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. 1992 Sep;157(3):367–373.

Occupational health problems among migrant and seasonal farm workers.

K Mobed 1, E B Gold 1, M B Schenker 1
PMCID: PMC1011296  PMID: 1413786

Abstract

Migrant and seasonal farm workers are one of the most underserved and understudied populations in the United States. The total US population of such farm workers has been estimated at 5 million, of whom about 20% live or work in California. Farm workers perform strenuous tasks and are exposed to a wide variety of occupational risks and hazards. Low socioeconomic status and poor access to health care also contribute to existing health problems in this population. Potential farm work-related health problems include accidents, pesticide-related illnesses, musculoskeletal and soft-tissue disorders, dermatitis, noninfectious respiratory conditions, reproductive health problems, health problems of children of farm workers, climate-caused illnesses, communicable diseases, bladder and kidney disorders, and eye and ear problems. Few epidemiologic studies exist of these occupational health problems. No comprehensive epidemiologic studies have assessed the magnitude of occupational health problems among migrant and seasonal farm workers and their dependents. Although the migratory nature of this population makes long-term studies difficult, the development of standardized data collection instruments for health consequences and scientific assessment of farm work exposures and working conditions are vital to characterize and reduce the occupational health risks in farm workers.

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Selected References

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  1. Andersen K. E., Benezra C., Burrows D., Camarasa J., Dooms-Goossens A., Ducombs G., Frosch P., Lachapelle J. M., Lahti A., Menné T. Contact dermatitis. A review. Contact Dermatitis. 1987 Feb;16(2):55–78. doi: 10.1111/j.1600-0536.1987.tb01382.x. [DOI] [PubMed] [Google Scholar]
  2. Boeniger M., Hawkins M., Marsin P., Newman R. Occupational exposure to silicate fibres and PAHs during sugar-cane harvesting. Ann Occup Hyg. 1988;32(2):153–169. doi: 10.1093/annhyg/32.2.153. [DOI] [PubMed] [Google Scholar]
  3. Brown W. D. Heat and cold in farm workers. Occup Med. 1991 Jul-Sep;6(3):371–389. [PubMed] [Google Scholar]
  4. Chase H. P., Kumar V., Dodds J. M., Sauberlich H. E., Hunter R. M., Burton R. S., Spalding V. Nutritional status of preschool Mexican-American migrant farm children. Am J Dis Child. 1971 Oct;122(4):316–324. doi: 10.1001/archpedi.1971.02110040100008. [DOI] [PubMed] [Google Scholar]
  5. Ciesielski S., Hall S. P., Sweeney M. Occupational injuries among North Carolina migrant farmworkers. Am J Public Health. 1991 Jul;81(7):926–927. doi: 10.2105/ajph.81.7.926. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Cordes D. H., Foster D. Health hazards of farming. Am Fam Physician. 1988 Oct;38(4):233–244. [PubMed] [Google Scholar]
  7. Cotton D. J., Graham B. L., Li K. Y., Froh F., Barnett G. D., Dosman J. A. Effects of grain dust exposure and smoking on respiratory symptoms and lung function. J Occup Med. 1983 Feb;25(2):131–141. [PubMed] [Google Scholar]
  8. Coultas D. B., Howard C. A., Skipper B. J., Samet J. M. Spirometric prediction equations for Hispanic children and adults in New Mexico. Am Rev Respir Dis. 1988 Dec;138(6):1386–1392. doi: 10.1164/ajrccm/138.6.1386. [DOI] [PubMed] [Google Scholar]
  9. Crutchfield C. D., Sparks S. T. Effects of noise and vibration on farm workers. Occup Med. 1991 Jul-Sep;6(3):355–369. [PubMed] [Google Scholar]
  10. Donham K. J. Health effects from work in swine confinement buildings. Am J Ind Med. 1990;17(1):17–25. doi: 10.1002/ajim.4700170105. [DOI] [PubMed] [Google Scholar]
  11. Dosman J. A., Graham B. L., Hall D., Van Loon P., Bhasin P., Froh F. Respiratory symptoms and pulmonary function in farmers. J Occup Med. 1987 Jan;29(1):38–43. [PubMed] [Google Scholar]
  12. Eriksson M., Hardell L., Berg N. O., Möller T., Axelson O. Soft-tissue sarcomas and exposure to chemical substances: a case-referent study. Br J Ind Med. 1981 Feb;38(1):27–33. doi: 10.1136/oem.38.1.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Farant J. P., Moore C. F. Dust exposures in the Canadian grain industry. Am Ind Hyg Assoc J. 1978 Mar;39(3):177–194. doi: 10.1080/0002889778507741. [DOI] [PubMed] [Google Scholar]
  14. Fenster L., Coye M. J. Birthweight of infants born to Hispanic women employed in agriculture. Arch Environ Health. 1990 Jan-Feb;45(1):46–52. doi: 10.1080/00039896.1990.9935924. [DOI] [PubMed] [Google Scholar]
  15. Fuortes L. J., Merchant J. A., Van Lier S. F., Burmeister L. F., Muldoon J. 1983 occupational injury hospital admissions in Iowa: a comparison of the agricultural and non-agricultural sectors. Am J Ind Med. 1990;18(2):211–222. doi: 10.1002/ajim.4700180213. [DOI] [PubMed] [Google Scholar]
  16. Gamsky T. E., McCurdy S. A., Samuels S. J., Schenker M. B. Reduced FVC among California grape workers. Am Rev Respir Dis. 1992 Feb;145(2 Pt 1):257–262. doi: 10.1164/ajrccm/145.2_Pt_1.257. [DOI] [PubMed] [Google Scholar]
  17. Gamsky T. E., McCurdy S. A., Wiggins P., Samuels S. J., Berman B., Shenker M. B. Epidemiology of dermatitis among California farm workers. J Occup Med. 1992 Mar;34(3):304–310. doi: 10.1097/00043764-199203000-00016. [DOI] [PubMed] [Google Scholar]
  18. Gamsky T. E., Schenker M. B., McCurdy S. A., Samuels S. J. Smoking, respiratory symptoms, and pulmonary function among a population of Hispanic farmworkers. Chest. 1992 May;101(5):1361–1368. doi: 10.1378/chest.101.5.1361. [DOI] [PubMed] [Google Scholar]
  19. Gold E., Gordis L., Tonascia J., Szklo M. Risk factors for brain tumors in children. Am J Epidemiol. 1979 Mar;109(3):309–319. doi: 10.1093/oxfordjournals.aje.a112684. [DOI] [PubMed] [Google Scholar]
  20. Hardell L., Eriksson M., Lenner P., Lundgren E. Malignant lymphoma and exposure to chemicals, especially organic solvents, chlorophenols and phenoxy acids: a case-control study. Br J Cancer. 1981 Feb;43(2):169–176. doi: 10.1038/bjc.1981.25. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Hardell L., Sandström A. Case-control study: soft-tissue sarcomas and exposure to phenoxyacetic acids or chlorophenols. Br J Cancer. 1979 Jun;39(6):711–717. doi: 10.1038/bjc.1979.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Heller R. F., Kelson M. C. Respiratory disease Mortality in Agricultural workers in eight member countries of the European community. Int J Epidemiol. 1982 Jun;11(2):170–174. doi: 10.1093/ije/11.2.170. [DOI] [PubMed] [Google Scholar]
  23. Hemminki K., Saloniemi I., Salonen T., Partanen T., Vainio H. Childhood cancer and parental occupation in Finland. J Epidemiol Community Health. 1981 Mar;35(1):11–15. doi: 10.1136/jech.35.1.11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Hogan D. J., Lane P. Dermatologic disorders in agriculture. Occup Med. 1986 Apr-Jun;1(2):285–300. [PubMed] [Google Scholar]
  25. Holness D. L., O'Blenis E. L., Sass-Kortsak A., Pilger C., Nethercott J. R. Respiratory effects and dust exposures in hog confinement farming. Am J Ind Med. 1987;11(5):571–580. doi: 10.1002/ajim.4700110509. [DOI] [PubMed] [Google Scholar]
  26. Horne S. L., To T., Cockcroft D. W. Ethnic differences in the prevalence of pulmonary airflow obstruction among grain workers. Chest. 1989 May;95(5):992–996. doi: 10.1378/chest.95.5.992. [DOI] [PubMed] [Google Scholar]
  27. Jacobson M. L., Mercer M. A., Miller L. K., Simpson T. W. Tuberculosis risk among migrant farm workers on the Delmarva peninsula. Am J Public Health. 1987 Jan;77(1):29–32. doi: 10.2105/ajph.77.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Kligman E. W., Peate W. F., Cordes D. H. Occupational infections in farm workers. Occup Med. 1991 Jul-Sep;6(3):429–446. [PubMed] [Google Scholar]
  29. Lacey J., Crook B. Fungal and actinomycete spores as pollutants of the workplace and occupational allergens. Ann Occup Hyg. 1988;32(4):515–533. doi: 10.1093/annhyg/32.4.515. [DOI] [PubMed] [Google Scholar]
  30. Lantinga H., Nater J. P., Coenraads P. J. Prevalence, incidence and course of eczema on the hands and forearms in a sample of the general population. Contact Dermatitis. 1984 Mar;10(3):135–139. doi: 10.1111/j.1600-0536.1984.tb00018.x. [DOI] [PubMed] [Google Scholar]
  31. Louhelainen K., Kangas J., Husman K., Terho E. O. Total concentrations of dust in the air during farm work. Eur J Respir Dis Suppl. 1987;152:73–79. [PubMed] [Google Scholar]
  32. Maddy K. T., Edmiston S., Richmond D. Illness, injuries, and deaths from pesticide exposures in California 1949-1988. Rev Environ Contam Toxicol. 1990;114:57–123. doi: 10.1007/978-1-4612-3368-8_3. [DOI] [PubMed] [Google Scholar]
  33. Maeda K., Okazaki F., Suenaga T., Sakurai T., Takamatsu M. Low back pain related to bowing posture of greenhouse farmers. J Hum Ergol (Tokyo) 1980 Dec;9(2):117–123. [PubMed] [Google Scholar]
  34. Mamelle N., Laumon B., Lazar P. Prematurity and occupational activity during pregnancy. Am J Epidemiol. 1984 Mar;119(3):309–322. doi: 10.1093/oxfordjournals.aje.a113750. [DOI] [PubMed] [Google Scholar]
  35. Markovitz A., Crosby W. H. Chemical carcinogenesis. A soil fumigant, 1,3-dichloropropene, as possible cause of hematologic malignancies. Arch Intern Med. 1984 Jul;144(7):1409–1411. doi: 10.1001/archinte.144.7.1409. [DOI] [PubMed] [Google Scholar]
  36. McCurdy S. A., Wiggins P., Schenker M. B., Munn S., Shaieb A. M., Weinbaum Z., Goldsmith D., McGillis S. T., Berman B., Samuels S. Assessing dermatitis in epidemiologic studies: occupational skin disease among California grape and tomato harvesters. Am J Ind Med. 1989;16(2):147–157. doi: 10.1002/ajim.4700160206. [DOI] [PubMed] [Google Scholar]
  37. McDonald A. D., McDonald J. C., Armstrong B., Cherry N., Delorme C., D-Nolin A., Robert D. Occupation and pregnancy outcome. Br J Ind Med. 1987 Aug;44(8):521–526. doi: 10.1136/oem.44.8.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Merchant J. A. Agricultural exposures to organic dusts. Occup Med. 1987 Apr-Jun;2(2):409–425. [PubMed] [Google Scholar]
  39. Moses M. Pesticide-related health problems and farmworkers. AAOHN J. 1989 Mar;37(3):115–130. [PubMed] [Google Scholar]
  40. O'Malley M., Thun M., Morrison J., Mathias C. G., Halperin W. E. Surveillance of occupational skin disease using the Supplementary Data System. Am J Ind Med. 1988;13(2):291–299. doi: 10.1002/ajim.4700130210. [DOI] [PubMed] [Google Scholar]
  41. Purschwitz M. A., Field W. E. Scope and magnitude of injuries in the agricultural workplace. Am J Ind Med. 1990;18(2):179–192. doi: 10.1002/ajim.4700180210. [DOI] [PubMed] [Google Scholar]
  42. Rivara F. P. Fatal and nonfatal farm injuries to children and adolescents in the United States. Pediatrics. 1985 Oct;76(4):567–573. [PubMed] [Google Scholar]
  43. Rust G. S. Health status of migrant farmworkers: a literature review and commentary. Am J Public Health. 1990 Oct;80(10):1213–1217. doi: 10.2105/ajph.80.10.1213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Sakakibara H., Miyao M., Kondo T., Yamada S., Nakagawa T., Kobayashi F. Relation between overhead work and complaints of pear and apple orchard workers. Ergonomics. 1987 May;30(5):805–815. doi: 10.1080/00140138708969769. [DOI] [PubMed] [Google Scholar]
  45. Sandifer S. H., Wilkins R. T., Loadholt C. B., Lane L. G., Eldridge J. C. Spermatogenesis in agricultural workers exposed to dibromochloropropane (DBCP). Bull Environ Contam Toxicol. 1979 Nov;23(4-5):703–710. doi: 10.1007/BF01770028. [DOI] [PubMed] [Google Scholar]
  46. Saunders L. D., Ames R. G., Knaak J. B., Jackson R. J. Outbreak of Omite-CR-induced dermatitis among orange pickers in Tulare County, California. J Occup Med. 1987 May;29(5):409–413. [PubMed] [Google Scholar]
  47. Schenker M. B., McCurdy S. A. Occupational health among migrant and seasonal farmworkers: the specific case of dermatitis. Am J Ind Med. 1990;18(3):345–351. doi: 10.1002/ajim.4700180317. [DOI] [PubMed] [Google Scholar]
  48. Schenker M., Ferguson T., Gamsky T. Respiratory risks associated with agriculture. Occup Med. 1991 Jul-Sep;6(3):415–428. [PubMed] [Google Scholar]
  49. Schuman S. H., Dobson R. L. An outbreak of contact dermatitis in farm workers. J Am Acad Dermatol. 1985 Aug;13(2 Pt 1):220–223. doi: 10.1016/s0190-9622(85)70162-4. [DOI] [PubMed] [Google Scholar]
  50. Schwartz D. A., LoGerfo J. P. Congenital limb reduction defects in the agricultural setting. Am J Public Health. 1988 Jun;78(6):654–658. doi: 10.2105/ajph.78.6.654. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Schwartz D. A., Newsum L. A., Heifetz R. M. Parental occupation and birth outcome in an agricultural community. Scand J Work Environ Health. 1986 Feb;12(1):51–54. doi: 10.5271/sjweh.2180. [DOI] [PubMed] [Google Scholar]
  52. Schwartz J. D., Katz S. A., Fegley R. W., Tockman M. S. Analysis of spirometric data from a national sample of healthy 6- to 24-year-olds (NHANES II). Am Rev Respir Dis. 1988 Dec;138(6):1405–1414. doi: 10.1164/ajrccm/138.6.1405. [DOI] [PubMed] [Google Scholar]
  53. Sharp D. S., Eskenazi B., Harrison R., Callas P., Smith A. H. Delayed health hazards of pesticide exposure. Annu Rev Public Health. 1986;7:441–471. doi: 10.1146/annurev.pu.07.050186.002301. [DOI] [PubMed] [Google Scholar]
  54. Shaver C. S., Tong T. Chemical hazards to agricultural workers. Occup Med. 1991 Jul-Sep;6(3):391–413. [PubMed] [Google Scholar]
  55. Slesinger D. P., Cautley E. Medical utilization patterns of Hispanic migrant farmworkers in Wisconsin. Public Health Rep. 1981 May-Jun;96(3):255–263. [PMC free article] [PubMed] [Google Scholar]
  56. Slesinger D. P., Christenson B. A., Cautley E. Health and mortality of migrant farm children. Soc Sci Med. 1986;23(1):65–74. doi: 10.1016/0277-9536(86)90325-4. [DOI] [PubMed] [Google Scholar]
  57. Smith A. H., Pearce N. E., Fisher D. O., Giles H. J., Teague C. A., Howard J. K. Soft tissue sarcoma and exposure to phenoxyherbicides and chlorophenols in New Zealand. J Natl Cancer Inst. 1984 Nov;73(5):1111–1117. [PubMed] [Google Scholar]
  58. Swanson J. A., Sachs M. I., Dahlgren K. A., Tinguely S. J. Accidental farm injuries in children. Am J Dis Child. 1987 Dec;141(12):1276–1279. doi: 10.1001/archpedi.1987.04460120038029. [DOI] [PubMed] [Google Scholar]
  59. Teitelman A. M., Welch L. S., Hellenbrand K. G., Bracken M. B. Effect of maternal work activity on preterm birth and low birth weight. Am J Epidemiol. 1990 Jan;131(1):104–113. doi: 10.1093/oxfordjournals.aje.a115463. [DOI] [PubMed] [Google Scholar]
  60. Thelin A. Hip joint arthrosis: an occupational disorder among farmers. Am J Ind Med. 1990;18(3):339–343. doi: 10.1002/ajim.4700180316. [DOI] [PubMed] [Google Scholar]
  61. Whorton D., Milby T. H., Krauss R. M., Stubbs H. A. Testicular function in DBCP exposed pesticide workers. J Occup Med. 1979 Mar;21(3):161–166. [PubMed] [Google Scholar]
  62. Wickström G. Effect of work on degenerative back disease. A review. Scand J Work Environ Health. 1978;4 (Suppl 1):1–12. doi: 10.5271/sjweh.2768. [DOI] [PubMed] [Google Scholar]
  63. Yach D., Myers J., Bradshaw D., Benatar S. R. A respiratory epidemiologic survey of grain mill workers in Cape Town, South Africa. Am Rev Respir Dis. 1985 Apr;131(4):505–510. doi: 10.1164/arrd.1985.131.4.505. [DOI] [PubMed] [Google Scholar]
  64. Zielhuis G. A., Gijsen R., van der Gulden J. W. Menstrual disorders among dry-cleaning workers. Scand J Work Environ Health. 1989 Jun;15(3):238–238. doi: 10.5271/sjweh.1856. [DOI] [PubMed] [Google Scholar]
  65. doPico G. A., Reddan W., Anderson S., Flaherty D., Smalley E. Acute effects of grain dust exposure during a work shift. Am Rev Respir Dis. 1983 Sep;128(3):399–404. doi: 10.1164/arrd.1983.128.3.399. [DOI] [PubMed] [Google Scholar]

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