Self care and health-seeking behavior of migrant farmworkers.

There are an estimated three million migrant and seasonal farmworkers (MSFW) in the United States. In addition to the inherent dangers of farm work, numerous factors place MSFW at even greater risk for work-related injuries. Little is known about how MSFW care for work-related injuries, and how the decision to seek professional care is made. A prospective survey using face-to-face structured interviews was used to explore the type and frequency of occupational injuries as well as self-care and health-care seeking practices of MSFW. Musculoskeletal injuries were the most commonly reported injuries, followed by injuries of the skin and chemical exposure. Self care with over-the-counter remedies was the predominant method of dealing with injuries, and, with the exception of chemical exposure, was found to be for the most part, appropriate. The reported use of alternative medicine or herbal remedies was low. Future research efforts should focus on ergonomic modifications and farmworker education to reduce or prevent musculoskeletal injuries. The number of reported chemical exposures and inappropriate treatment draw attention to the need for continued efforts for both primary prevention of exposure and optimal treatment once exposure occurs.

Health needs of migrant and seasonal farmworkers.

Migrant and seasonal farmworkers (MSFW) are a vital component of the U.S. agricultural industry. Despite their important contributions, MSFW are known to be a marginalized population who live in poverty and have poor health indicators. The purpose of this study was to gain a fuller understanding of family composition, employment, migration patterns, health issues and service needs of MSFW in 3 counties in northwest Michigan. The participants were mainly migrant (63%), and men (55%) with an average age of 34.4 years. Educational levels of the sample were low, with 56% reporting 6th grade or below, and an additional 7% reporting no formal education. The majority was originally from Mexico (75%), and Spanish was the first language of 79% of the farmworkers represented in the survey. Work-related health problems and chronic illness were the most commonly perceived health problems and the most commonly requested service was dental. This study adds to the body of knowledge related to farm worker health needs and provides direction for the provision of appropriate health care to this population.