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Stress and Distress: Mental Health Among Latinx Farmworkers in the Eastern United States

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Latinx Farmworkers in the Eastern United States

Abstract

Migrant and seasonal farmworkers experience substantial stress resulting from their difficult work, low income, separation from family, experiences of discrimination, and poor housing. This chapter is centered on a stress/distress model. This model posits that stressors are both structural and situational. Stress levels can be countered by positive or negative coping behaviors. Distress results from chronic, unmitigated stress and may contribute to mental health conditions such as depression, anxiety, and alcohol use disorders. The chapter summarizes the current sparse literature on mental health research among farmworkers in the eastern United States. Symptom levels for anxiety and depression are highly variable, with studies reporting 0–23% prevalence for anxiety and 7–52% for depression. Alcohol use disorders are common, particularly among men, with most studies reporting more than 30% prevalence. Although variable, the evidence suggests that farmworkers in the eastern US have a substantial burden of mental distress that is untreated. Future directions for research, practice, and policy are suggested.

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References

  • Alderete E, Vega WA, Kolody B et al (2000) Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California. Am J Public Health 90:608–614

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Alegría M, Mulvaney-Day N, Torres M et al (2007) Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health 97:68–75

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Quandt SA (2007) Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health 28:345–363

    Article  PubMed  Google Scholar 

  • Arcury TA, Summers P (2015) Farmworker housing: a photo essay. New Solut 25:353–361

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Weir MM, Summers P et al (2012a) Safety, security, hygiene and privacy in migrant farmworker housing. New Solut 22:153–173

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Weir M, Chen H et al (2012b) Migrant farmworker housing regulation violations in North Carolina. Am J Ind Med 55:191–204

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Trejo G, Suerken CK et al (2015) Work and health among Latina mothers in farmworker families. J Occup Environ Med 57:292–299

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Talton JW, Summers P et al (2016) Alcohol consumption and risk for dependence among male Latino migrant farmworkers compared to Latino nonfarmworkers in North Carolina. Alcohol Clin Exp Res 40:377–384

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Sandberg JC, Talton JW et al (2018) Mental health among Latina farmworkers and other employed Latinas in North Carolina. Rural Ment Health 42:89–101

    Article  PubMed  PubMed Central  Google Scholar 

  • Arcury TA, Furgurson KF, O’Hara HM et al (2019) Conventional and complementary therapy use among Mexican farmworkers in North Carolina: applying the I-CAM-Q. J Agromedicine 24:257–267

    Article  PubMed  PubMed Central  Google Scholar 

  • Asnaani A, Richey JA, Dimaite R et al (2010) A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. J Nerv Ment Dis 198:551–555

    Article  PubMed  PubMed Central  Google Scholar 

  • Babor TF, Higgins-Biddle JC, Saunders JB et al (2001) The alcohol use disorders identification test: guidelines for use in primary care, 2nd edn. World Health Organization, Geneva

    Google Scholar 

  • Baer RD, Penzell D (1993) Research report: susto and pesticide poisoning among Florida farmworkers. Cult Med Psychiatry 17:321–327

    Article  CAS  PubMed  Google Scholar 

  • Baik SH, Fox RS, Mills SD et al (2019) Reliability and validity of the Perceived Stress Scale-10 in Hispanic Americans with English or Spanish language preference. J Health Psychol 24:628–639

    Google Scholar 

  • Beck AT (1972) Measuring depression: the depression inventory. In: Katz MM, Williams TA, Shield JA (eds) Recent advances in the psychobiology of the depressive illnesses. US Government Printing Office, Washington, DC, pp 299–302

    Google Scholar 

  • Boggess B, Bogue HO (2016) The health of U.S. agricultural worker families: a descriptive study of over 790,000 migratory and seasonal agricultural workers and dependents. J Health Care Poor Underserved 27:778–792

    Article  PubMed  Google Scholar 

  • Brody DJ, Pratt LA, Hughes JP (2018) Prevalence of depression among adults aged 20 and over: United States, 2013–2016. NCHS Data Brief, no 303. https://www.cdc.gov/nchs/products/databriefs/db303.htm. Accessed 6 Aug 2019

  • Center for Behavioral Health Statistics and Quality (2016) Results from the 2015 National Survey on Drug Use and Health: detailed tables. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf. Accessed 6 Aug 2019

  • Chaney BH, Torres E (2017) Covariates of identified stress and depression among seasonal farmworkers. Int J Environ Res Public Health 14:E711

    Article  PubMed  Google Scholar 

  • Chaney EH, Burke SC, Rager RC et al (2011) Development of an instrument to assess stress, depression, and coping among Latino migrant and seasonal farmworkers. Am J Health Stud 26:236–248

    Google Scholar 

  • Cherpitel CJ (2002) Screening for alcohol problems in the US general population: comparison of the CAGE, RAPS4, and RAPS4-QF by gender, ethnicity, and service utilization. Alcohol Clin Exp Res 26:1686–1691

    Article  PubMed  Google Scholar 

  • Cherry DJ, Rost K (2009) Alcohol use, comorbidities, and receptivity to treatment in Hispanic farmworkers in primary care. J Health Care Poor Underserved 20:1095–1110

    Article  PubMed  Google Scholar 

  • Cleveland Clinic (2015) What is stress? Cleveland, OH: Cleveland Clinic. https://my.clevelandclinic.org/health/articles/11874-stress. Accessed 6 Aug 2019

  • Clingerman EM, Brown A (2012) Stress in migrant farmworkers during premigration. Biol Res Nurs 14:27–37

    Article  PubMed  Google Scholar 

  • Crain R, Grzywacz JG, Schwantes M et al (2012) Correlates of mental health among Latino farmworkers in North Carolina. J Rural Health 28:277–285

    Article  PubMed  Google Scholar 

  • Dueweke AR, Hurtado G, Hovey JD (2015) Protective psychosocial resources in the lives of Latina migrant farmworkers. Rural Ment Health 39:162–177

    Article  Google Scholar 

  • Early J, Davis SW, Quandt SA et al (2006) Housing characteristics of farmworker families in North Carolina. J Immigr Minor Health 8:173–184

    Article  PubMed  Google Scholar 

  • Fantoni-Salvador P, Rogers R (1997) Spanish versions of the MMPI-2 and PAI: an investigation of concurrent validity with Hispanic patients. Assessment 4:29–39

    Article  Google Scholar 

  • Gamer S (2015) Farmworker overtime across the states. The Issue Spotter, Cornell Journal of Law and Public Policy. http://jlpp.org/blogzine/farmworker-overtime-across-the-states/. Accessed 25 Jul 2019

  • García V (2008) Problem drinking among transnational Mexican migrants: exploring migrant status and situational factors. Hum Organ 67:12–24

    Article  PubMed  PubMed Central  Google Scholar 

  • Gentry AL, Grzywacz JG, Quandt SA et al (2007) Housing quality among North Carolina farmworker families. J Agric Saf Health 13:323–337

    Article  CAS  PubMed  Google Scholar 

  • Georges A, Alterman T, Gabbard S et al (2013) Depression, social factors, and farmworker health care utilization. J Rural Health 29:s7–s16

    Article  PubMed  Google Scholar 

  • Grant BF, Chou SP, Saha TD et al (2017) Prevalence of 12-month alcohol use, high-risk drinking, and DSM-IV alcohol use disorder in the United States, 2001–2002 to 2012–2013: results from the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiat 74:911–923

    Google Scholar 

  • Grzywacz JG, Quandt SA, Early J et al (2006) Leaving family for work: ambivalence and mental health among Mexican migrant farmworker men. J Immigr Minor Health 8:85–97

    Article  PubMed  Google Scholar 

  • Grzywacz JG, Arcury TA, Márin A et al (2007) Work-family conflict: experiences and health implications among immigrant Latinos. J Appl Psychol 92:1119–1130

    Article  PubMed  Google Scholar 

  • Grzywacz JG, Quandt SA, Chen H et al (2010) Depressive symptoms among Latino farmworkers across the agricultural season: structural and situational influences. Cultur Divers Ethnic Minor Psychol 16:335–343

    Article  PubMed  PubMed Central  Google Scholar 

  • Grzywacz JG, Chatterjee AB, Quandt SA et al (2011) Depressive symptoms and sleepiness among Latino farmworkers in eastern North Carolina. J Agromedicine 16:251–260

    Article  PubMed  PubMed Central  Google Scholar 

  • Grzywacz JG, Alterman T, Gabbard S et al (2014) Job control, psychological demand, and farmworker health: evidence from the National Agricultural Workers Survey. J Occup Environ Med 56:66–71

    Google Scholar 

  • Herbert J (1997) Fortnightly review: stress, the brain, and mental illness. BMJ 315:530–535

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hill BG, Moloney AG, Mize T et al (2011) Prevalence and predictors of food insecurity in migrant farmworkers in Georgia. Am J Public Health 101:831–833

    Article  PubMed  PubMed Central  Google Scholar 

  • Hiott AE, Grzywacz JG, Davis SW et al (2008) Migrant farmworker stress: mental health implications. J Rural Health 24:32–39

    Article  PubMed  Google Scholar 

  • Hoerster KD, Mayer JA, Gabbard S et al (2011) Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers. Am J Public Health 101:685–692

    Article  PubMed  PubMed Central  Google Scholar 

  • Hovey JD (2001) Depression in migrant farmworkers. Farmworker News 7:1–4

    Google Scholar 

  • Hovey JD, Magaña CG (2000) Acculturative stress, anxiety, and depression among Mexican immigrant farmworkers in the Midwest United States. J Immigr Health 2:119–131

    Article  CAS  PubMed  Google Scholar 

  • Hovey JD, Magaña CG (2002) Mental health assessment: breaking new ground in Colorado. In: Paper presented at the 12th Migrant Farmworker Midwestern Stream Forum, Austin, TX

    Google Scholar 

  • Ip EH, Saldana S, Arcury TA et al (2015) Profiles of food security for US farmworker households and factors related to dynamic of change. Am J Public Health 105:e42–e47

    Article  PubMed  PubMed Central  Google Scholar 

  • Kessler RC, Ustün TB (2004) The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13:93–121

    Article  PubMed  Google Scholar 

  • Kim-Godwin YS, Bechtel GA (2004) Stress among migrant and seasonal farmworkers in rural southeast North Carolina. J Rural Health 20:271–278

    Article  PubMed  Google Scholar 

  • Kim-Godwin YS, Maume MO, Fox JA (2014) Depression, stress, and intimate partner violence among Latino migrant and seasonal farmworkers in rural southeastern North Carolina. J Immigr Minor Health 16:1217–1224

    Google Scholar 

  • Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kroenke K, Spitzer RL, Williams JB (2003) The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care 41:1284–1292

    Google Scholar 

  • Lambar EF, Thomas G (2019) The health and well-being of North Carolina’s farmworkers: the importance of inclusion, accessible services and personal connection. N C Med J 80:107–112

    PubMed  Google Scholar 

  • Luque JS, Reyes-Ortiz C, Marella P et al (2012) Mobile farm clinic outreach to address health conditions among Latino migrant farmworkers in Georgia. J Agromedicine 17:386–397

    Article  PubMed  Google Scholar 

  • Magan I, Sanz J, Garcia-Vera MP (2008) Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in general population. Span J Psychol 11:626–640

    Article  PubMed  Google Scholar 

  • Magaña CG, Hovey JD (2003) Psychosocial stressors associated with Mexican migrant farmworkers in the midwest United States. J Immigr Health 5:75–86

    Article  PubMed  Google Scholar 

  • Marshall SA, Ip EH, Suerken CK et al (2018) Relationship between maternal depression and child weight outcomes in Latino farmworker families. Matern Child Nutr 14:e12614

    Article  PubMed  PubMed Central  Google Scholar 

  • McClure HH, Josh Snodgrass J, Martinez CR Jr et al (2015) Stress, place, and allostatic load among Mexican immigrant farmworkers in Oregon. J Immigr Minor Health 17:1518–1525

    Article  PubMed  Google Scholar 

  • Mills SD, Fox RS, Malcarne VL et al (2014) The psychometric properties of the Generalized Anxiety Disorder-7 Scale in Hispanic Americans with English or Spanish language preference. Cultur Divers Ethnic Minor Psychol 20:463–468

    Article  PubMed  PubMed Central  Google Scholar 

  • Mora DC, Quandt SA, Chen H et al (2016) Associations of poor housing with mental health among North Carolina Latino migrant farmworkers. J Agromedicine 21:327–334

    Article  PubMed  PubMed Central  Google Scholar 

  • National Alliance on Mental Illness (2019) Mental health by the numbers. Arlington, VA: National Alliance on Mental Illness. https://www.nami.org/learn-more/mental-health-by-the-numbers. Accessed 6 Aug 2019

  • National Institute of Mental Health (NIMH) (2017) Any anxiety disorder. https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder.shtml. Accessed 6 Aug 2019

  • Nguyen HT, Quandt SA, Grzywacz JG et al (2012) Stress and cognitive function in Latino farmworkers. Am J Ind Med 55:707–713

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Connor K, Stoecklin-Marois M, Schenker MB (2015) Examining nervios among immigrant male farmworkers in the MICASA study: sociodemographics, housing conditions and psychosocial factors. J Immigr Minor Health 17:198–207

    Article  PubMed  Google Scholar 

  • Pascoe EA, Smart Richman L (2009) Perceived discrimination and health: a meta-analytic review. Psychol Bull 135:531–554

    Article  PubMed  PubMed Central  Google Scholar 

  • Paul KC, Sinsheimer JS, Cockburn M et al (2017) Organophosphate pesticides and PON1 L55M in Parkinson’s disease progression. Environ Int 107:75–81

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pearlin LI, Lieberman MA, Menaghan EG et al (1981) The stress process. J Health Soc Behav 22:337–356

    Article  CAS  PubMed  Google Scholar 

  • Pulgar CA, Trejo G, Suerken C et al (2016) Economic hardship and depression among women in Latino farmworker families. J Immigr Minor Health 18:497–504

    Article  PubMed  PubMed Central  Google Scholar 

  • Quandt SA, Shoaf JI, Tapia J et al (2006) Experiences of Latino immigrant families in North Carolina help explain elevated levels of food insecurity and hunger. J Nutr 136:2638–2644

    Article  CAS  PubMed  Google Scholar 

  • Quandt SA, Wiggins MF, Chen H et al (2013) Heat index in migrant farmworker housing: implications for rest and recovery from work-related heat stress. Am J Public Health 103:e24–e26

    Article  PubMed  PubMed Central  Google Scholar 

  • Radloff LS (1977) The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401

    Article  Google Scholar 

  • Ramos AK, Su D, Lander L et al (2015) Stress factors contributing to depression among Latino migrant farmworkers in Nebraska. J Immigr Minor Health 17:1627–1634

    Article  PubMed  Google Scholar 

  • Ramos AK, Carlo G, Grant K et al (2016) Stress, depression, and occupational injury among migrant farmworkers in Nebraska. Safety (Basel) 2:23

    Article  Google Scholar 

  • Reid MC, Fiellin DA, O’Connor PG (1999) Hazardous and harmful alcohol consumption in primary care. Arch Intern Med 159:1681–1689

    Google Scholar 

  • Rhodes SD, Bischoff WE, Burnell JM et al (2010) HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: findings from a pilot CBPR study. Am J Ind Med 53(10):976–983

    Article  PubMed  PubMed Central  Google Scholar 

  • Robinson E, Nguyen HT, Isom S et al (2011) Wages, wage violations, and pesticide safety experienced by migrant farmworkers in North Carolina. New Solut 21:251–268

    Article  PubMed  PubMed Central  Google Scholar 

  • Roblyer MI, Grzywacz JG, Suerken CK et al (2016) Interpersonal and social correlates of depressive symptoms among Latinas in farmworker families living in North Carolina. Women Health 56:177–193

    Article  PubMed  Google Scholar 

  • Rubel AJ (1964) The epidemiology of a folk illness: Susto in Hispanic America. Ethnology 3:268–283

    Article  Google Scholar 

  • Rumbaut RG (1997) Introduction: Immigration and incorporation. Sociol Perspect 40:333–338

    Article  Google Scholar 

  • Saitz R, Lepore MF, Sullivan LM et al (1999) Alcohol abuse and dependence in Latinos living in the United States: validation of the CAGE (4M) questions. Arch Intern Med 159:718–724

    Article  CAS  PubMed  Google Scholar 

  • Sánchez J (2015) Alcohol use among Latino migrant workers in South Florida. Drug Alcohol Depend 151:241–249

    Article  PubMed  Google Scholar 

  • Sandberg JC, Grzywacz JG, Talton JW et al (2012) A cross-sectional exploration of excessive daytime sleepiness, depression, and musculoskeletal pain among migrant farmworkers. J Agromedicine 17:70–80

    Article  PubMed  PubMed Central  Google Scholar 

  • Sandberg JC, Nguyen HT, Quandt SA et al (2016) Sleep quality among Latino farmworkers in North Carolina: examination of the job control-demand-support model. J Immigr Minor Health 18:532–541

    Article  PubMed  PubMed Central  Google Scholar 

  • Shipp EM, Cooper SP, del Junco DJ et al (2009) Chronic back pain and associated work and non-work variables among farmworkers from Starr County, Texas. J Agromedicine 14:22–32

    Article  PubMed  Google Scholar 

  • Smith MN, Wilder CS, Griffith WC et al (2015) Seasonal variation in cortisol biomarkers in Hispanic mothers living in an agricultural region. Biomarkers 20:299–305

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tribble AG, Summers P, Chen H et al (2016) Musculoskeletal pain, depression, and stress among Latino manual laborers in North Carolina. Arch Environ Occup Health 71:309–316

    Article  PubMed  Google Scholar 

  • US Department of Labor (2019) Minimum wage laws in the states. https://www.dol.gov/whd/minwage/america.htm. Accessed 25 Jul 2019

  • Vega W, Warheit G, Palacio R (1985) Psychiatric symptomatology among Mexican American farmworkers. Soc Sci Med 20:39–45

    Article  CAS  PubMed  Google Scholar 

  • Weigel MM, Armijos RX, Hall YP et al (2007) The household food insecurity and health outcomes of U.S.–Mexico border migrant and seasonal farmworkers. J Immigr Minor Health 9:157–169

    Article  PubMed  Google Scholar 

  • Winkelman SB, Chaney EH, Bethel JW (2013) Stress, depression and coping among Latino migrant and seasonal farmworkers. Int J Environ Res Public Health 10:1815–1830

    Article  PubMed  Google Scholar 

  • Xiao H, Stoecklin-Marois M, Li CS et al (2014) Depression, perceived stress and nervios associated with injury in the MICASA study, a California farm worker population. Field Actions Sci Rep 2014:10

    Google Scholar 

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Furgurson, K.F., Quandt, S.A. (2020). Stress and Distress: Mental Health Among Latinx Farmworkers in the Eastern United States. In: Arcury, T., Quandt, S. (eds) Latinx Farmworkers in the Eastern United States. Springer, Cham. https://doi.org/10.1007/978-3-030-36643-8_4

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