title: "Pesticides protect the fruit, but not the people": using community-based ethnography to understand farmworker pesticide-exposure risks.
abstract: OBJECTIVE
  We used community-based ethnography and public health risk assessment to assess beliefs about pesticide exposure risks among farmworkers in the Lower Yakima Valley of Washington State.
  
  
  METHODS
  We used unstructured and semistructured interviews, work-site observation, and detailed field notes to gather data on pesticide exposure risks from 99 farmworkers.
  
  
  RESULTS
  Farmworkers' pesticide-relevant beliefs and attitudes could be grouped into 5 major themes: (1) dry pesticides are often perceived as a virtually harmless powder, (2) farmworkers who identify themselves as allergic to pesticides are more acutely affected by exposure, (3) the effect of pesticide exposure is more severe for those perceived as physically weak, (4) protective equipment is used selectively in response to financial pressure to work rapidly, and (5) some farmworkers delay decontamination until they find water deemed an appropriate temperature for handwashing.
  
  
  CONCLUSIONS
  We elucidated farmworkers' pesticide-relevant beliefs regarding perceived danger and susceptibility to pesticides, the need to put safety second to financial considerations, and reasons for delaying decontamination. Researchers and policymakers should incorporate these data in study designs and legislation concerned with farmworker exposure to pesticides.
authors.affiliation: Fred Hutchinson Cancer Research Center, Seattle, WA, USA. Shedra.A.Snipes@uth.tmc.edu
authors.forename: Shedra Amy
authors.initials: SA
authors.lastname: Snipes
authors.forename: Beti
authors.initials: B
authors.lastname: Thompson
authors.forename: Kathleen
authors.initials: K
authors.lastname: O'Connor
authors.forename: Bettina
authors.initials: B
authors.lastname: Shell-Duncan
authors.forename: Denae
authors.initials: D
authors.lastname: King
authors.forename: Angelica P
authors.initials: AP
authors.lastname: Herrera
authors.forename: Bridgette
authors.initials: B
authors.lastname: Navarro
mesh_terms: D000328:Adult; D000383:Agriculture; D000884:Anthropology, Cultural; D055812:Community-Based Participatory Research; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D019370:Observation; D016273:Occupational Exposure; D010575:Pesticides / Q000009:adverse effects*; D018570:Risk Assessment; D014861:Washington; D055815:Young Adult
chemical_list: D010575:Pesticides