 36.4 |
| Education (years) | ||
| 0–6 | 207 | 50.6 |
| 7–9 | 89 | 21.8 |
| 10 or more years | 113 | 27.6 |
| Marital status | ||
| Not married | 156 | 38.1 |
| Married, away from spouse | 77 | 18.8 |
| Married, with spouse | 176 | 43.0 |
| Dominant spoken language (most comfortable conversing in) | ||
| English | 96 | 23.5 |
| Spanish | 298 | 72.9 |
| Indigenous language | 15 | 3.7 |
| Years working in U.S. agriculture (years) | ||
| 1 or less | 54 | 13.2 |
| 2–3 | 49 | 12.00 |
| 4–7 | 89 | 21.8 |
| 8 or more years | 217 | 53.1 |
| Worker type | ||
| Migrant worker | 105 | 25.7 |
| Settled worker | 304 | 74.3 |
| Documentation to work in U.S. | ||
| No | 218 | 53.3 |
| Yes | 191 | 46.7 |
Frequency of responses to individual decision latitude and job demands items (NAWS, 2006)
| Scale items | Total | Never | Sometimes | Very often | Always | ||||
|---|---|---|---|---|---|---|---|---|---|
| In your current farm work, how often |
|
|
| ||||||
| En su trabajo de campo actual (FW), ¿cuán seguido... | N | N | % | N | % | N | % | N | % |
| Decision latitude | |||||||||
| do you have a lot of say about what happens on your job? | 404 | 154 | 38.1 | 174 | 43.1 | 47 | 11.6 | 29 | 7.2 |
| does your job require a high level of skill? | 405 | 176 | 43.5 | 146 | 36.1 | 60 | 14.8 | 23 | 5.7 |
| do you have freedom to decide how to do your job? | 405 | 166 | 41.0 | 146 | 36.1 | 57 | 14.1 | 36 | 8.9 |
| does your job require being creative? | 401 | 195 | 48.6 | 143 | 35.7 | 37 | 9.2 | 26 | 6.5 |
| Job demands | |||||||||
| does your job require working hard? | 406 | 163 | 40.2 | 204 | 50.3 | 26 | 6.4 | 13 | 3.2 |
| are you asked to do excessive work ? | 406 | 281 | 69.2 | 111 | 27.3 | 9 | 2.2 | 5 | 1.2 |
Variability in percent of responses of ‘very often’ and ‘always’ for decision latitude and job demands items by personal characteristics (education, birth country, and language) (NAWS, 2006)
| Scale items | Total | Educational attainment (years) | Country of birth | Language | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Sample size | 409 | 0−6 | 7−9 | 10+ | U.S. | Mexico | Other | English | Spanish | Indigenous |
| Decision latitude | ||||||||||
| Having a lot to say on job | 18.81 | 13.24 | 14.77 | 32.14 | 35.79 | 13.79 | 10.53 | 35.79 | 14.29 | 0.00 |
| Job requires high skill | 20.49 | 18.14 | 15.73 | 28.57 | 28.42 | 17.53 | 26.32 | 27.37 | 18.98 | 6.67 |
| Freedom to make decisions | 22.96 | 16.18 | 19.10 | 38.39 | 44.21 | 16.49 | 15.79 | 45.26 | 16.95 | 0.00 |
| Job requires being creative | 15.71 | 10.89 | 10.34 | 28.57 | 28.42 | 11.85 | 10.53 | 29.47 | 11.68 | 6.67 |
| Job demands | ||||||||||
| Job requires working hard | 9.61 | 7.84 | 5.62 | 15.93 | 12.50 | 8.93 | 5.26 | 13.54 | 8.81 | 0.00 |
| Asked to do excessive work | 3.45 | 2.94 | 5.62 | 2.65 | 2.08 | 4.12 | 0.00 | 2.08 | 4.07 | 0.00 |
Represents country of birth other than the U.S. or Mexico
Variability in percent of responses of ‘very often’ and ‘always’ for decision latitude and job demands items across tasks and crops (NAWS, 2006)
| Scale items | Tasks | Crops | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Sample size | Pre- | Harvest | Post- | Semi- | Other | Field | Fruits and | Horticulture | Vegetables | Miscellaneous and |
| Decision latitude | ||||||||||
| Having a lot to say | 13.54 | 5.71 | 16.00 | 29.49 | 20.00 | 40.00 | 10.53 | 17.42 | 12.50 | 35.71 |
| Job requires high | 15.63 | 2.86 | 11.54 | 38.46 | 20.00 | 31.67 | 15.79 | 21.15 | 16.25 | 21.43 |
| Freedom to make | 17.71 | 8.57 | 19.23 | 35.90 | 23.53 | 50.00 | 10.53 | 23.72 | 15.00 | 28.57 |
| Job requires being | 12.63 | 0.00 | 12.50 | 26.92 | 15.98 | 46.67 | 3.16 | 15.79 | 7.50 | 14.29 |
| Job demands | ||||||||||
| Job requires | 3.13 | 8.57 | 8.33 | 17.95 | 9.83 | 21.67 | 8.60 | 8.18 | 2.50 | 21.43 |
| Asked to do | 0.00 | 2.86 | 4.17 | 1.28 | 6.36 | 0.00 | 3.23 | 5.66 | 0.00 | 14.29 |
Estimated internal consistency (Cronbach’s α) and 95 % confidence intervals (CI) for decision latitude and job demands by educational attainment, birth country, and dominant language spoken (NAWS, 2006)
| Decision latitude | Job demands | |||
|---|---|---|---|---|
| Alpha | 95 % CI | Alpha | 95 % CI | |
| Total sample | 0.85 | (0.72–0.99) | 0.69 | (0.48–0.91) |
| Educational attainment (years) | ||||
| 0–6 | 0.83 | (0.69–0.98) | 0.72 | (0.53–0.92) |
| 7–9 | 0.87 | (0.76–0.99) | 0.71 | (0.50–0.92) |
| 10 or more years | 0.82 | (0.65–0.98) | 0.59 | (0.30–0.88) |
| Birth country | ||||
| U.S. | 0.85 | (0.71–0.95) | 0.67 | (0.44–0.90) |
| Mexico | 0.82 | (0.67–0.98) | 0.70 | (0.50–0.91) |
| Other | 0.65 | (0.41–0.98) | 0.25 | (0.00–0.77) |
| Language | ||||
| English | 0.81 | (0.65–0.98) | 0.66 | 0.41–0.91 |
| Spanish | 0.84 | (0.69–0.98) | 0.69 | 0.45–0.91 |
| Indigenous | 0.90 | (0.86–0.94) | 0.55 | 0.27–0.83 |
Represents country of birth other than the U.S. or Mexico
Logistic regression models for decision latitude and job demands, odds ratios (OR) and 95 % confidence intervals (CI) (NAWS, 2006)
| Characteristics | Decision | Job demands | ||
|---|---|---|---|---|
| OR | 95 % CI | OR | 95 % CI | |
| Sex | ||||
| Men versus women | 1.11 | (0.57, 2.15) | 0.81 | (0.44, 1.48) |
| Marital status | ||||
| Not married versus married | 0.92 | (0.42, 2.02) | 1.05 | (0.51, 2.18) |
| Married and not living with | 0.61 | (0.34, 1.12) | 0.94 | (0.54, 1.63) |
| Educational attainment (years) | ||||
| 7–9 versus ≤6 | 1.34 | (0.69, 2.58) | 1.02 | (0.52, 1.81) |
| ≥10 versus ≤6 | 1.96 | (0.84, 4.57) |
|
|
| Country of birth | ||||
| Born in Mexico versus | 1.03 | (0.14, 7.59) | 2.59 | (0.35, 19.43) |
| Born in other | 1.54 | (0.18, 13.01) | 4.19 | (0.48, 36.73) |
| Dominant language spoken | ||||
| Spanish versus English | 0.11 | (0.01, 2.23) | 0.15 | (0.01, 1.69) |
| Indigenous versus English | 0.50 | (0.07, 3.68) | 0.53 | (0.07, 4.00) |
| Documentation | ||||
| Has documentation to work | 1.39 | (0.72, 2.68) | 0.78 | (0.41, 1.48) |
| Years working in U.S. | ||||
| 2–3versus ≤1 |
|
|
|
|
| 4–7 years versus ≤1 |
|
|
|
|
| ≥8 versus ≤1 |
|
|
|
|
| Migrant worker—yes | 1.17 | (0.59, 2.30) | 1.61 | (0.85, 3.04) |
| Type of employer | 1.96 | (0.83, 4.63) | ||
| Grower/nursery/packing |
|
| ||
| Crop | ||||
| Fruits and nuts versus field | 0.26 | (0.10, 0.68) | 0.43 | (0.18, 1.06) |
| Horticulture versus field | 0.37 | (0.14, 1.00) | 0.41 | (0.17, 1.02) |
| Vegetables versus field | 0.48 | (0.17, 1.38) | 0.69 | (0.26, 1.83) |
| Miscellaneous and multiple | 0.88 | (0.21, 3.73) | 1.46 | (0.30, 6.98) |
| Task | ||||
| Pre-harvest versus semi- | 0.75 | (0.32, 1.79) | 0.91 | (0.42, 1.96) |
| Harvest versus semi-skilled | 0.39 | (0.11, 1.45) | 1.13 | (0.39, 3.27) |
| Post-harvest versus semi- | 0.46 | (0.14, 1.48) | 0.83 | (0.29, 2.37) |
| Other versus semi-skilled | 0.54 | (0.23, 1.27) | 0.84 | (0.39, 1.81) |
| Wages | ||||
| Quartile 2 versus Quartile |
|
| 1.49 | (0.76, 2.92) |
| Quartile 3 versus Quartile1 |
|
| 1.92 | (0.93, 3.96) |
| Quartile 4 versus Quartile |
|
| 1.16 | (0.55, 2.44) |
Values in bold are those that are significant at
Both personal characteristics and job characteristics are included in each model
C-statistic for decision latitude is 0.831 and c-statistic for job demands is 0.723
Other represents country of birth other than the U.S. or Mexico