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La Familia

Reducing Farmworker Family Pesticide Exposure - is the five year (2001-2005) continuation of PACE.   ¡La Familia! extends collaboration between the North Carolina Farmworkers’ Project (NCFP) and researchers at Wake Forest School of Medicine to evaluate a Lay Health Advisor (LHA) model to reduce pesticide exposure among farmworker families.  With ¡La 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.  ¡La Familia! is (1) documenting farmworker knowledge, beliefs and perceptions of pesticide exposure of all family members, particularly as they relate to exposure of children; (2) identifying pathways for environmental exposure of farmworker children to pesticides; (3)  developing, implementing, and evaluating a culturally appropriate LHA intervention to reduce pesticide exposure of children (aged 18-48 months) in farmworker homes; and (4) compiling and disseminating the final intervention program to other farmworker communities and farmworker service providers.

A model of community participation has been implemented throughout the 5 project years.  Formative research (in-depth interviews; pathway exposure assessment) was completed in Years 1 and 2.  Using the formative results in a PRECEDE-PROCEED framework, the content and format of the LHA intervention was developed in Year 2. This intervention (and a revision) was 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 current and final year, support continues 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 being disseminated to regional and national farmworker groups, to those providing health care to farmworkers, and in the research literature.

Project Team:Thomas A. Arcury, Ph.D., Principal Investigator, Sara A. Quandt, PhD, Co-Principal Investigator, Carol Brooke, JD, MPH (North Carolina Farmworkers Project), Stephen W. Davis, MA, Jane Hoppin, ScD (National Institute of Environmental Health Sciences),  David S. Jackson, Jr., MD, Pamela Rao, PhD, and Beverly M. Snively, PhD. Dana B. Barr, PhD, (Centers for Disease Control and Prevention) is a consultant.

Funding Agency:  This five-year project is supported by a grant from the National Institute of Environmental Health Sciences (R01 ES08739).

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