Agricultural workers Healthcare; Migrant and seasonal
Migrant and seasonal agricultural workers in Chicago are mainly Hispanic males with many of them having low education levels and are unable to speak and read English. Poverty remains the characteristic of agricultural workers with low incomes. For instance, a few of them have health insurance. The general status of health of the migrants who are mostly agricultural workers is directly linked to poor working conditions and the meagre salaries. There are deficiencies in nutrition, sanitation and medical care access (Ludke, Obermiller & Couto, 2012).
The crowded living conditions, as well as inadequate nutrition, have contributed enormously to increased infectious illnesses. At the same time, the migrants often see physician less often with preventive care being deficient. Preventive services like vision and dental care remain absent chronic diseases common among the migrants. All these outcomes are common among the Chicago migrants because of the high degree of exposure to numerous agricultural toxins.
African Americans have more undetected diseases than whites and have a higher prevalence of cardiovascular illness than any other population. As mentioned in Reagan (2002), heart disease is 27 per cent greater in black men than white men and 55 per cent higher in black women than white women. Nationally 11% of adults aged 18 and over have been diagnosed with heart disease and 35% of black women had hypertension. Poverty level was inversely associated with heart disease, hypertension and stroke. Adults in families that were poor were more likely to have these diagnoses. Morbidity is higher for cardiovascular illness associated with hypertension, which is an epidemic among blacks (Braithwaite., & Taylor, S. 2002). Here in Illinois, cardiovascular disease is responsible for 13% of all inpatient hospitalizations and was the leading cause of death.
Historically, blacks mistrust traditional medicine primarily due to racism excluding them from institutions and participation in medical systems. Research has proven that health behaviours change for the better when influenced by the church. “Church-based interventions can significantly benefit the cardiovascular health of African American women. Other community-based projects could include education, accessible resources and preventative methods, such as smoking cessation and diet/exercise
Education, health promotion in addition to screening behaviours considered unhealthy remains vital in the prevention of diabetes, cardiovascular illness and stroke. Even though there are various educational programs, which are available to the African Americans population on both chronic infections and unhealthy behaviours, they are highly unlikely to seek preventive care. Numerous barriers have been identified, which discourage African Americans from seeking health care.
The factors identified are masculinity, prejudice, peer influences, religious beliefs and socioeconomic status. Additionally, factors such as slavery and the famous Tuskegee Syphilis Experiment make African American population suspicious in relation to seeking proper treatment. There is a need to find efficient mechanisms of addressing such barriers to reducing the morbidities and rates of mortality rates arising from chronic diseases among the African American population.
Braithwaite, R. L., & Taylor, S. E. (2002). Health issues in the Black community. San Francisco: Jossey-Bass.
Luke, R. L., Obermiller, P. J., & Couto, R. A. (2012). Appalachian Health and Well-Being. Lexington, Kentucky: The University Press of Kentucky.
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