Beyond Social Determinants: Considering Structural Processes in Health Outcomes
Resources
- Watch the archived webinar series, “Structural Competency: Working Toward Health Equity for Farmworker Patients and Communities,” on MCN’s archived webinars page: https://www.migrantclinician.org/webinar/structural-competency-working-toward-health-equity-farmworker-patients-and-communities
- Access numerous resources about structural competency on the Structural Competency website: https://structuralcompetency.org/structural-competency/
- Learn more about the Structural Competency Working Group and access their curriculum and archived webinars on structural competency for clinicians: https://structcomp.org/
- Read the research that shows its impact in the peer-reviewed article, “Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities”: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182045
- Access the entire article, “Structural Vulnerability: Operationalizing the Concept to Address Health Disparities in Clinical Care”, which includes other screening questions on financial security, residence, risk environments, food access, social network, legal status, and education: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233668/
The Structural Forces Underpinning Pesticide Exposure
Resources
- EOH Screening Questions:
https://www.migrantclinician.org/toolsource/resource/eoh-screening-questions-primary-care.html
- Full-color comic books in English and Spanish: https://www.migrantclinician.org/pesticide-comic-books.html
- Juan abre los ojos: Como protegerse de los pesticidas is a general comic book on pesticides for agricultural workers.
- Aunque cerca… Sano educates parents on the risk of pesticide exposure for children.
- Poco veneno… No mata covers the risks of pesticides and ways to minimize the risks in the home setting.
- Lo que bien empieza… Bien acaba addresses pesticide exposure in women of reproductive age.
- Nadie sabe que repira… ¡Hasta que le falta el aire! is our newest comic book on respiratory health.
- Pesticide Exposure Reporting and Workers’ Compensation Map: Developed with Farmworker Justice, this map provides clinicians with state-specific pesticide reporting requirements as well as workers’ compensation criteria. https://www.migrantclinician.org/pesticide-reporting-and-workers-compensation-agriculture-interactive-map.html
- Pesticide webpage: All of these resources are outlined on our Pesticides page, including additional resources on clinical guidelines on acute pesticide exposure, cholinesterase testing protocols, and more. https://www.migrantclinician.org/explore-environmental-justice-and-worker-health/pesticides.html
- Recognition and Management of Pesticide Poisonings 6th Edition: EPA’s essential clinical reference for recognizing and managing pesticide overexposures. https://www.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
- The open source article, "US pesticide regulation is failing the hardest-hit communities. It's time to fix it", is available in its entirety on the Brookings Institute website: https://www.brookings.edu/articles/us-pesticide-regulation-is-failing-the-hardest-hit-communities-its-time-to-fix-it/
Reference
- 1 US Department of Labor, Employment and Training Administration. Findings from the National Agricultural Workers Survey (NAWS) 2015-2019: A Demographic and Employment Profile of California Farmworkers (Research Report No. 15). Released 3 June 2022. Available at: https://www.dol.gov/agencies/eta/research/publications/findings-national-agricultural-workers-survey-naws-2015-2019
Food Insecurity: Tools and Resources to Bring Food as Medicine to Agricultural Communities
Resources
- The seven steps of effective community mobilization are outlined in a recent Streamline article: https://www.migrantclinician.org/streamline/resources-featured-streamline-spring-2024
- MCN’s communication manual, “Designing Community-Based Communications Campaigns,” is available in English and Spanish. https://www.migrantclinician.org/resource/designing-community-based-communication-campaigns-manual.html
- Watch MCN’s archived webinar, Emergency Management, available in English and Spanish, for more information: https://www.migrantclinician.org/webinar/emergency-management-2023-11-09.html
- MCN’s comic book, My Health is My Treasure: A Guide for Living Well with Diabetes, available for download in English and Spanish: https://www.migrantclinician.org/resource/my-health-my-treasure-guide-living-well-diabetes-comic.html
- Learn more about regional food hubs in the resource, “Regional Food Hub Resource Guide,” created by the USDA Agricultural Marketing Service: https://www.ams.usda.gov/sites/default/files/media/Regional%20Food%20Hub%20Resource%20Guide.pdf
- Read the entire CDC guide, “Components of Fruit and Vegetable Programs”: https://www.cdc.gov/nutrition/php/incentives-prescriptions/essential-components.html
References
- 1 Yolo Food Bank. Yolo County Food Access Survey Report. 2024. https://yolofoodbank.org/wp-content/uploads/2024/05/Yolo-County-Food-Access-Survey-Report.pdf.
- 2 Vopp KG, Berkowitz SA, Sharma SV, et al. Food Is Medicine: A Presidential Advisory From the American Heart Association. Circulation. 2023;148(18):1417-1439. doi:10.1161/CIR.0000000000001182
- 3 Murray M, Bridges K, Solano M, Greiner K, Woodward J. Food RX + CHW: Investigating the Role of Community Health Workers to Close the Food Insecurity Gap. Ann Fam Med. 2023;21(Suppl 1):4231. doi:10.1370/afm.21.s1.4231
Serving Pediatric Migrant Patients with Specialty Care Needs
Resource
- Learn more about SCAN and its parent program, Health Network, on the Health Network page: https://www.migrantclinician.org/our-work/health-network.html
Sexual Violence in the Fields: New Resource for Clinicians
Resources
- Access the new clinician’s guide:
- Hombres Unidos is MCN’s peer-led five-session curriculum where men from the community teach fellow men about family violence. The popular curriculum is aimed at primary prevention of sexual and intimate partner violence in the Latinx migrant community: https:/www.migrantclinician.org/disabled/hombres-unidos-contra-la-violencia-familiar.html.
- Farmworker Justice’s list of multilingual resources on sexual violence in agricultural worker communities: https://www.farmworkerjustice.org/resource-categories/sexual-harrassment-violence.
- Sexual Violence Against Farmworkers: A Guidebook for Social Service Providers from Southern Poverty Law Center: https:/www.splcenter.org/sites/default/files/d6_legacy_files/downloads/publication/OVW_SocialServiceProviders.pdf.
- Understanding Male Socialization, Stigma, and Reactions to Sexual Violence, from the National Sexual Violence Resource Center: https:/www.nsvrc.org/working-male-survivors-sexual-violence/Understanding
New Resource: Naloxone Use Among Immigrant Agricultural Worker Communities
Resource
- Access the new resource on MCN’s website:
References
- 1 National Institute on Drug Abuse. Drug Overdose Death Rates. Website. 14 May 2024. https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates
- 2 Dong XS, Brooks RD, Cain CT. Overdose fatalities at worksites and opioid use in the construction industry. Published 2019. Accessed June 5, 2024. https://stacks.cdc.gov/view/cdc/85344
New Comic Book on Respiratory Health
Resources
- Download the new comic book:
- In Spanish: Nadie sabe que respira… ¡Hasta que le falta el aire!: https://www.migrantclinician.org/es/resource/nadie-sabe-que-respira-hasta-que-le-falta-el-aire.html
- In English: Clear the Air! Protect Your Health from Bad Air: https://www.migrantclinician.org/resource/clear-air-protect-your-health-bad-air.html
- Access the pesticide-related comic books: https://www.migrantclinician.org/pesticide-comic-books.html
- Access all of MCN’s comic books: https://www.migrantclinician.org/resources/717/comic-book/index.html
References
- 1 Clarke K, Manrique A, Sabo-Attwood T, Coker ES. A Narrative Review of Occupational Air Pollution and Respiratory Health in Farmworkers. Int J Environ Res Public Health. 2021;18(8):4097. Published 2021 Apr 13. doi:10.3390/ijerph18084097
- 2 https://www.sciencedirect.com/science/article/ pii/S2666765722001053
- 3 Mattawa Farmworkers’ Under the Smoke. University of Washington. 2018. Accessed 4 June 2024. https://deohs.washington.edu/ pnash/sites/deohs.washington.edu.pnash/files/ WildfireSmoke-2018-sf.pdf
