-em class="a-plus-plus">…you earn money by suffering pain:-Beliefs About Carpal Tunnel Syndrome Among Latino Poultry Processing Workers

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• 作者：Thomas A. Arcury ; Dana C. Mora ; Sara A. Quandt
• 关键词：Immigrant workers ; Health beliefs ; Latinos ; Minority health
• 刊名：Journal of Immigrant and Minority Health
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：17
• 期：3
• 页码：791-801
• 全文大小：410 KB
• 参考文献：1.National Chicken Council. Per capita consumption of poultry and livestock, 1965 to estimated 2013, in pounds. 2013. http://?www.?nationalchickenc?ouncil.?org/?about-the-industry/?statistics/?per-capita-consumption-of-poultry-and-livestock-1965-to-estimated-2012-in-pounds/-/span> . Accessed 16 April 2013.
  2.Striffler S. Chicken: the dangerous transformation of America’s favorite food. New Haven: Yale University Press; 2005.
  3.Stull DD. Meat and (wo)men: meatpacking’s consequences for communities. Kans J Law Public Policy. 1994;3:112-.
  4.Stull DD, Broadway MJ. Slaughterhouse blues: the meat and poultry industry in North America. Belmont: Wadsworth/Thomson; 2004.
  5.Quandt SA, Grzywacz JG, Marín A, Carrillo L, Coates ML, Burke B, Arcury TA. Illnesses and injuries reported by Latino poultry workers in western North Carolina. Am J Ind Med. 2006;49:343-1.View Article PubMed
  6.Lipscomb HJ, Epling CA, Pompeii LA, Dement JM. Musculoskeletal symptoms among poultry processing workers and a community comparison group: Black women in low-wage jobs in the rural South. Am J Ind Med. 2007;50:327-8.View Article PubMed
  7.Government Accountability Office. Workplace safety and health: safety in the meat and poultry industry, while improving, could be further strengthened. 2005 (Report No. GAO-05-096). Washington: U.S. GAO.
  8.Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am. 1981;63:380-.PubMed
  9.U.S. Bureau of Labor Statistics. Occupational employment statistics, occupational employment and wages, May 2012. http://?www.?bls.?gov/?oes/?current/?oes513022.?htm . Accessed 14 April 2013.
  10.Cartwright MS, Walker FO, Blocker JN, Schulz MR, Arcury TA, Grzywacz JG, Mora D, Chen H, Marín AJ, Quandt SA. The prevalence of carpal tunnel syndrome in Latino poultry processing workers and other Latino manual workers. J Occup Environ Med. 2012;54:198-01.View Article PubMed Central PubMed
  11.Luckhaupt SE, Dahlhamer JM, Ward BW, Sweeney MH, Sestito JP, Calvert GM. Prevalence and work-relatedness of carpal tunnel syndrome in the working population, United States, 2010 national health interview survey. Am J Ind Med. 2012;56(6):615-4.View Article PubMed
  12.Kleinman A. Patients and healers in the context of culture. Berkeley: University of California Press; 1980. p. 427.
  13.Kleinman A. Illness narratives: suffering, healing and the human condition. New York: Basic Press; 1988. p. 284.
  14.Quandt SA, Arcury TA, Austin CK, Saavedra RM. Farmworker and farmer perceptions of farmworker agricultural chemical exposure in North Carolina. Hum Organ. 1998;57:359-8.View Article
  15.Rao P, Quandt SA, Doran AM, Snively BM, Arcury TA. Pesticides in the home of farmworkers: Latino mothers-perceptions of risk to their children’s health. Health Educ Behav. 2007;34(2):335-3.View Article PubMed
  16.Rao P, Arcury TA, Quandt SA. Hispanic farmworker interpretations of green tobacco sickness. J Rural Health. 2002;18:503-1.View Article PubMed
  17.Arcury TA, Vallejos QM, Marín AJ, Feldman SR, Smith G, Quandt SA. Latino farmworker perceptions of the risk factors for occupational skin disease. Am J Ind Med. 2006;49:434-2.View Article PubMed
  18.Rao P, Arcury TA, Quandt SA, Doran A. Growers-and extension agents-perceptions of farmworker pesticide exposure. Hum Organ. 2004;63:151-1.View Article
  19.Poss JE. The meanings of tuberculosis for Mexican migrant farmworkers in the United States. Soc Sci Med. 1998;47:195-02.View Article PubMed
  20.Arcury TA, Skelly AH, Gesler WM, Dougherty MC. Diabetes meanings among those without diabetes: explanatory models among immigrant Latinos in rural North Carolina. Soc Sci Med. 2004;59:2185-3.View Article
  21.Rubel AJ, Hass MR. Ethnomedicine. In: Sargent CF, Johnson TM, editors. Medical anthropology: contemporary theory and method. Westport: Praeger; 1996. p. 113-0.
  22.Arcury TA, Grzywacz JG, Anderson AM, Mora DC, Carrillo L, Chen H, Quandt SA. Personal protective equipment and work safety climate among Latino poultry processing workers in Western North Carolina, USA. Int J Occup Environ Health. 2012;18(4):320-.View Article PubMed
  23.Pichardo-Geisinger R, Mu?oz-Ali D, Arcury TA, Blocker JN, Grzywacz JG, Mora DC, Chen H, Schulz MR, Feldman SR, Quandt SA. Dermatologist-diagnosed skin disease among Latino immigrant poultry processing and other manual workers in North Carolina. Int J Dermatol. 2013;52(11):1342-.
  24.Kochhar R, Suro R, Tafoya S. The new Latino South: the context and consequences of rapid population growth. Pew Research Hispanic Center 2005. http://?www.?pewhispanic.?org/-005/-7/-6/?the-new-latino-south/-/span> . Accessed 11 April 2013.
  25.Katz JN, Stirrat CR. A self-administered hand diagram for the diagnosis of carpal tunnel syndrome. J Hand Surg Am. 1990;15:360-.View Article PubMed
  26.Miles MB, Huberman AM. Qualitative data
• 作者单位：Thomas A. Arcury (1) (2)
  Dana C. Mora (3)
  Sara A. Quandt (2) (3)
  
  1. Department of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA
  2. Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC, USA
  3. Division of Public Health Sciences, Department of Epidemiology and Prevention, Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
  
• 刊物主题：Public Health; Sociology, general; Private International Law, International & Foreign Law, Comparative Law;
• 出版者：Springer US
• ISSN：1557-1920

文摘

The nature of poultry processing puts workers at risk for developing neurological injuries, particularly carpal tunnel syndrome (CTS). Many poultry processing workers are Latino immigrants. This qualitative analysis uses an explanatory models of illness (EMs) framework to describe immigrant Latino poultry processing workers-(Guatemalan and Mexican) beliefs of CTS. Understanding these workers-CTS EMs provides a foundation for recommendations to reduce the risk factors for this occupational injury. In-depth interviews were completed with 15 poultry processing workers diagnosed with CTS. Systematic qualitative analysis was used to delineate beliefs about causes, symptoms, physiology, treatments, quality-of-life and health implications of CTS. Participants-EMs largely reflect current biomedical understanding of CTS. These EMs are similar for Guatemalan and Mexican workers. Beliefs about causes include factors in the work environment (e.g., repetition, cold) and individual physical weakness. Treatments include over-the-counter medicine, as well as traditional remedies. Most know the future impact of CTS will include chronic pain. These workers know what causes CTS and that curing it would require quitting their jobs, but feel that they must endure CTS to support their families. Latino poultry processing workers, whether Guatemalan or Mexican, have a fairly complete understanding of what causes CTS, how to treat it, and what they must do to cure it. However, situational factors force them to endure CTS. Policy changes are needed to change the structure of work in poultry processing, particularly line speed and break frequency, if the prevalence of CTS is to be reduced.