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Occupational injuries among North Carolina migrant farmworkers
S Ciesielski1, S P Hall, M Sweeney
1Department of Parasitology, School of Public Health, University of North Carolina, Chapel Hill.
American Journal of Public Health
|July 1, 1991
Summary
Migrant farmworkers face significant barriers to healthcare following occupational injuries, often leading to incomplete recovery. Comprehensive Workers' Compensation is urgently needed in North Carolina to address these gaps.
Area of Science:
- Occupational Health
- Public Health
- Agricultural Medicine
Background:
- Migrant farmworkers are a vulnerable population often facing barriers to healthcare access.
- Occupational injuries are a significant concern within the agricultural sector.
- Existing healthcare and compensation systems may not adequately serve this demographic.
Purpose of the Study:
- To investigate the prevalence and impact of occupational injuries among migrant farmworkers.
- To identify obstacles to healthcare access and Workers' Compensation for injured migrant farmworkers.
- To highlight the need for improved healthcare and compensation policies in North Carolina.
Main Methods:
- A population-based cross-sectional study design was employed.
- A random sample of 287 migrant farmworkers was included in the study.
- Data collection focused on occupational injuries, healthcare access, and compensation.
Main Results:
- A high percentage (65%) of seriously injured migrant farmworkers did not receive prompt or any medical care.
- Delayed or absent care was associated with a doubled likelihood of incomplete recovery.
- Employer-covered medical expenses and lost work compensation were notably low (38% and insufficient, respectively).
Conclusions:
- Significant gaps exist in healthcare access and Workers' Compensation for injured migrant farmworkers.
- Inadequate care and compensation contribute to poorer health outcomes and economic hardship.
- Urgent implementation of comprehensive Workers' Compensation is recommended for this population in North Carolina.