{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:29Z","timestamp":1787017049430,"version":"build-2736575974"},"reference-count":24,"publisher":"BMJ","issue":"7","funder":[{"name":"University of Minnesota Upper Midwest Agricultural Safety and Health Center"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,6,22]]},"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We enrolled 38 MAWs and diagnosed 18 cases of pre-diabetes, diabetes, hypertension and hyperlipidaemia in 15 subjects (39.4%). Mean scores of workers\u2019 satisfaction were high (\u22654) on a 5-point scale except \u2018Time spent with provider\u2019. 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"NCT02418637\" ext-link-type=\"clintrialgov\" specific-use=\"clinicaltrial results\">NCT02418637<\/jats:ext-link>\n                      . Results.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-019547","type":"journal-article","created":{"date-parts":[[2018,7,30]],"date-time":"2018-07-30T09:34:41Z","timestamp":1532943281000},"page":"e019547","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["On-the-farm cardiovascular risk screening among migrant agricultural workers in Southeast Minnesota: a pilot prospective study"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"nct02418637","registry":"10.18810\/clinical-trials-gov","type":"results"},{"clinical-trial-number":"nct02418637","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Tamim","family":"Rajjo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Rho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Hassan","family":"Murad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,7,30]]},"reference":[{"key":"2024051711032865000_8.7.e019547.1","unstructured":"Department of Labor. Who are Migrant and Seasonal Farmworkers: United States Depatment of Labor, 2013."},{"key":"2024051711032865000_8.7.e019547.2","unstructured":"USDA. Number and Geographical Distribution of Hired Farmworkers United States Department of Agriculture 2015."},{"key":"2024051711032865000_8.7.e019547.3","unstructured":"Health, N.C.f.F.. Facts about Farmworkers: Farmworker Health Factsheet, 2012."},{"key":"2024051711032865000_8.7.e019547.4","unstructured":"Department of Labor. 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