Abstract
The consequences of agricultural pesticide exposure continue to be major environmental health problems in rural communities. Community-based participatory research (CBPR) is an important approach to redressing health disparities resulting from environmental causes. In this article we introduce a collection of articles that describe projects using CBPR to address the health disparities resulting from pesticide exposure in agricultural communities, particularly the communities of migrant and seasonal farmworkers. The articles in this collection are based on a workshop convened at the 1999 American Public Health Association meeting. The goals in presenting this collection are to provide those endeavoring to initiate CBPR projects needed information, guidelines, and procedures to improve the quality of the CBPR experience; to increase the scientific validity of CBPR projects; and to reduce the potential difficulties and stress of these collaborations. In this introduction we discuss the context in which these projects operate, summarizing background information about farmworkers in the United States, what is known about farmworker pesticide exposure, and the concept of community-based participatory research. Finally, the articles in this collection are summarized, and major themes common to successful CBPR projects are identified. These common features are taking the time to interact with the community, using multiple approaches to engage the different parts of the community, understanding different participants often have different goals, appreciating each group's strengths, valuing community knowledge, and being flexible and creative in conducting research. The final article in this collection describes the translational research program at the National Institute of Environmental Health Sciences (NIEHS) highlighting activities pertinent to the health of rural communities, giving an overview of NIEHS-supported projects addressing health concerns of Native Americans and rural African-American communities in addition to farmworkers, and discussing future plans for CBPR at NIEHS.
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Selected References
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- Altman D. G. Strategies for community health intervention: promises, paradoxes, pitfalls. Psychosom Med. 1995 May-Jun;57(3):226–233. doi: 10.1097/00006842-199505000-00004. [DOI] [PubMed] [Google Scholar]
- Altman D. G. Sustaining interventions in community systems: on the relationship between researchers and communities. Health Psychol. 1995 Nov;14(6):526–536. doi: 10.1037//0278-6133.14.6.526. [DOI] [PubMed] [Google Scholar]
- Arbuckle T. E., Sever L. E. Pesticide exposures and fetal death: a review of the epidemiologic literature. Crit Rev Toxicol. 1998 May;28(3):229–270. doi: 10.1080/10408449891344218. [DOI] [PubMed] [Google Scholar]
- Arcury T. A., Austin C. K., Quandt S. A., Saavedra R. Enhancing community participation in intervention research: farmworkers and agricultural chemicals in North Carolina. Health Educ Behav. 1999 Aug;26(4):563–578. doi: 10.1177/109019819902600412. [DOI] [PubMed] [Google Scholar]
- Arcury T. A., Quandt S. A., Austin C. K., Preisser J., Cabrera L. F. Implementation of EPA's Worker Protection Standard training for agricultural laborers: an evaluation using North Carolina data. Public Health Rep. 1999 Sep-Oct;114(5):459–468. doi: 10.1093/phr/114.5.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Arcury T. A., Quandt S. A., McCauley L. Farmworkers and pesticides: community-based research. Environ Health Perspect. 2000 Aug;108(8):787–792. doi: 10.1289/ehp.00108787. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Baker E. A., Homan S., Schonhoff R., Kreuter M. Principles of practice for academic/practice/community research partnerships. Am J Prev Med. 1999 Apr;16(3 Suppl):86–93. doi: 10.1016/s0749-3797(98)00149-4. [DOI] [PubMed] [Google Scholar]
- Brown L., Vega W. A protocol for community-based research. Am J Prev Med. 1996 Jul-Aug;12(4 Suppl):4–5. [PubMed] [Google Scholar]
- Brown P. Popular epidemiology and toxic waste contamination: lay and professional ways of knowing. J Health Soc Behav. 1992 Sep;33(3):267–281. [PubMed] [Google Scholar]
- Ciesielski S. D., Seed J. R., Esposito D. H., Hunter N. The epidemiology of tuberculosis among North Carolina migrant farm workers. JAMA. 1991 Apr 3;265(13):1715–1719. [PubMed] [Google Scholar]
- Ciesielski S., Esposito D., Protiva J., Piehl M. The incidence of tuberculosis among North Carolina migrant farmworkers, 1991. Am J Public Health. 1994 Nov;84(11):1836–1838. doi: 10.2105/ajph.84.11.1836. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Ciesielski S., Handzel T., Sobsey M. The microbiologic quality of drinking water in North Carolina migrant labor camps. Am J Public Health. 1991 Jun;81(6):762–764. doi: 10.2105/ajph.81.6.762. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ciesielski S., Loomis D. P., Mims S. R., Auer A. Pesticide exposures, cholinesterase depression, and symptoms among North Carolina migrant farmworkers. Am J Public Health. 1994 Mar;84(3):446–451. doi: 10.2105/ajph.84.3.446. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clark N. M. Community/practice/academic partnerships in public health. Am J Prev Med. 1999 Apr;16(3 Suppl):18–19. [PubMed] [Google Scholar]
- Cornwall A., Jewkes R. What is participatory research? Soc Sci Med. 1995 Dec;41(12):1667–1676. doi: 10.1016/0277-9536(95)00127-s. [DOI] [PubMed] [Google Scholar]
- Eskenazi B., Bradman A., Castorina R. Exposures of children to organophosphate pesticides and their potential adverse health effects. Environ Health Perspect. 1999 Jun;107 (Suppl 3):409–419. doi: 10.1289/ehp.99107s3409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fenske R. A. Pesticide exposure assessment of workers and their families. Occup Med. 1997 Apr-Jun;12(2):221–237. [PubMed] [Google Scholar]
- Flocks J., Clarke L., Albrecht S., Bryant C., Monaghan P., Baker H. Implementing a community-based social marketing project to improve agricultural worker health. Environ Health Perspect. 2001 Jun;109 (Suppl 3):461–468. doi: 10.1289/ehp.01109s3461. [DOI] [PMC free article] [PubMed] [Google Scholar]
- García A. M. Occupational exposure to pesticides and congenital malformations: a review of mechanisms, methods, and results. Am J Ind Med. 1998 Mar;33(3):232–240. [PubMed] [Google Scholar]
- Israel B. A., Baker E. A., Goldenhar L. M., Heaney C. A., Schurman S. J. Occupational stress, safety, and health: conceptual framework and principles for effective prevention interventions. J Occup Health Psychol. 1996 Jul;1(3):261–286. doi: 10.1037//1076-8998.1.3.261. [DOI] [PubMed] [Google Scholar]
- Israel B. A., Checkoway B., Schulz A., Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q. 1994 Summer;21(2):149–170. doi: 10.1177/109019819402100203. [DOI] [PubMed] [Google Scholar]
- Jewkes R., Murcott A. Community representatives: representing the "community"? Soc Sci Med. 1998 Apr;46(7):843–858. doi: 10.1016/s0277-9536(97)00209-8. [DOI] [PubMed] [Google Scholar]
- Kamel F., Moreno T., Rowland A. S., Stallone L., Ramírez-Garnica G., Sandler D. P. Recruiting a community sample in collaboration with farmworkers. Environ Health Perspect. 2001 Jun;109 (Suppl 3):457–459. doi: 10.1289/ehp.01109s3457. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Krieger R. I. Pesticide exposure assessment. Toxicol Lett. 1995 Dec;82-83:65–72. doi: 10.1016/0378-4274(95)03545-1. [DOI] [PubMed] [Google Scholar]
- Maizlish N., Rudolph L., Dervin K. The surveillance of work-related pesticide illness: an application of the Sentinel Event Notification System for Occupational Risks (SENSOR) Am J Public Health. 1995 Jun;85(6):806–811. doi: 10.2105/ajph.85.6.806. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCauley L. A., Beltran M., Phillips J., Lasarev M., Sticker D. The Oregon migrant farmworker community: an evolving model for participatory research. Environ Health Perspect. 2001 Jun;109 (Suppl 3):449–455. doi: 10.1289/ehp.01109s3449. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McConnell R., Hruska A. J. An epidemic of pesticide poisoning in Nicaragua: implications for prevention in developing countries. Am J Public Health. 1993 Nov;83(11):1559–1562. doi: 10.2105/ajph.83.11.1559. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moses M., Johnson E. S., Anger W. K., Burse V. W., Horstman S. W., Jackson R. J., Lewis R. G., Maddy K. T., McConnell R., Meggs W. J. Environmental equity and pesticide exposure. Toxicol Ind Health. 1993 Sep-Oct;9(5):913–959. doi: 10.1177/074823379300900512. [DOI] [PubMed] [Google Scholar]
- Moses M. Pesticide-related health problems and farmworkers. AAOHN J. 1989 Mar;37(3):115–130. [PubMed] [Google Scholar]
- Myers J. R., Hard D. L. Work-related fatalities in the agricultural production and services sectors, 1980-1989. Am J Ind Med. 1995 Jan;27(1):51–63. doi: 10.1002/ajim.4700270106. [DOI] [PubMed] [Google Scholar]
- Northridge M. E., Yankura J., Kinney P. L., Santella R. M., Shepard P., Riojas Y., Aggarwal M., Strickland P. Diesel exhaust exposure among adolescents in Harlem: a community-driven study. Am J Public Health. 1999 Jul;89(7):998–1002. doi: 10.2105/ajph.89.7.998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Fallon L. R., Dearry A. Commitment of the National Institute of Environmental Health Sciences to community-based participatory research for rural health. Environ Health Perspect. 2001 Jun;109 (Suppl 3):469–473. doi: 10.1289/ehp.109-1240567. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olshan A. F., Faustman E. M. Male-mediated developmental toxicity. Annu Rev Public Health. 1993;14:159–181. doi: 10.1146/annurev.pu.14.050193.001111. [DOI] [PubMed] [Google Scholar]
- Quandt S. A., Arcury T. A., Pell A. I. Something for everyone? A community and academic partnership to address farmworker pesticide exposure in North Carolina. Environ Health Perspect. 2001 Jun;109 (Suppl 3):435–441. doi: 10.1289/ehp.01109s3435. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Sakala C. Migrant and seasonal farmworkers in the United States: a review of health hazards, status, and policy. Int Migr Rev. 1987 Fall;21(3):659–687. [PubMed] [Google Scholar]
- Savitz D. A., Arbuckle T., Kaczor D., Curtis K. M. Male pesticide exposure and pregnancy outcome. Am J Epidemiol. 1997 Dec 15;146(12):1025–1036. doi: 10.1093/oxfordjournals.aje.a009231. [DOI] [PubMed] [Google Scholar]
- Schell L. M., Tarbell A. M. A partnership study of PCBs and the health of Mohawk youth: lessons from our past and guidelines for our future. Environ Health Perspect. 1998 Jun;106 (Suppl 3):833–840. doi: 10.1289/ehp.98106833. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Slesinger D. P. Health status and needs of migrant farm workers in the United States: a literature review. J Rural Health. 1992 Summer;8(3):227–234. doi: 10.1111/j.1748-0361.1992.tb00356.x. [DOI] [PubMed] [Google Scholar]
- Thompson B., Coronado G., Puschel K., Allen E. Identifying constituents to participate in a project to control pesticide exposure in children of farmworkers. Environ Health Perspect. 2001 Jun;109 (Suppl 3):443–448. doi: 10.1289/ehp.01109s3443. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Villarejo D., Baron S. L. The occupational health status of hired farm workers. Occup Med. 1999 Jul-Sep;14(3):613–635. [PubMed] [Google Scholar]
- Zahm S. H., Blair A. Cancer among migrant and seasonal farmworkers: an epidemiologic review and research agenda. Am J Ind Med. 1993 Dec;24(6):753–766. doi: 10.1002/ajim.4700240612. [DOI] [PubMed] [Google Scholar]
- Zahm S. H., Blair A. Cancer feasibility studies among migrant farmworkers. The Farmworker Epidemiology Research Group. Am J Ind Med. 1997 Sep;32(3):301–302. doi: 10.1002/(sici)1097-0274(199709)32:3<301::aid-ajim17>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
- Zahm S. H., Ward M. H., Blair A. Pesticides and cancer. Occup Med. 1997 Apr-Jun;12(2):269–289. [PubMed] [Google Scholar]
- Zahm S. H., Ward M. H. Pesticides and childhood cancer. Environ Health Perspect. 1998 Jun;106 (Suppl 3):893–908. doi: 10.1289/ehp.98106893. [DOI] [PMC free article] [PubMed] [Google Scholar]