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On-the-farm cardiovascular risk screening among migrant agricultural workers in Southeast Minnesota: a pilot prospective study.


ABSTRACT: INTRODUCTION:Accessibility to healthcare services is a major concern facing migrant agricultural workers (MAWs) in the USA. We aimed to test the feasibility of implementing cardiovascular risk screening at farm sites. METHODS:This was a pilot prospective cohort study providing on-site monthly screenings of cardiovascular risk factors. We estimated the prevalence of cardiovascular risk factors and evaluated the success of this approach via modified validated satisfaction surveys. RESULTS:We enrolled 38 MAWs and diagnosed 18 cases of pre-diabetes, diabetes, hypertension and hyperlipidaemia in 15 subjects (39.4%). Mean scores of workers' satisfaction were high (?4) on a 5-point scale except 'Time spent with provider'. Over 80% of workers were likely to use this model if it was permanently available on the farm. Only 8.7% of workers were able to follow up after referral to a clinic. CONCLUSIONS:Cardiovascular risk factors are highly prevalent in MAWs. On-the-farm screening is a feasible and satisfactory model of healthcare delivery; however, other barriers continue to hinder MAWs from receiving follow-up care. TRIAL REGISTRATION NUMBER:NCT02418637. RESULTS:

SUBMITTER: Rajjo T 

PROVIDER: S-EPMC6067365 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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On-the-farm cardiovascular risk screening among migrant agricultural workers in Southeast Minnesota: a pilot prospective study.

Rajjo Tamim T   Mohammed Khaled K   Rho Jennifer J   Murad M Hassan MH  

BMJ open 20180730 7


<h4>Introduction</h4>Accessibility to healthcare services is a major concern facing migrant agricultural workers (MAWs) in the USA. We aimed to test the feasibility of implementing cardiovascular risk screening at farm sites.<h4>Methods</h4>This was a pilot prospective cohort study providing on-site monthly screenings of cardiovascular risk factors. We estimated the prevalence of cardiovascular risk factors and evaluated the success of this approach via modified validated satisfaction surveys.<h  ...[more]

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