Farmworkers in the US are a medically underserved group, who are largely uninsured, foreign-born, and working in a hazardous industry. This review addresses the challenges of providing health services for this priority population to study the numerous health access barriers that face migrant and seasonal farmworkers (MSFW), evaluates the services provided at mobile clinics, summarizes practice models for community-academic partnerships, and synthesizes the literature on effective partnership approaches to deliver these services. Because MSFW are a difficult group to reach and access, mobile farmworker clinics provide an opportunity for unique student training experiences, in addition to small survey and feasibility studies. A literature search was conducted to identify articles for the review. Out of 196 articles identified by the article databases and manual search techniques, 18 articles were finally selected for the review based on predetermined inclusion and exclusion criteria. Half of the articles were classified as case studies or descriptive studies with lessons learned. Only three articles were classified as research studies, and six articles were not classified as research studies, but rather descriptions of the clinics only. Many of the partnership models were structured with the lead agency as either the academic partner or an Area Health Education Center. The academic partner was usually a nursing school, and less frequently a medical school. Other service partners frequently mentioned were federally-qualified Community Health Centers, Migrant Health Centers, and health departments. The review found that service partnerships were characterized by collaboration between academic institutions and community organizations, with a lead agency driving sustainability efforts.
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Arcury, T. A., & Quandt, S. A. (2007). Delivery of health services to migrant and seasonal farmworkers. Annual Review of Public Health, 28, 345–363.
McCauley, L. A. (2005). Immigrant workers in the United States: Recent trends, vulnerable populations, and challenges for occupational health. AAOHN Journal, 53(7), 313–319.
Kugel, C., & Zuroweste, E. L. (2010). The state of health care services for mobile poor populations: History, current status, and future challenges. Journal of Health Care for the Poor and Underserved, 21(2), 421–429.
Carroll, C., Samardick, R., Bernard, S., Gabbard, S., & Hernandez, T. (2005). Findings from the National Agricultural Workers Survey (NAWS) 2001–2002: A demographic and employment profile of United States Farm Workers, vol. Rep. 9. Washington, DC: Department of Labor.
Villarejo, D. (2003). The health of U.S. hired farm workers. Annual Review of Public Health, 24, 175–193.
Carr, D. D. (2006). Implications for case management: ensuring access and delivery of quality health care to undocumented immigrant populations. Lippincotts Case Management, 11(4), 195–204. (quiz 205–196).
Arcury, T. A., & Quandt, S. A. (2009). The health and safety of farmworkers in the Eastern United States: a need to focus on social justice. In T. A. Arcury & S. A. Quandt (Eds.), Latino farmworkers in the Eastern United States. New York: Springer.
Lambert, M. I. (1995). Migrant and seasonal farm worker women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 24(3), 265–268.
Albritton, T. A., & Wagner, P. J. (2002). Linking cultural competency and community service: A partnership between students, faculty, and the community. Academic Medicine, 77(7), 738–739.
Butterfoss, F. D., & Kegler, M. C. (2009). The community coaltion action theory. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health. San Francisco: Jossey-Bass.
Luque, J. S., Tyson, D. M., Bynum, S. A., Noel-Thomas, S., Wells, K. J., Vadaparampil, S. T., et al. (2011). A social network analysis approach to understand changes in a cancer disparities community partnership network. Annals of Anthropological Practice, 35(2), 112–135.
Morris, C. T. (2011). Assessing and achieving diversity of participation in the grant-inspired community-based public health coalition. Annals of Anthropological Practice, 35(2), 43–65.
Kegler, M. C., & Swan, D. W. (2012). Advancing coalition theory: The effect of coalition factors on community capacity mediated by member engagement. Health Education Research, 27(4), 572–584.
Morris, C. T., & Luque, J. S. (2011). Anthropological insights on effective community-based coalition practice: An introduction. Annals of Anthropological Practice, 35(2), 1–9.
Foster-Fishman, P. G., Berkowitz, S. L., Lounsbury, D. W., Jacobson, S., & Allen, N. A. (2001). Building collaborative capacity in community coalitions: A review and integrative framework. American Journal of Community Psychology, 29(2), 241–261.
Wolff, T. (2001). Community coalition building–contemporary practice and research: Introduction. American Journal of Community Psychology, 29(2), 165–172. (discussion 205–111).
Clingerman, E. (2011). Social justice: A framework for culturally competent care. Journal of Transcultural Nursing, 22(4), 334–341.
Cooper, S. P., Heitman, E., Fox, E. E., Quill, B., Knudson, P., Zahm, S. H., et al. (2004). Ethical issues in conducting migrant farmworker studies. Journal of Immigrant Health, 6(1), 29–39.
Garcia, D., Hopewell, J., Liebman, A. K., & Mountain, K. (2012). The migrant clinicians network: Connecting practice to need and patients to care. Journal of Agromedicine, 17(1), 5–14.
Schenker, M. B. (1996). Preventive medicine and health promotion are overdue in the agricultural workplace. Journal of Public Health Policy, 17(3), 275–305.
Rust, G. S. (1990). Health status of migrant farmworkers: A literature review and commentary. American Journal of Public Health, 80(10), 1213–1217.
Wilson, A. H., Wold, J. L., Spencer, L., & Pittman, K. (2000). Primary health care for Hispanic children of migrant farm workers. Journal of Pediatric Health Care, 14(5), 209–215.
Brumitt, J., Garside, L. I., Healthcare, T., Reisch, R., University, P., Marshall, T., et al. (2011). Musculoskeletal healthcare for Latino migrant farmworkers: Interprofessional collaboration to provide service and educate future healthcare providers. Health and Interprofessional Practice, 1(1), eP1002.
Brumitt, J., Reisch, R., Krasnoselsky, K., Welch, A., Rutt, R., Garside, L. I., et al. (2011). Self-reported musculoskeletal pain in Latino vineyard workers. Journal of Agromedicine, 16(1), 72–80.
Connor, A., Layne, L., & Thomisee, K. (2010). Providing care for migrant farm worker families in their unique sociocultural context and environment. Journal of Transcultural Nursing, 21(2), 159–166.
Connor, A., Rainer, L. P., Simcox, J. B., & Thomisee, K. (2007). Increasing the delivery of health care services to migrant farm worker families through a community partnership model. Public Health Nursing, 24(4), 355–360.
Hill, B. G., Moloney, A. G., Mize, T., Himelick, T., & Guest, J. L. (2011). Prevalence and predictors of food insecurity in migrant farmworkers in Georgia. American Journal of Public Health, 101(5), 831–833.
Himelick, T. (2007). The South Georgia farmworker health project. Migrant Health Newsline, 24(3), 1–2.
Goldsmith, D. F., & Sisneros, G. C. (1996). Cancer prevention strategies among California farmworkers: Preliminary findings. Journal of Rural Health, 12(4 Suppl), 343–348.
Luque, J. S., Tyson, D. M., Markossian, T., Lee, J. H., Turner, R., Proctor, S., et al. (2011). Increasing cervical cancer screening in a Hispanic migrant farmworker community through faith-based clinical outreach. Journal of Lower Genital Tract Disease, 15(3), 200–204.
Luque, J. S., Reyes-Ortiz, C., Marella, P., Bowers, A., Panchal, V., & Charles, S. (2012) Mobile farm clinic outreach to address health conditions among Latino migrant farmworkers in Georgia. Journal of Agromedicine, 17(4), 386–397.
Sherrill, W., Crew, L., Mayo, R. B., Mayo, W. F., Rogers, B. L., & Haynes, D. F. (2005). Educational and health services innovation to improve care for rural Hispanic communities in the USA. Rural and Remote Health, 5(4), 402.
Ochoa-Bogue, H. (2012). Migratory and seasonal agricultural workers: Eligibility and verification. Migrant Health Newsline, 2, 1–5.
Farquhar, S., Shadbeh, N., Samples, J., Ventura, S., & Goff, N. (2008). Occupational conditions and well-being of indigenous farmworkers. American Journal of Public Health, 98(11), 1956–1959.
Arcury, T. A. (2009). Challenges in conducting farmworker research. Migrant Health Newsline, 26(3), 1–3.
Rao, P., Arcury, T. A., & Quandt, S. A. (2004). Student participation in community-based participatory research to improve migrant and seasonal farmworker environmental health: Issues for success. The Journal of Environmental Education, 35(2), 3–15.
Norris, T. E., House, P., Schaad, D., Mas, J., & Kelday, J. M. (2003). Student providers aspiring to rural and underserved experiences at the University of Washington: Promoting team practice among the health care professions. Academic Medicine, 78(12), 1211–1216.
Goldstein, A. O., Calleson, D., Bearman, R., Steiner, B. D., Frasier, P. Y., & Slatt, L. (2009). Teaching advanced leadership skills in community service (ALSCS) to medical students. Academic Medicine, 84(6), 754–764.
Heravi, M., & Bertram, J. E. (2007). A novel resource model for underprivileged health support: Community medical outreach. Rural and Remote Health, 7(1), 668.
Wheat, J. R., Turner, T. J., Weatherly, L., & Wiggins, O. S. (2003). Agromedicine focus group: Cooperative extension agents and medical school instructors plan farm field trips for medical students. Southern Medical Journal, 96(1), 27–31.
Treadwell, H. M., & Ro, M. (2003). Poverty, race, and the invisible men. American Journal of Public Health, 93(5), 705–707.
Sobralske, M. (2006). Machismo sustains health and illness beliefs of Mexican American men. J Am Acad Nurse Pract, 18(8), 348–350.
Porche, D. J., & Willis, D. G. (2004). Nursing and men’s health movement: Considerations for the 21st century. Nursing Clinics of North America, 39(2), 251–258.
Garfield, C. F., Isacco, A., & Rogers, T. E. (2008). A review of men’s health and masculinity. American Journal of Lifestyle Medicine, 2(6), 474–487.
Meade, C. D., Calvo, A., & Rivera, M. (2002). Screening and community outreach programs for priority populations: Considerations for oncology managers. The Journal of Oncology Management, 11(5), 20–28.
Bechtel, G. A., Shepherd, M. A., & Rogers, P. W. (1995). Family, culture, and health practices among migrant farmworkers. Journal of Community Health Nursing, 12(1), 15–22.
Decker, S. D., & Knight, L. (1990). Functional health pattern assessment: A seasonal migrant farmworker community. Journal of Community Health Nursing, 7(3), 141–151.
Larson, K., McGuire, J., Watkins, E., & Mountain, K. (1992). Maternal care coordination for migrant farmworker women: program structure and evaluation of effects on use of prenatal care and birth outcome. The Journal of Rural Health, 8(2), 128–133.
Poss, J., & Meeks, B. H. (1994). Meeting the health care needs of migrant farmworkers: The experience of the Niagara County Migrant Clinic. Journal of Community Health Nursing, 11(4), 219–228.
Stein, L. M. (1993). Health care delivery to farmworkers in the Southwest: An innovative nursing clinic. Journal of American Academic Nurse Practice, 5(3), 119–124.
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Luque, J.S., Castañeda, H. Delivery of Mobile Clinic Services to Migrant and Seasonal Farmworkers: A Review of Practice Models for Community-Academic Partnerships. J Community Health 38, 397–407 (2013). https://doi.org/10.1007/s10900-012-9622-4
- Migrant labor
- Hispanic health
- Occupational and environmental health
- Community health
- Community partnership
- Social responsibility