{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:50:09Z","timestamp":1789527009926,"version":"build-2803163510"},"reference-count":63,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"ECU CON Office of Research and Scholarship"},{"name":"East Carolina University College of Nursing","award":["Doctoral Student Research Grant"],"award-info":[{"award-number":["Doctoral Student Research Grant"]}]},{"name":"Beta Nu Chapter of Sigma Theta Tau International Honor Society","award":["Research Grant"],"award-info":[{"award-number":["Research Grant"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Workplace Health Saf"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Agricultural workers are disproportionately at risk for heat-related morbidity and mortality. The purpose of this study was to explore how sociocultural and occupational factors, and environmental heat stress influenced fluid intake and hydration status among Latino farmworkers working in eastern North Carolina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A community-informed, mixed methods research study was conducted in partnership with staff at a federally qualified health center. In summer 2020, we recruited Latino farmworkers at migrant camps. Twenty-eight male, migrant farmworkers participated in focus group discussions and 30 completed surveys and provided urine specimens. Wet bulb globe temperatures were measured in fields where workers labored. Content analysis and parametric analyses were performed. Data integration was completed using a meta-matrix.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Prior to work, 46.7% of farmworkers\u2019 urine specific gravity measurements indicated dehydration, which increased to 100% after work. The farmworkers spent between 2 and 7.5 hours of their day working in conditions above the recommended limits for workplace heat exposure. Farmworkers described exposure to extreme heat and inconsistent occupational policy compliance. Farmworkers expressed the opportunity to drink water but accessibility and poor water quality limited hydration. The integrated data supported congruent findings of extreme heat, few work breaks, and substandard housing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion\/Application to Practice:<\/jats:title>\n                    <jats:p>Farmworkers are dehydrated at work, placing them at higher risk for heat-related illness (HRI). By engaging with agricultural stakeholders, occupational health nurses can combine efforts and advocate for effective health and safety work policies to reduce HRIs and deaths among farmworkers. Legislation stipulating cooling and hydration practices would support safer work environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21650799221117273","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:54:49Z","timestamp":1661388889000},"page":"532-541","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Fluid Intake and Hydration Status Among North Carolina Farmworkers: A Mixed Methods Study"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5709-3047","authenticated-orcid":false,"given":"Elizabeth","family":"Mizelle","sequence":"first","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim L.","family":"Larson","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda P.","family":"Bolin","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Kearney","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,24]]},"reference":[{"key":"bibr1-21650799221117273","first-page":"239","volume-title":"2019 TLVs\u00ae and BEIs\u00ae","author":"American Conference of Governmental Industrial Hygienists","year":"2019"},{"key":"bibr2-21650799221117273","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000552"},{"key":"bibr3-21650799221117273","doi-asserted-by":"publisher","DOI":"10.1186\/s13002-017-0140-4"},{"key":"bibr4-21650799221117273","volume-title":"Research methods in anthropology: Qualitative and quantitative approaches","author":"Bernard H. 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