To protect and improve the health and safety of Yakima Valley agricultural workers, their families and their

communities

Overview ConneX Course ENVH 490

Background
Recruitment sites Spanish survey revisions

Introduction

Student participants Recruitment sites

Community Survey N=395 Youth Survey N=103

ConneX Students
University of Washington
Richard Castaneda Jose Garcia Esmeralda Iman Fabio Pena Jocelyn Verduzco

Gonzaga University
Maira Rodriguez

Eastern Washington University

Sonia Ornelas

Yakima Valley Community College

Teresa Maldonado

Brown University
Esmeralda Lopez

Seattle Pacific University

Lissette Llamas

Willamette University
Emmanuel Rodriguez
Student Assistants: Blanca Mejia & Maricela Ramirez

Central Washington University

Alicia Brito Sandra Valencia

Survey Sites

Refusal Rate
Total: 33%
Yakima Valley Farm Workers Clinic Sites Refusal Rate Public Stores 36% Yakima Lincoln Yakima Nob HiIl Experimental

Sites
Yakima Fiesta Foods Health Fair

Refusal Rate

Toppenish

28% 19%

Sites
Sunnyside Safeway Sunnyside Wal-Mart Wapato Wolfden

Refusal Rate 69% 19%

55%

White Swan Food Bank

Yakima St. Paul's Cathedral Yakima Meadowbrook Center Home

26% 34%
14%

13%

Wapato
Grandview

36%

8%

4%

2012 UW ENVH 490 From their own perspective: Community surveys of Environmental health concerns & priorities among Yakima County residents

Community Survey
Teresa Maldonado Fabio Pena & Richard A. Castaneda

Overview
Background Methods

Results Limitations
Discussion

El Proyecto Bienestar
The Well Being Project
Mission: Protect and improve Yakima Valley agricultural workers health & safety Aims Develop issues driven action plan with a Latino agricultural focus Cultivate a cadre of new investigators with training in investigation of occupational and environmental health threats.

Purpose Of The Survey

What are the primary children, adults and community environmental concerns among Yakima Valley community members? What communication methods do Yakima Valley community members prefer?

Use Of The Survey

Data priority Analyze the data and report the major concerns to EPB Development of EPB programs Develop issues driven action plan Discover communication preferences Contribute to EPB project development Dissemination of Information

Why Is The Survey Important?

Exposure to Toxicants High concentrations of toxicant use near communities The Yakima Valley is highly agricultural Many agriculture workers dont have access to information or know their rights

Survey Revisions

Diarrhea
Everyone gets diarrhea and people will not necessarily be too concerned because of the available over the counter medications available. People are embarrassed to talk about it

ADHD
Community members are not aware of the disorder and what it is.

Difficulties pronouncing Attention Deficit Disorder in Spanish and explaining to community members what it is.

Injuries
(not work related)
Regardless if they get hurt they will still go to work.

Environmental Concerns
Pollen-no one in the community thought that it was important. They would give it a 0-1 in the scale. Also, we think they wouldnt be so concerned because they can still go to work

If the injury is not work related it is not compensated and thus it does not stop them from working because they dont get paid.

Spanish Revisions
Casa Rodante Tralla
Familia- Sus Hijos

Calefaccin Calentn
Roedores- Ratas

Caera- Tubera
Bichos- Insectos

How Did We Collect Our Data?

Recruitment Approach eligible candidates; explain the survey & offer the incentive, let them know its anonymous Explain Your Purpose Explain to the candidate what youre researching and who you are researching for Informed Consent Ensure the candidate understand the survey purpose Ask the candidate if he/she has any questions Begin The Survey Offer incentive when finished

General Demographics
395 community Surveys were completed
68% were female 32% surveyed were male

83% of participants surveyed identified themselves

as Hispanic, Latin American or Spanish Origen

57% of participants surveyed were born in Mexico

43% of participants were between 31-45 years of

age.

N=389

Education Level of Participants

Some College/College Grad
High School Graduate/GED

32%

26%

Some High School

19%

6th Grade or Less

22%

Race
N = 385
200 180

49.4%

Number of People

160 140 120

100
80 60 40 20

21.2% 6.2% 6.2%

0
European White Native America Mixed Racial Background Hispanic Latino/ Mexican

Racial Background

Ethnicity & Employment

52%
180 160 140 120 100 80

Hispanic N=321

40%

Non Hispanic N=65

60
40 20 0

51%

38%

8% 11%

No Job

One Job

Two Jobs

Ethnicity & Types of Current Jobs

70

49%
Hispanic N=138

60

Non Hispanic N=11

50

40

21%
30

24%

20

81%
10

6%

0%
0 Farming

19%
Warehouse Healthcare Sales

0%

Education Level & Current Job Status

100
90 80 70 60 50 40

Working N=227

40%

Not Working N=161

22% 24% 13%

25%
28%

27%
21%

30
20 10

0
6th Grade or Less Some High School High School Graduate/GED Some College / Degree

Esmeralda Iman, Sonia Ornelas, Jose Garcia

The survey asked participants to rate health concerns on a scale of 0 4. Calculated the two main concerns regarding: Childrens Health Adult Occupational & Environmental Health Community Environmental Issues

Two Main Childrens Health Concerns:

543 Responses
30% 26% 25%

21%

# of People

20% 13%

15% 8%

12%

10%

6%

6%

5%

5%

0% Diarrhea LBW Colds Asthma Injuries Learning Allergies Obesity

Concerns

What Are The top 2 Issues That Worry You About Adult Environmental Health?
35%

727 Responses
30% 25%

30%

# of People

20% 15% 14%

18%

10%
6% 5% 0% Skin Colds 4%

8%

7% 3%

7%

Mental

Asthma

Work Injuries

Allergies

Obesity

Diabetes

Heart Disease

Concerns

What Are the 2 Most Important Environment & Community Issues That Worry You?
18%

724 Responses
15% 13% 14% 11% 14%

17%

16%
14%

# of People

12% 10% 8% 7%

7%

6%
4% 2% 0% Traffic Poll. Farm Poll. Lack of Access Pest in air/soil Pest in food to H.F Food Cont. (Bact.) Water Cont. (Bact.) H2O Cont. (Chem.)

Concerns

The survey asked participants how they access information about their health priorities regarding children, adults and their community.

Where Would You Go To Find Information?

70% 60% 66%

65%

388 Total Responses

Hispanic N = 322
48% 39% 29%

Percentage of People

50%
40% 30%

Non-Hispanic N=

26% 20%

26%

20% 11% 10% 0%

15% 9% 6% 8% 8%

13% 9%

Preferred Locations to Receive Information

Clinical Study Participation:

The survey asked participants if they would be interested in participating in a study about the health of their children, family or community.

Would You Participate in a Study?

YES
12%

What Compels You To Participate?

N=380
NO
Your Health 9%

DK

14%

Reasons to Participate

Child's Health

22%

74%
Family/Community 64%

Percentage

What Worries You About Participating in a Study? How Would You Like to Hear About an Opportunity?
591 Responses
Social media

27% 39% 34%

Privacy Time

Hear about Opportunity

Church/Comm Group

Family/Friend

Radio

Side effects

Doctor/Clinic

0%

20%

40%

60%

Percentage

Jocelyn, Sandra, Maira

Internet Use Among Hispanics

50%
45% 40% 35% 30% 25% 21% 21% 15% 10% 23%

N=395
43%

47%

20%
15% 10% 5% 0%

15%

never

a few x week

once a day

several x day

HISPANICS

NON-HISPANICS

How Many Children Are Living in Your Home?

Hispanic N=316
60% 50% 40% 30% 60%

Non-Hispanic N=63
34
50% 40%

14

92
75 64 57

30%

20% 10% 0%

8
20%

28

10% 0%

2
None One Two Three Four

None

One

Two

Three

Four

Limitations
Missing data

Majority of surveys conducted at health events or health clinics

Convenience sample Only able to ask people as they are leaving the clinics

Time constraints Lack of interviewing, data entry & data analysis experience

Discussion (# the priorities) Add quick results on where to go for info

Child Health Priorities 1. Obesity- 26% 2. Asthma- 21% 3. Learning disabilities & allergies- 12% Adults health priorities 1. Diabetes- 30% 2. Heart disease- 18% 3. Obesity- 14%

Discussion
Community environmental health priorities Water contamination chemicals: 17% Pesticides in food: 15% Water contamination bacteria: 14% Pesticides in air and soil: 14% Frequency of Internet use among Hispanics vs. Non-Hispanics 43% of Hispanic reported never using the internet 47% of Non-Hispanics reported using the internet several time a day Where would you go to find information? 66% of Hispanics preferred Radio/TV 65% of Non-Hispanics preferred Internet/Social media