{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:43:18Z","timestamp":1777930998218,"version":"3.51.4"},"reference-count":76,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"East Carolina University College of Nursing Office of Research and Scholarship"},{"name":"Beta Nu Chapter of Sigma Theta Tau International Honor Society"},{"name":"East Carolina University College of Nursing","award":["Doctoral Student Research Grant"],"award-info":[{"award-number":["Doctoral Student Research Grant"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["New Solut"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>In the United States, Latino farmworkers are disproportionately at risk for death from heat-related illnesses. To elicit Latino farmworker perceptions on their fluid intake and heat stress, a qualitative descriptive, community-informed research study was conducted in eastern North Carolina. A total of 28 Mexican farmworkers participated in one of 4 focus groups. Using content analysis and guided by Intersectionality theory, themes and subthemes were identified. The first theme was Absence of Protection, represented by 2 subthemes: (1a) Intense Climate Considerations; and (1b) Workplace Exploitation. The second theme, Freedom to Drink, included 2 subthemes: (2a) Distance and Distaste; and (2b) Culture of Farm Work. Farmworkers perceived extreme outdoor temperatures as the greatest workplace barrier to staying hydrated and reported water accessibility and quality issues. Farmworker fluid intake was influenced by interlocking social categories and power systems. Policy recommendations that prevent farmworker heat-related illness and promote hydration are discussed.<\/jats:p>","DOI":"10.1177\/10482911221078964","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T06:00:36Z","timestamp":1646114436000},"page":"19-29","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Understanding Farmworker Fluid Intake Using Intersectionality Theory"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5709-3047","authenticated-orcid":false,"given":"Elizabeth","family":"Mizelle","sequence":"first","affiliation":[{"name":"Department of Baccalaureate Education, College of Nursing, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Larson","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, College of Nursing, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Doherty","sequence":"additional","affiliation":[{"name":"Roanoke Chowan Community Health Center, Ahoskie, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"bibr1-10482911221078964","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22381"},{"key":"bibr2-10482911221078964","first-page":"107","volume":"80","author":"Lambar EF","year":"2019","journal-title":"NC Med J"},{"key":"bibr3-10482911221078964","unstructured":"North Carolina Department of Health and Human Services. North Carolina farmworker health program, https:\/\/www.ncdhhs.gov\/divisions\/office-rural-health\/office-rural-health-programs\/north-carolina-farmworker-health-program (2021, accessed 5 August 2021)."},{"key":"bibr4-10482911221078964","unstructured":"Layton M. Myths abound about foreign farm workers in region, http:\/\/www.dailyadvance.com\/News\/2018\/10\/08\/Myths-abound-about-foreign-farm-workers-in-region.html (8 October 2018, accessed 5 August 2021)."},{"key":"bibr5-10482911221078964","unstructured":"Ferriss S. Hidden hardship: Guest farmworkers with visas died of COVID-19 in obscurity while Trump planned wage freezes, https:\/\/publicintegrity.org\/inequality-poverty-opportunity\/immigration\/guest-farm-workers-visas-trump-wage-freezes\/ (2020, accessed 5 August 2021)."},{"key":"bibr6-10482911221078964","unstructured":"Clemens MA.\n                      International harvest: A case study of how foreign workers help American farms grow crops and the economy\n                      , https:\/\/www.cgdev.org\/publication\/international-harvest-case-study-how-foreign-workers-help-american-farms-grow-crops (2013, accessed 5 August 2021)."},{"key":"bibr7-10482911221078964","unstructured":"U.S. Department of Agriculture. Farm labor, https:\/\/www.ers.usda.gov\/topics\/farm-economy\/farm-labor\/ (2021, accessed 17 November 2021)."},{"key":"bibr8-10482911221078964","unstructured":"Centers for Disease Control and Prevention. 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