title: Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013-2014.
abstract: BACKGROUND
  The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population.
  
  
  METHODS
  From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (≥18 years) Sonoma County sample from the California Health Interview Survey for 2011-2012.
  
  
  RESULTS
  Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011-2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001).
  
  
  CONCLUSIONS
  We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system.
authors.affiliation: Health Policy, Planning, and Evaluation Division, County of Sonoma Department of Health Services, 490 Mendocino Ave, Ste 101, Santa Rosa, CA 95401. Email: kristinwhite16@gmail.com.
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Moore
authors.affiliation: Health Policy, Planning, and Evaluation Division, County of Sonoma Department of Health Services, Santa Rosa, California.
authors.forename: Jenny
authors.initials: J
authors.lastname: Mercado
authors.affiliation: Health Policy, Planning, and Evaluation Division, County of Sonoma Department of Health Services, Santa Rosa, California.
authors.forename: Jana
authors.initials: J
authors.lastname: Hill
authors.affiliation: Health Policy, Planning, and Evaluation Division, County of Sonoma Department of Health Services, Santa Rosa, California.
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Katz
mesh_terms: D000293:Adolescent; D000328:Adult; D002140:California; D003430:Cross-Sectional Studies; D000067565:Farmers / Q000706:statistics & numerical data*; D005260:Female; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000191:economics*; D008297:Male; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult