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Health Promotion Practice
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Article

Reducing Farmworker Residential Pesticide Exposure: Evaluation of a Lay Health Advisor Intervention

Thomas A. Arcury, PhD*, Antonio Marín, MA, Beverly M. Snively, PhD, Mercedes Hernández-Pelletier, MPH, and Sara A. Quandt, PhD

* To whom correspondence should be addressed. E-mail: tarcury{at}wfubmc.edu.


  Abstract
The goal of this analysis is to evaluate the effectiveness of a promotora program for teaching women in Latino farmworker families about pesticide safety and increasing pesticide safety behaviors. Volunteer promotoras delivered a pesticide safety curriculum (intervention) and nutrition curriculum (control) to farmworker women residing in western North Carolina and Virginia. Pre-and postintervention interviews assessed differences in delivery of the intervention, recognition of the intervention, pesticide knowledge, pesticide exposures behaviors, and integrated pest management behaviors. Participants in the intervention group reported significantly more receipt of pesticide education and greater recognition of the key messages. However, their knowledge, pesticide exposure behaviors, and integrated pest management behaviors did not change. A more structured program is needed to be sure that the dose of interventions is large enough to overcome educational and cultural characteristics of immigrant communities. Policy changes are needed to address circumstances outside of farmworkers’ control that affect pesticide exposure.

First published on February 20, 2008, doi:10.1177/1524839907301409

Health Promotion Practice 2009;10:447.

A more recent version of this article appeared on July 1, 2009

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A. L. Salvatore, J. Chevrier, A. Bradman, J. Camacho, J. Lopez, G. Kavanagh-Baird, M. Minkler, and B. Eskenazi
A Community-Based Participatory Worksite Intervention to Reduce Pesticide Exposures to Farmworkers and Their Families
Am J Public Health, November 1, 2009; 99(S3): S578 - S581.
[Abstract] [Full Text] [PDF]