Evaluation of a pilot promotora program for Latino forest workers in southern Oregon

Background Forest work, an occupation with some of the highest injury and illness rates, is conducted primarily by Latino immigrant workers. This study evaluates a pilot program where promotoras (lay community health educators) provided occupational health and safety trainings for Latino forest workers. Methods Evaluation methods included a focus group, post‐tests, and qualitative feedback. Results Community capacity to address working conditions increased through (i) increased leadership and community access to information and resources; and (ii) increased worker awareness of workplace health and safety rights and resources. Fear of retaliation remains a barrier to workers taking action; nevertheless, the promotoras supported several workers in addressing‐specific workplace issues. Conclusions For working conditions to significantly improve, major structural influences need to be addressed. A long‐term, organizationally supported promotora program can play a key role in linking and supporting change at the individual, interpersonal and community levels, contributing to and supporting structural change. Am. J. Ind. Med. 57:788–799, 2014. © 2014 Wiley Periodicals, Inc.