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An Intervention to Reduce Occupational Health Risk from Antibiotic Resistant Pathogens Among Dairy Farm Workers.

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An educational intervention significantly increased dairy farm workers' knowledge of occupational health risks and antimicrobial-resistant infections. While workers were willing to adopt workplace safety changes, time constraints and personal antibiotic stewardship intentions remained barriers.

Keywords:
Antibiotic resistanceDairy farmworkersEducational interventionInfectious diseaseOccupational health

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Area of Science:

  • Occupational Health
  • Public Health
  • Infectious Disease Epidemiology

Background:

  • Dairy farm workers face significant occupational health risks from pathogens and antibiotic-resistant bacteria.
  • Understanding knowledge and behavioral barriers is crucial for mitigating these risks and preventing the spread of antimicrobial resistance (AMR).

Purpose of the Study:

  • To develop and evaluate an educational intervention for dairy farm workers to reduce occupational health risks.
  • To address knowledge gaps and behavioral barriers related to AMR and workplace hygiene.

Main Methods:

  • Utilized the Health Belief Model and Theory of Planned Behavior to inform intervention design.
  • Intervention included educational materials (videos, fact sheets, posters) in English and Spanish.
  • Assessed knowledge gains and behavioral intentions using pre- and post-intervention surveys with 32 workers from five farms.

Main Results:

  • Statistically significant increases in knowledge of all eight targeted occupational health outcomes (p ≤ .001).
  • High willingness and likelihood to implement workplace hygiene and safety best practices.
  • Limited time was a major barrier; personal antibiotic stewardship intentions were weaker compared to workplace behaviors.

Conclusions:

  • The intervention effectively improved dairy farm workers' knowledge regarding occupational health and AMR risks.
  • Addressing time constraints and personal antibiotic stewardship requires further refinement of intervention strategies.
  • Improving farmworker health contributes to reducing AMR spread and benefits public health.