Ethnographic evaluation of a lay health promoter program to reduce occupational injuries among Latino poultry processing workers.

We evaluated a lay health promoter program providing occupational health and safety education to immigrant Latino poultry processing workers in western North Carolina. While such programs are advocated for addressing the health education deficits of immigrant and disadvantaged populations, their application in occupational health has been limited to farmworkers. A community-university partnership recruited and trained promoters to deliver lessons on musculoskeletal injuries, slips and falls, and workers' rights to workers individually or in small groups in the community. Evaluation showed 841 workers received education during a 28-month period. Using ethnographic data, an evaluation showed that promoters' work led to changes in behavior and attitudes in the community. Promoters also reported substantial changes in self-esteem and independence. Promoters' supervisors reported challenges and strategies experienced by the promoters. Promoter programs in occupational health and safety are feasible approaches to supplement training provided in the workplace.