La Familia! extends collaboration between the North Carolina Farmworkers' Project (NCFP), a grassroots community based organization, and environmental health researchers at Wake Forest University School of Medicine to evaluate a Lay Health Advisor (LHA) model to reduce pesticide exposure among farmworker families. The proposed research builds on PACE, Preventing Agricultural Chemical Exposure among North Carolina Farmworkers (R21 ES08739), a highly successful workplace intervention to reduce migrant and seasonal farmworker pesticide exposure. With iLa Familia!, the PACE focus shifts to exposure of farmworker families, particularly children, and expands work with the North Carolina farmworker community to Latino Christmas tree workers in the western region of the state. iLa Familia!'s specific aims are to: 1) document and assess farmworker knowledge, beliefs and perceptions of pesticide exposure of all family members, particularly as they relate to exposure of children; 2) identify pathways for environmental exposure of farmworker children to pesticides; 3) develop, implement, and evaluate a culturally appropriate LRA intervention to reduce pesticide exposure of children (aged 18-48 mo) in farmworker homes; and 4) compile and disseminate the final intervention program to other farmworker communities and farmworker service providers. A model of community participation will be implemented throughout the 5 project years. Formative research (in-depth interviews; pathway exposure assessment) will be completed in Years 1 and 2. Using the formative results in a PRECEDE- PROCEED framework, the content and format of the LHA intervention will be developed in Year 2. This intervention (and a revision) will be evaluated in Years 3 and 4 using a group randomized design. End-points will include change in knowledge of pesticide exposure routes for children and ways to reduce their exposure; change in exposure-related behaviors; and changes in household dust levels. In the final year, support will continue for the LHA program as part of the process of NCFP developing its health outreach mission in western NC., while the results of the project are disseminated to regional and national farmworker groups, to those providing health care to farmworkers, and in the research literature.

National Institute of Health (NIH)
National Institute of Environmental Health Sciences (NIEHS)
Research Project (R01)
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Special Emphasis Panel (ZES1-DPB-A (R3))
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Gray, Kimberly A
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Wake Forest University Health Sciences
Family Medicine
Schools of Medicine
United States
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Arcury, Thomas A; Laurienti, Paul J; Talton, Jennifer W et al. (2018) Pesticide Urinary Metabolites Among Latina Farmworkers and Nonfarmworkers in North Carolina. J Occup Environ Med 60:e63-e71
Kim, Sunwook; Nussbaum, Maury A; Laurienti, Paul J et al. (2018) Exploring Associations Between Postural Balance and Levels of Urinary Organophosphorus Pesticide Metabolites. J Occup Environ Med 60:174-179
Arcury, Thomas A; Chen, Haiying; Laurienti, Paul J et al. (2018) Farmworker and nonfarmworker Latino immigrant men in North Carolina have high levels of specific pesticide urinary metabolites. Arch Environ Occup Health 73:219-227
Quandt, Sara A; Groeschel-Johnson, Augusta; Kinzer, Hannah T et al. (2018) Migrant Farmworker Nutritional Strategies: Implications for Diabetes Management. J Agromedicine 23:347-354
Furgurson, Katherine F; Sandberg, Joanne C; Hsu, Fang-Chi et al. (2018) Cancer Knowledge Among Mexican Immigrant Farmworkers in North Carolina. J Immigr Minor Health :
Arcury, Thomas A; Sandberg, Joanne C; Talton, Jennifer W et al. (2018) Mental Health Among Latina Farmworkers and Other Employed Latinas in North Carolina. Rural Ment Health 42:89-101
Furgurson, Katherine F; Sandberg, Joanne C; Hsu, Fang-Chi et al. (2018) HPV Knowledge and Vaccine Initiation Among Mexican-Born Farmworkers in North Carolina. Health Promot Pract :1524839918764671
Pope, Carey N; Brimijoin, Stephen (2018) Cholinesterases and the fine line between poison and remedy. Biochem Pharmacol 153:205-216
Sandberg, Joanne C; Rodriguez, Guadalupe; Howard, Timothy D et al. (2017) ""He Beat You in the Blood"": Knowledge and Beliefs About the Transmission of Traits Among Latinos from Mexico and Central America. J Immigr Minor Health 19:170-178
Quandt, Sara A; Walker, Francis O; Talton, Jennifer W et al. (2017) Olfactory Function in Latino Farmworkers Over 2 Years: Longitudinal Exploration of Subclinical Neurological Effects of Pesticide Exposure. J Occup Environ Med 59:1148-1152

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