safe & just cleaning study: developing culturally ... · safe and just cleaners a 5-yr r01...
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Safe & Just cleaning study:
Developing culturally
appropriate communication
Sherry Baron, MD, MPH1 | Isabel Cuervo, PhD1 | Javier Gallardo2
National Institute of Environmental Health Sciences webinar
February 15, 2019
1 2
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Partners
Our partnership developed out of a shared commitment to make disaster
preparedness training accessible to those workers who are frequently forgotten
Source: S. BaronSource: MRNY
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pixabay
50% of maids and housekeepers are Latinx
Safe & Just Cleaners
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Gaps in research:
Which work practices are associated with
exposures?
Exposure to
cleaning
chemicals
Self-reported
respiratory &
dermatological
disorders
Flickr.comClipart Library
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Safe and Just Cleaners
A 5-yr R01 research grant funded by the NIEHS Research to Action
funding mechanism
Measure domestic cleaners exposures to toxic components of cleaning
products and develop a campaign to reduce exposures
Source: Theodore, Nik, Gutelius B., Burnham L., HomeTruths: Domestic Workers in California. National Domestic Workers Alliance. 2013.
Project aims:
1. Survey of 400 Domestic cleaners
2. Quantitative exposure measurements
3. Develop a prevention campaign
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Environmental exposure inequities
Unequal exposure risks Inadequate access to prevention
www.freshgreenclean.com.au
Make the Road New York
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What is culturally appropriate
communication in CBPR?
Planning phase
Data collection phase
Action phaseCulturally
responsive
Adapted from: Hood, S., Hopson, R. K., & Kirkhart, K. E. (2015). Culturally Responsive Evaluation. In K. E. Newcomer, H. P. Hatry, & J. S. Wholey (Eds.), Handbook of Practical Program Evaluation (pp. 281–
317). Hoboken, NJ, USA: John Wiley & Sons, Inc.. https://doi.org/10.1002/9781119171386.ch12
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Culturally
appropriate
communication
Survey development
Outreach for survey
participation
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Gaps in research:
Which work practices are associated with
exposures?
Exposure to
cleaning
chemicals
Self-reported
respiratory &
dermatological
disorders
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Key to success:
Understanding drivers of work practices
Exposure to
cleaning
chemicals
Work practices
[products used
+ cleaning
practices+
environmental
conditions]
Knowledge & attitudes
about cleaning
practices
Self-reported
respiratory &
dermatological
disorders
?
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Survey development as culturally
appropriate communication
7 Focus groups with domestic
cleaners (N=52)
NYC metropolitan region
August – December 2018
Products used
How cleaners use them
Reasons why they’re used
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Kitchen:
Range hood
Refrigerator
compartments
Stove
Oven
Cabinets
Floor
Window
Bathroom:
Toliet
Tub or shower
Walls
Door
curtain
Sink
Floor
Window
Mirror
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Most common products
60+% of cleaners 40-60% of cleaners20-40% of cleaners
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Key to success:
Understanding drivers of work practices
Exposure to
cleaning
chemicals
Work practicesKnowledge & attitudes
about cleaning
practices
Client-related factors
constrain cleaners’ autonomy
• preferences or demands
• religious/ cultural
background
• gender & age may play
roles
Respiratory &
dermatological
disorders
Cleaner-related
factors
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Key to success:
Understanding drivers of work practices
Exposure to
cleaning
chemicals
Work practices
Knowledge & attitudes
about cleaning practices
• use “strong” products
that negatively impact
health
• time pressure
• mix cleaning products
to increase
effectiveness
• fragrance perceived to
leave surfaces cleaner
& minimize negative
impact
• Use household products
Cleaner-related
factors
Client-related
factors
Respiratory &
dermatological
disorders
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Key to success:
Understanding drivers of work practices
Exposure to
cleaning
chemicals
Work practicesKnowledge & attitudes
about cleaning
practices
Cleaner-related factors
• work experience
• negotiate with employers
• “hacer trampitas” (“trick employer”)
• social support among cleaners
• job insecurity
Client-related
factors
Respiratory &
dermatological
disorders
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Culturally
appropriate
communication
Survey development
Outreach for survey
participation
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Make the Road New York
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Outreach as culturally appropriate
communication
We need to recruit 400 domestic cleaners – develop a flyer
with consistent messaging and graphics that can be adapted
to 3 outreach strategies:
MRNY membership
Community and institutional relationships (existing and new)
Street outreach
How do we encourage them to participate?
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Cleaners Meeting, Feb 1st 2019
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Domestic Cleaner Committee
Discussion themes
1. Should the imagery emphasize
➢ fear (skeleton) or
➢ health (green and happy)
2. Should the message emphasize
➢ compensation for participation
or
➢ health benefits of participation
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Monetary
compensation will
attract a busy
person recruited on
the street
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Others said focus on
the project providing
information to protect
health.
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It is important to pay attention to how terms
are translated/interpreted.
In response to using the translation of our project title:
“Limpieza Sana y Justa”
“I don’t understand what ‘Justa’ means here”
Proper Interpretation
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Acknowledgements
NIEHS grant 1R01ES027890-01A1
Partners
Homero Harari, ScD, Co-Principal Investigator, Icahn School of Medicine Mt. Sinai
National Domestic Workers Alliance
Blue Green Alliance
Workers!