The Occupational and Health Histories of Undocumented Immigrants Receiving Frequent, Emergent-Only Hemodialysis Restricted; Files Only
Smith, Daniel (Summer 2021)
Abstract
Chronic kidney disease of unknown etiology represents one of the first new chronic conditions to appears as a result of global climate change and has been mainly describe in agriculture workers in Central America. The leading etiological hypothesis is that in the absence of traditional risk factors for developing kidney disease (i.e., hypertension, diabetes, and advanced age), workers experience acute kidney injury secondary to daily dehydration and heat exposure at work. Utilizing a scoping review methodology, chapter 2 presents the analysis of the totality of evidence linking occupational heat exposure to kidney health in immigrant, Latinx agriculture workers located in the United States. This scoping review identified three quantitative studies and one ethnography describing the impacts of occupational heat exposure on kidney health. Chapters 3 and 4 describe other health and occupational risk factors for developing kidney disease in immigrant workers recruited from the emergency dialysis unit of Grady Hospital that primarily serves undocumented Latinx persons from the great-Atlanta Metro Area. Fifty persons were interviewed using both the Grady Dialysis Questionnaire and the Occupational/Environmental Health History form to assess sociodemographic, housing, health, and work histories. Seven persons were found to lack the traditional risk factors for developing end stage renal disease. The occupational histories showed that further work is needed to investigate the impacts of working in high heat conditions for other outdoor workers (i.e., construction workers and landscapers) and differentiate their risks for developing kidney disease from indoor workers.
Table of Contents
Table of Contents
CHAPTER 1: INTRODUCTION
1.1 Objectives
1.2 Scoping Review
1.3 Sociodemographics and Health Histories
1.4 Occupational Histories
CHAPTER 2: HEAT STRESS AND KIDNEY FUNCTION IN FARMWORKERS: A SCOPING REVIEW.
2.1 Abstract
2.2 Introduction
2.2.1 Objectives
2.3 Methods
2.3.1 Design
2.3.2 Literature search
2.3.3 Eligibility criteria
2.3.4 Data extraction
2.4 Results
2.5 Discussion
2.6 Conclusion
2.7 Tables
Table 2.7.1. Definitions of key terms
Table 2.7.2. Extracted data from studies included in the scoping review presented in this dissertation
2.8 Figures
Figure 2.8.1. PRISMA-ScR Flow Diagram of studies screen for inclusion and exclusion as part of the scoping review process.
CHAPTER 3: SELF-REPORTED HEALTH HISTORIES AND SOCIODEMOGRAPHIC CHARACTERISTICS OF UNDOCUMENTED IMMIGRANTS RECEIVING FREQUENT, EMERGENT-ONLY HEMODIALYSIS: A CROSS-SECTIONAL STUDY
3.1 Abstract
3.2 Introduction
3.3 Methods
3.3.1 Survey
3.3.2 Data Analysis
3.4 Results
3.5 Discussion
3.6 Conclusion
3.7 Tables
Table 3.7.1. Sociodemographic, Housing, and Basic Work Characteristics of Undocumented Immigrants Receiving Emergent Hemodialysis at a U.S. Safety-New Hospital, 2019
Table 3.7.2. Self-Reported Health Histories and Behaviors of Undocumented Immigrants Receiving Emergent Hemodialysis at U.S. Safety-Net Hospital, 2019
Table 3.7.3. Self-Reported Familial Health Histories of Undocumented Immigrants Receiving Emergent Hemodialysis at U.S. Safety-Net Hospital, 2019
CHAPTER 4: OCCUPATIONAL HISTORIES OF UNDOCUMENTED IMMIGRANTS RECEIVING FREQUENT, EMERGENT-ONLY HEMODIALYSIS: A CROSS-SECTIONAL STUDY
4.1 Abstract
4.2 Introduction
4.3 Methods
Survey
4.3.1 Data Analysis
4.3.2 Text Data Cleaning
4.3.3 Topic Modeling
4.4 Results
4.4.1 Topic Modeling
4.5 Discussion
4.6 Conclusion
4.7 Tables
Table 4.7.1. Sociodemographic and Basic Work Characteristics of Undocumented Immigrants Receiving Emergent Hemodialysis at a U.S. Safety-New Hospital, 2019
Table 4.7.2. Work Characteristics of Those Currently Working, n=14
Table 4.7.3. Work Characteristics of Those Having Ever Worked in Occupations of Interest and Reported PPE Use
4.8 Figures
Figure 4.8.1. Topic modeling results showing two distinct topics in the occupational histories of participants. Topic 1 “outdoor workers” and topic 2 “indoor workers”.
CHAPTER 5: INTEGRATIVE SUMMARY
REFERENCES
APPENDIX A. THE GRADY DIALYSIS QUESTIONNAIRE
APPENDIX B. THE OCCUPATIONAL/ENVIRONMENTAL HEALTH HISTORY FORM
About this Dissertation
| School | |
|---|---|
| Department | |
| Degree | |
| Submission | |
| Language |
|
| Research Field | |
| Palabra Clave | |
| Committee Chair / Thesis Advisor | |
| Committee Members |
Primary PDF
| Thumbnail | Title | Date Uploaded | Actions |
|---|---|---|---|
|
|
File download under embargo until 20 August 2027 | 2021-07-07 16:26:27 -0400 | File download under embargo until 20 August 2027 |
Supplemental Files
| Thumbnail | Title | Date Uploaded | Actions |
|---|