This pilot project investigated agricultural-related safety and health issues among Hmong refugees working on family-operated farms. Novel approaches, namely participatory rural appraisal and photovoice, were used to conduct a qualitative occupational hazard assessment with a group of Hmong farmers in Washington State. These two methods were useful in gathering participants' own perspectives about priority concerns. Several identified problems were related to musculoskeletal disorders, handling and operating heavy machinery, heat and cold stress, respiratory exposures, pest management, and socioeconomic and language concerns. Findings from this study provide insight into the work-related challenges that Hmong refugee farmers encounter and can serve as a basis for occupational health professionals to develop interventions to assist this underserved group.
References
1.
AlmedomA. M.BlumenthalU.MandersonL. (1997). Hygiene evaluation procedures: Approaches and methods for assessing water- and sanitation-related hygiene practices. Boston: International Nutrition Foundation for Developing Countries
2.
Bureau of Labor Statistics, U.S. Department of Labor. (2012). Workplace injuries and illnesses—2011 (USDL-12-2121). Retrieved October 9, 2013, from http://www.bls.gov/news.release/pdf/osh.pdf
3.
Bureau of Labor Statistics, U.S. Department of Labor. (2013). Census of fatal occupational injuries summary, 2012 (USDL-13-1699). Retrieved October 9, 2013, from http://www.bls.gov/news.release/cfoi.nr0.htm
4.
CatalaniC.MinklerM. (2010). Photovoice: A review of the literature in health and public health. Health Education & Behavior, 37, 424–451.
5.
Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (2008). National Occupational Research Agenda: Agriculture, Forestry, and Fishing Sector Council: National agriculture, forestry, and fishing agenda. Washington, DC: Author
6.
ChambersR. (1994). The origins and practice of participatory rural appraisal. World Development, 22, 953–969.
7.
CooperC. M.YarbroughS. P. (2010). Tell me—show me: Using combined focus group and photovoice methods to gain understanding of health issues in rural Guatemala. Qualitative Health Research, 20, 644–653.
8.
DumbrillG. C. (2009). Your policies, our children: Messages from refugee parents to child welfare workers and policymakers. Child Welfare, 88, 145–168.
9.
EstrellaM.GaventaJ. (1998). Who counts reality? Participatory monitoring and evaluation: A literature review. Brighton, England: Institute of Development Studies
10.
EvansS. (2004). Washington's Hmong farmers. Washington State Commission on Asian Pacific American Affairs Newsletter, 5, 2.
11.
FettermanD. M.KaftarianS. J.WandersmanA. (1995). Empowerment evaluation: Knowledge and tools for self-assessment and accountability. Thousand Oaks, CA: SAGE Publications
12.
FlumM. R.SiqueiraC. E.DeCaroA.RedwayS. (2010). Photovoice in the workplace: A participatory method to give voice to workers to identify health and safety hazards and promote workplace change—A study of university custodians. American Journal of Industrial Medicine, 53, 1150–1158.
13.
HergenratherK. C.RhodesS. D.CowanC. A.BardhoshiG.PulaS. (2009). Photovoice as community-based participatory research: A qualitative review. American Journal of Health Behavior, 33, 686–698.
14.
LopezE. D.EngE.Randall-DavidE.RobinsonN. (2005). Quality-of-life concerns of African American breast cancer survivors within rural North Carolina: Blending the techniques of photovoice and grounded theory. Qualitative Health Research, 15, 99–115.
15.
MahmoodM. A.KhanK. S.KadirM. M.BarneyN.AliS.TunioR. (2002). Utility of participatory rural appraisal for health needs assessment and planning. Journal of the Pakistan Medical Association, 52, 296–300.
16.
MartinD. C.YankayJ. E. (2013). Refugees and asylees: 2012. Annual Flow Report, April. Washington, DC: U.S. Department of Homeland Security
17.
MinatoR. (2004). Hmong Americans. Washington State Commission on Asian Pacific American Affairs Newsletter, 5, 3.
18.
MiyaresI. M. (1997). Changing perceptions of space and place as measures of Hmong acculturation. The Professional Geographer, 49, 214–224.
19.
MuellerJ. G.AssanouI.GuimboI. D. (2010). Evaluating rapid participatory rural appraisal as an assessment of ethnoecological knowledge and local biodiversity patterns. Conservation Biology, 24, 140–150.
20.
National Research Council and Institute of Medicine, Committee to Review the NIOSH Agriculture, Forestry, and Fishing Research Program. (2008). Agriculture, Forestry, and Fishing Research at NIOSH. Reviews of Research Programs of the National Institute for Occupational Safety and Health. Washington, DC: The National Academies
21.
NeitzelR.KrenzJ.de CastroA. B. (in press). Safety and health hazard observations in Hmong farming operations. Journal of Agromedicine.
PfeiferM. E.SullivanJ.YangK.YangW. (2012). Hmong population and demographic trends in the 2010 census and 2010 American community survey. Hmong Studies Journal, 13, 1–31.
25.
RasmussenR. C.SchermannM. A.ShutskeJ. M.OlsonD. K. (2003). Use of the North American guidelines for children's agricultural tasks with Hmong farm families. Journal of Agricultural Safety and Health, 9, 265–274.
26.
RhodesS. D.HergenratherK. C.GriffithD. M.YeeL. J.ZometaC. S.MontanoJ.VissmanA. T. (2009). Sexual and alcohol risk behaviours of immigrant Latino men in the south-eastern USA. Culture, Health & Sexuality, 11, 17–34.
27.
SchermannM. A.BartzP.ShutskeJ. M.MouaM.VueP. C.LeeT. T. (2007). Orphan boy the farmer: Evaluating folktales to teach safety to Hmong farmers. Journal of Agromedicine, 12, 39–49.
28.
SchwartzL. R.SableM. R.DannerbeckA.CampbellJ. D. (2007). Using Photovoice to improve family planning services for immigrant Hispanics. Journal of Health Care for the Poor and Underserved, 18, 757–766.
WangC. C. (1999). Photovoice: A participatory action research strategy applied to women's health. Journal of Women's Health, 8, 185–192.
31.
WangC.BurrisM. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education & Behavior, 24, 369–387.
32.
WangC. C.Redwood-JonesY. A. (2001). Photovoice ethics: Perspectives from flint photovoice. Health Education & Behavior, 28(5), 560–572.
33.
WilkinA.LiamputtongP. (2010). The photovoice method: Researching the experiences of Aboriginal health workers through photographs. Australian Journal of Primary Health, 16, 231–239.
