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Health Screening Among a Rural, Hourly Workforce: North Carolina SERVIRE Project.

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A novel worksite-based health screening for rural hourly workers identified high rates of undiagnosed diabetes and hypertension. This approach improves chronic disease detection and healthcare access for this underserved population.

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Area of Science:

  • Public Health
  • Occupational Health
  • Chronic Disease Management

Background:

  • Rural hourly workers face barriers to healthcare access.
  • Chronic diseases like diabetes and hypertension are prevalent and often undiagnosed in this population.
  • Worksite-based interventions can improve health screening accessibility.

Purpose of the Study:

  • To assess the feasibility of a business-partnered, worksite-based healthcare access model.
  • To determine the prevalence of undiagnosed diabetes and hypertension among rural hourly workers.
  • To identify risks for stroke and sleep apnea in the screened population.

Main Methods:

  • Partnered with 29 businesses to screen 1,114 rural hourly workers.
  • Conducted health screenings including A1c, blood pressure, kidney function tests, and risk questionnaires.
  • Assessed risk for prediabetes, diabetes, hypertension, kidney disease, stroke (CHA2DS2-VASc), and sleep apnea (STOP-Bang).

Main Results:

  • 36% screened positive for prediabetes or diabetes; 70.4% of these were undiagnosed.
  • 62.4% had elevated blood pressure; 65.4% of these were undiagnosed with hypertension.
  • 21.6% had increased stroke risk and 23.7% had increased sleep apnea risk.

Conclusions:

  • A worksite-based screening approach effectively identified high rates of undiagnosed chronic diseases in rural hourly workers.
  • This model facilitates early detection and improves engagement with the healthcare system.
  • Worksite interventions show promise for improving long-term public health outcomes in underserved workforces.