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Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013–2014CME ACTIVITY — Volume 13 — March 31, 2016 Kristin L. Moore, MPH; Jenny Mercado, MPH; Jana Hill, MPH; Sarah C. Katz, MPHSuggested citation for this article: Moore KL, Mercado J, Hill J, Katz SC. Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013–2014. Prev Chronic Dis 2016;13:150519. DOI: http://dx.doi.org/10.5888/pcd13.150519. MEDSCAPE CMEMedscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Medscape, LLC and Preventing Chronic Disease. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians. Medscape, LLC designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 75% minimum passing score and complete the evaluation at http://www.medscape.org/journal/pcd ; (4) view/print certificate. Release date: March 31, 2016; Expiration date: March 31, 2017 Learning ObjectivesUpon completion of this activity, participants will be able to:
EDITORCaran Wilbanks Editor, Preventing Chronic Disease Disclosure: Caran Wilbanks has disclosed no relevant financial relationships. CME AUTHORLaurie Barclay, MD Freelance writer and reviewer, Medscape, LLC Disclosure: Laurie Barclay, MD, has disclosed the following relevant financial relationships: Owns stock, stock options, or bonds from: Pfizer AUTHORSKristin L. Moore, MPH, Health Policy, Planning, and Evaluation Division, County of Sonoma Department of Health Services, Santa Rosa, California Disclosure: Kristin L. Moore, MPH, has disclosed no relevant financial relationships.
Disclosure: Jenny Mercado, MPH, has disclosed no relevant financial relationships.
Disclosure: Jana Hill, MPH, has disclosed no relevant financial relationships.
Disclosure: Sarah C. Katz, MPH, has disclosed no relevant financial relationships. PEER REVIEWED AbstractIntroduction The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population. Methods From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (=18 years) Sonoma County sample from the California Health Interview Survey for 2011–2012. Results Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011–2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001). Conclusion We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system. Syndicated Content Details:
Source URL: http://www.cdc.gov/pcd/issues/2016/15_0519.htm Source Agency: Centers for Disease Control and Prevention (CDC) Captured Date: 2016-07-13 04:53:57.0
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