Understanding Farmworker Fluid Intake Using Intersectionality Theory

Author:

Mizelle Elizabeth1ORCID,Larson Kim2,Doherty Caroline3

Affiliation:

1. Department of Baccalaureate Education, College of Nursing, East Carolina University, Greenville, NC, USA

2. Department of Nursing Science, College of Nursing, East Carolina University, Greenville, NC, USA

3. Roanoke Chowan Community Health Center, Ahoskie, NC, USA

Abstract

In the United States, Latino farmworkers are disproportionately at risk for death from heat-related illnesses. To elicit Latino farmworker perceptions on their fluid intake and heat stress, a qualitative descriptive, community-informed research study was conducted in eastern North Carolina. A total of 28 Mexican farmworkers participated in one of 4 focus groups. Using content analysis and guided by Intersectionality theory, themes and subthemes were identified. The first theme was Absence of Protection, represented by 2 subthemes: (1a) Intense Climate Considerations; and (1b) Workplace Exploitation. The second theme, Freedom to Drink, included 2 subthemes: (2a) Distance and Distaste; and (2b) Culture of Farm Work. Farmworkers perceived extreme outdoor temperatures as the greatest workplace barrier to staying hydrated and reported water accessibility and quality issues. Farmworker fluid intake was influenced by interlocking social categories and power systems. Policy recommendations that prevent farmworker heat-related illness and promote hydration are discussed.

Funder

East Carolina University College of Nursing Office of Research and Scholarship

Beta Nu Chapter of Sigma Theta Tau International Honor Society

East Carolina University College of Nursing

Publisher

SAGE Publications

Subject

General Medicine

Reference76 articles.

1. Characterizing occupational heat-related mortality in the United States, 2000-2010: An analysis using the census of fatal occupational injuries database

2. North Carolina Department of Health and Human Services. North Carolina farmworker health program, https://www.ncdhhs.gov/divisions/office-rural-health/office-rural-health-programs/north-carolina-farmworker-health-program (2021, accessed 5 August 2021).

3. Layton M. Myths abound about foreign farm workers in region, http://www.dailyadvance.com/News/2018/10/08/Myths-abound-about-foreign-farm-workers-in-region.html (8 October 2018, accessed 5 August 2021).

4. Ferriss S. Hidden hardship: Guest farmworkers with visas died of COVID-19 in obscurity while Trump planned wage freezes, https://publicintegrity.org/inequality-poverty-opportunity/immigration/guest-farm-workers-visas-trump-wage-freezes/ (2020, accessed 5 August 2021).

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