204252 North Carolina Farmworker Housing Fails to Meet OSHA and HUD Standards

Sunday, November 8, 2009

Quirina M. Vallejos, MPH , Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC
Sara A. Quandt, PhD , Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC
Scott Isom , Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC
Thomas A. Arcury, PhD , Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC
Substandard housing conditions persist in farmworker temporary labor camps despite federal housing regulations. Rental housing in which farmworkers live also tends to be substandard. The supply and quality of private market housing available to farmworkers is insufficient and largely unregulated. Exposure to substandard housing conditions has been shown in other populations to be associated with health problems including asthma, depression and anxiety, and infectious diseases such as tuberculosis, hepatitis B, respiratory infections, and food borne illnesses.

Measures from two surveys of farmworkers, one of 288 workers in 44 residential sites in 2007 and the other of 122 of the same workers in 29 residential sites in 2008 are used to document the prevalence and predictors of substandard housing conditions in farmworker housing in eastern North Carolina. Measures used in this analysis include housing tenure, crowding, sanitary facilities, and structural hazards. Associations between housing conditions and resident report of wheeze, nausea and vomiting, and symptoms of depression and anxiety are also explored. The results display a need for improved enforcement of temporary labor camp regulations and efforts to improve the quality of all types of housing available to farmworkers.

Learning Objectives:
1) Describe 3 common housing problems in North Carolina farmworker housing. 2) List health effects that are associated with living in substandard housing. 3) Explain the need for improved enforcement of temporary labor camp standards.

Keywords: Health Disparities, Housing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was Project Manager for the project in which the data being presented were collected. I have also written a chapter on farmworker housing for a book that is in press. The chapter title is "The Condition of Farmworker Housing in the Eastern United States" and will be published in a book titled "Latino Farmworkers in the Eastern United States: Health, Safety and Justice" by Springer in April 2009.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.