Research shows that one in four migrant farmworkers experienced an episode of one or more mental health disorders such as stress, depression, or anxiety in their lifetime. The purpose of this mixed methods study was to explore experiences and perceptions related to stress and depression among Latino migrant and seasonal farmworkers (MSFWs), and to identify their coping behaviors for dealing with these mental health conditions. Using a mixed methods research approach, three focus group interviews of a sample of Latino MSFWs (N = 29) were conducted and a quantitative survey was implemented (N = 57) at community sites in eastern North Carolina. Four major themes emerged from the focus group data: (1) physical stress related to working conditions; (2) mental stress related to family situations, work environment, documentation status, and lack of resources; (3) depression related to separation from family and the lack of resources; and (4) use of positive and negative mechanisms for coping with stress and depression. A discussion of these themes, results from the survey findings, implications for intervention and outreach programs, along with recommendations for further research, are provided.
References
[1]
Occupational Outlook Handbook: 2008–2009. Available online: http://www.bls.gov/oco/ocos285.htm (accessed on 23 March 2013).
[2]
Larson, A. Migrant and Seasonal Farmworker Enumeration Profiles Study—North Carolina; Report Prepared for the Migrant Health Program; Bureau of Primary Health Care, Health Resources and Services Administration: Washington, DC, USA, 2008.
[3]
North Carolina Employment Security Commission. Available online: https://www.ncesc.com/default.aspx (accessed on 23 March 2013).
[4]
Migrant and Seasonal Farmworker Demographics Fact Sheet. Available online: http://www.ncfh.org/docs/fs-migrant%20Demographics.pdf (accessed on 23 March 2013).
[5]
Hansen, E.; Donohoe, M. Health issues of migrant and seasonal farmworkers. J. Health Care Poor Underserved 2003, 14, 153–164.
[6]
Census. INS: Data. Migration News, 2002. Available online: http://migration.ucdavis.edu/mn/more.php?id=2551_0_2_0 (accessed on 23 March 2013).
[7]
Rust, G. Health status of migrant farmworkers: A literature review and commentary. Am. J. Public Health. 1990, 80, 1213–1217, doi:10.2105/AJPH.80.10.1213.
[8]
Dever, G. Migrant Health Status: Profile of a Population with Complex Health Issues, MCN Monograph Series; National Migrant: Austin, TX, USA, 1991.
[9]
Villarejo, D. The health of U.S. hired farm workers. Annu. Rev. Public Health 2003, 24, 175–193, doi:10.1146/annurev.publhealth.24.100901.140901.
[10]
Hiott, A.E.; Grzywacz, J.G.; Davis, S.W.; Quandt, S.A.; Arcury, T.A. Migrant farmworker stress: Mental health implications. J. Rural Health 2008, 24, 32–39.
[11]
Kim-Godwin, Y.S.; Bechtel, G.A. Stress among migrant and seasonal farmworkers in rural southeast North Carolina. J. Rural Health 2004, 20, 271–280, doi:10.1111/j.1748-0361.2004.tb00039.x.
[12]
Maga？a, C.G.; Hovey, J.D. Psychosocial stressors associated with Mexican migrant farmworkers in the midwest United States. J. Immigr. Health 2003, 5, 75–86, doi:10.1023/A:1022955825650.
[13]
Hovey, J.D.; Maga？a, C.G. Psychosocial predictors of anxiety among immigrant Mexican migrant farmworkers: Implications for prevention and treatment. Cultur. Divers. Ethnic Minor. Psychol. 2002, 8, 274–289, doi:10.1037/1099-9809.8.3.274.
[14]
Hovey, J.D.; Maga？a, C.G. Cognitive, affective, and physiological expressions of anxiety symptomatology among Mexican migrant farmworkers: Predictors and generational differences. Community Ment. Health J. 2002, 38, 223–237, doi:10.1023/A:1015215723786.
[15]
Hovey, J.D.; Maga？a, C.G. Acculturative stress, anxiety, and depression among Mexican immigrant farmworkers in the midwest United States. J. Immigr. Health 2000, 2, 119–131, doi:10.1023/A:1009556802759.
[16]
Lloyd, D.A.; Taylor, J. Lifetime cumulative adversity, mental health, and the risk of becoming a smoker. Health 2006, 10, 95–112.
[17]
Wiesner, M.; Windle, M.; Freeman, A. Work stress, substance abuse, and depression among young adult workers: An examination of main moderator effect models. J. Occup. Health Psychol. 2005, 10, 83–96, doi:10.1037/1076-8998.10.2.83.
[18]
O’Donnell, K.; Wardle, J.; Dantzer, C.; Steptoe, A. Alcohol consumption and symptoms of depression in young adults from 20 countries. J. Stud. Alcohol. 2006, 67, 837–840.
[19]
Alderete, E.; Vega, W.A.; Kolody, B.; Aguilar-Gaxiola, S. Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California. Am. J. Public Health 2000, 90, 608–614, doi:10.2105/AJPH.90.4.608.
[20]
Grzywacz, J.G.; Quandt, S.A.; Early, J.; Tapia, J.; Graham, C.N.; Arcury, T.A. Leaving family for work: Ambivalence and mental health among Mexican migrant farmworker men. J. Immigr. Health. 2006, 8, 85–97, doi:10.1007/s10903-006-6344-7.
[21]
Grzywacz, J.G.; Quandt, S.A.; Chen, I.S.; Kinag, L.; Vallejos, Q.; Arcury, T.A. Depressive symptoms among Latino farmworkers across the agricultural season: Structural and situational influences. Cult. Divers. Ethnic Minor. Psychol. 2010, 16, 335–343, doi:10.1037/a0019722.
[22]
Grzywacz, J.G.; Chatterjee, A.B.; Quandt, S.A.; Talton, J.W.; Chen, H.; Weir, M.; Arcury, T.A. Depressive symptoms and sleepiness among Latino farmworkers in eastern North Carolina. J. Agromed. 2011, 16, 251–260, doi:10.1080/1059924X.2011.605722.
[23]
Arcury, T.A.; O’Hara, H.; Grzywacz, J.G.; Isom, S.; Chen, H.; Quandt, S.A. Work safety climate, musculoskeletal discomfort, working while injured, and depression among migrant farmworkers in North Carolina. Am. J. Public Health 2012, 102, S272–S278.
[24]
Crain, R.; Grzywacz, J.G.; Schwantes, M.; Isom, S.; Quandt, T.A.; Arcury, T.A. Correlates of mental health among Latino farmworkers in North Carolina. J. Rural Health 2012, 28, 277–285, doi:10.1111/j.1748-0361.2011.00401.x.
[25]
American Psychological Association. Americans Engage in Unhealthy Behaviors to Manage Stress: 2006. Available online: http://www.apa.org/releases/stresssurvey0206.html (accessed on 14 February 2013).
[26]
Ng, D.M.; Jeffery, R.W. Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol. 2003, 22, 638–642, doi:10.1037/0278-6133.22.6.638.
[27]
Daniel, J.; Honey, W.; Landen, M.; Marshall-Williams, S.; Chapman, D.; Lando, J. Health risk behaviors and conditions among persons with depression, New Mexico, 2003. Morb. Mortal Wkly. Rep. 2005, 54, 989–995.
[28]
Pomerleau, C.S.; Zucker, A.N.; Stewart, A.J. Patterns of depressive symptomology in women smokers, ex-smokers, and never smokers. Addict. Behav. 2003, 28, 575–582, doi:10.1016/S0306-4603(01)00257-X.
[29]
Vickers, K.S.; Patten, C.A.; Lane, K.; Clark, M.M.; Croghan, I.T.; Schroeder, D.R. Depressed versus nondepressed young adult tobacco users: Differences in coping style, weight concerns, and exercise level. Health Psychol. 2003, 22, 498–503, doi:10.1037/0278-6133.22.5.498.
[30]
Kim, O. The relationship of depression to health risk behaviors and health perceptions in Korean college students. Adolescence 2002, 37, 575–584.
[31]
Christensen, L.; Brooks, A. Changing food preference as a function of mood. J. Psychol. 2006, 140, 293–306, doi:10.3200/JRLP.140.4.293-306.
[32]
Aalto, J.K.; Brotheridge, C.M. Resources, coping strategies, and emotional exhaustion: A conservation of resources perspective. J. Vocat. Behav. 2003, 63, 490–509, doi:10.1016/S0001-8791(02)00033-7.
[33]
MacGeorge, E.L.; Samter, W.; Feng, B.; Gillihan, S.J.; Graves, A.R. Stress, social support and health among college students after September 11, 2001. J. College Stud. Dev. 2004, 45, 655–670, doi:10.1353/csd.2004.0069.
[34]
Alegria, M.; Shrout, P.E.; Woo, M.; Guarnaccia, P.; Sribney, W.; Vila, D.; Polo, A.; Cao, Z.; Mulvaney-Day, N.; Torres, M.; Canino, G. Understanding differences in past year psychiatric disorders for Latinos living in the US. Soc. Sci. Med. 2007, 65, 214–230, doi:10.1016/j.socscimed.2007.03.026.
[35]
Alegria, M.; Canino, G.; Shrout, P.E.; Woo, M.; Duan, N.; Vila, D.; Torres, M.; Chen, C.N.; Meng, X.L. Prevalence of mental health illness in immigrant and non-immigrant U.S. Latino groups. Am. J. Psychiatry 2008, 165, 359–369, doi:10.1176/appi.ajp.2007.07040704.
[36]
Alegria, M.; Mulvaney-Day, N.; Torres, M.; Polo, A.; Cao, Z.; Canino, G. Prevalene of psychiatric disorders across Latino subgroups in the United States. Am. J. Public Health 2007, 97, 68–75, doi:10.2105/AJPH.2006.087205.
[37]
González, H.M.; Tarraf, W.; Whitfield, K.E.; Vega, W.A. The epidemiology of major depression and ethnicity in the United States. J. Psychiatr. Res. 2010, 44, 1043–1051, doi:10.1016/j.jpsychires.2010.03.017.
[38]
Bauer, A.M.; Chen, C.N.; Alegria, M. English language proficiency and mental health service use among Latino and Asian Americans with mental disorders. Med. Care 2010, 48, 1097–1104, doi:10.1097/MLR.0b013e3181f80749.
[39]
Neighbors, H.W.; Caldwell, C.; Williams, D.R.; Nesse, R.; Taylor, R.J.; Bullard, K.M.; Torres, M.; Jackson, J.S. Race, ethnicity, and use of serves for mental disorders: Results from the National Survey of American Life. Arch. Gen. Psychiatry 2007, 64, 485–494, doi:10.1001/archpsyc.64.4.485.
[40]
Williams, D.R.; González, H.M.; Neighbors, H.; Nesse, R.; Abelson, J.M.; Sweetman, J.; Jackson, J.S. Prevalence and distribution of major depressive disorders in African Americans, Caribbean blacks, and non-Hispanic whites: Results from the National Survey of American Life. Arch. Gen. Psychiatry 2007, 64, 305–315, doi:10.1001/archpsyc.64.3.305.
[41]
Chaney, E.H.; Burke, S.C.; Rager, R.C.; Ward, R. Development of an instrument to assess stress, depression, and coping among Latino migrant and seasonal farmworkers. Am. J. Health Stud. 2011, 26, 236–248.
[42]
Ragin, C. The Comparative Method: Moving Beyond Qualitative and Quantitative Strategies; University of California Press: Berkeley, CA, USA, 1987.
[43]
Ulin, P.R.; Robinson, E.T.; Tolley, E.E. Qualitative Methods in Health Education: A Guide for Applied Research; Jossey Bass: San Francisco, CA, USA, 2005.
[44]
Tong, A.; Sainsbury, P.; Craig, J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int. J. Qual. Health Care 2007, 19, 349–357, doi:10.1093/intqhc/mzm042.
[45]
Lopez, G.I.; Figueroa, M.; Conner, S.E.; Maliski, S.L. Translational barriers in conducting qualitative research with Spanish speakers. Qual. Health Res. 2008, 18, 1729–1737, doi:10.1177/1049732308325857.
[46]
Twinn, S. An exploratory study examining the influence of translation on the validity and reliability of qualitative data in nursing research. J. Adv. Nurs. 1997, 26, 418–423, doi:10.1046/j.1365-2648.1997.1997026418.x.
