Adoption of Safety Eyewear Among Citrus Harvesters in Rural Florida
The community-based prevention marketing program planning framework was used to adapt an evidence-based intervention to address eye injuries among Florida’s migrant citrus harvesters. Participant-observer techniques, other direct observations, and individual and focus group interviews provided data that guided refinement of a safety eyewear intervention. Workers were attracted to the eyewear’s ability to minimize irritation, offer protection from trauma, and enable work without declines in productivity or comfort. Access to safety glasses equipped with worker-designed features reduced the perceived barriers of using them; deployment of trained peer-leaders helped promote adoption. Workers’ use of safety glasses increased from less than 2% to between 28% and 37% in less than two full harvesting seasons. The combination of formative research and program implementation data provided insights for tailoring an existing evidence-based program for this occupational community and increase potential for future dissemination and worker protection.
KeywordsMigrant farm workers Eye injuries Community health workers Occupational health Rural health
This project was supported by the CDC/Health Promotion and Disease Prevention Centers U48/CCU415803-05, Cooperative Agreement Number 1-U48-DP-000062), Community Based Prevention Marketing: Building Local Capacity for Disease Prevention and Health Promotion, Citrus Worker Pilot Project; NIOSH/CDC Grant Number HHS CCU516863-01; Reducing Eye Injuries in Latino Farm Workers; and ASPH Trans-Association Grant, T3287-22/22 and T3119-23/23 Eye Injury Prevention in Migrant Farmworkers in Florida.
- 1.Glasgow RE, Emmons KM. How can we increase translation of research to practice? Types of evidence needed. Ann Rev Pub Health. 2007;28:13.1–13.21.Google Scholar
- 2.National Institute of Occupational Safety and Health (NIOSH). r2p: Research to practice at NIOSH [cited 3 Jan 2011]. http://www.cdc.gov/niosh/r2p/.
- 3.Brownson RC, Gurney JG, Land G. Evidenced-based decision making is public health. J Pub Health Manag Pract. 1999;5:86–97.Google Scholar
- 4.Maibach EW, Van Duyn MAS, Bloodgood B. A marketing perspective on disseminating evidence-based approaches to disease prevention and health promotion. Prev Chronic Dis 3(3) [cited 4 Jun 2010]. http://www.cdc.gov/pcd/issues/2006/jul/05_0154.htm.
- 5.Van Duyn MAS, McCrae T, Wingrove BK, Henderson KM, Boyd JK, Kagawa-Singer M, et al. Adapting evidence-based strategies to increase physical activity among African Americans, Hispanics, Hmong, and Native Hawaiians: a social marketing approach. Prev Chronic Dis. 2007;4(4) [cited 4 Jun 2010]. http://www.cdc.gov/pcd/issues/2007/oct/07_0025.htm.
- 8.Centers for Disease Control and Prevention. Prevention Research Centers [cited 3 Jan 2011]. http://www.cdc.gov/chronicdisease/resources/publications/AAG/prc.htm.
- 15.Centers for Disease Control and Prevention. Eye injuries to agricultural workers—Minnesota, 1992–1993. MMWR Morb Mortal Wkly Rep. 1995;44(18):364–6.Google Scholar
- 20.FloridaLegal.org. 2010. Facts [cited 4 Jun 2010]. http://www.floridalegal.org/facts.htm.
- 21.Larson AL, Plascencia L. Migrant enumeration project 1993. Rockville (MD): Bureau of Primary Health Care; 1993.Google Scholar
- 22.Roka F, Cook D. Farmworkers in Southwest Florida—final report. University of Florida, Southwest Florida Research and Education Center, Institute of Food and Agricultural Sciences, Gainesville, FL. 1998 [cited 4 Jun 2010]. http://www.fachc.org/pdf/Farmworkers%20in%20Southwest%20Florida.pdf.
- 26.Hubbard JK. Emergence of the role of the village health worker—a new status in Tarahumara society. Border Health. 1985;5(Suppl.):6–9.Google Scholar
- 28.Koch E, Thompson A, Keegan P. Community health workers: a leadership brief on preventative health programs. Washington DC: Center for Policy Alternatives; 1998.Google Scholar
- 29.Gómez-Murphy M. Innovative strategies in delivering health care: The Promotora Model. In: Salud Sin Fronteras-health without borders: proceedings of the U.S.–Mexico border conference on women’s health, September 26–28, Edinburg, TX. Washington DC: National Cancer Institute; 1998.Google Scholar