Publications by authors named "Paula A Worby"

3 Publications

  • Page 1 of 1

Structural vulnerability and problem drinking among Latino migrant day laborers in the San Francisco Bay Area.

J Health Care Poor Underserved 2014 Aug;25(3):1291-307

Latino migrant day laborers (LMDLs) live under challenging conditions in the San Francisco Bay Area. This study explored day laborer alcohol use guided by a structural vulnerability framework, specifically problem vs. non-problem drinking as perceived by LMDLs and how they cope with or try to avoid problem drinking given their broader environment. The study utilized ethnographic methods including in-depth semi-structured qualitative interviews with 51 LMDLs. Findings revealed the considerable challenge of avoiding problem drinking given socio-environmental factors that influence drinking: impoverished living and working conditions, prolonged separation from home and family, lack of work authorization, consequent distress and negative mood states, and peer pressure to drink. While participants shared strategies to avoid problem drinking, the success of individual-level efforts is limited given the harsh structural environmental factors that define day laborers' daily lives. Discussed are implications for prevention and intervention strategies at the individual, community, national and international levels.
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http://dx.doi.org/10.1353/hpu.2014.0121DOI Listing
August 2014

Contextual influences on the drinking of male Latino immigrant day laborers.

Subst Use Misuse 2013 Apr 5;48(5):391-403. Epub 2013 Mar 5.

Multicultural Institute, Berkeley, CA 94710, USA.

This study explored self-reported alcohol use of Mexican and Central American men who had recently migrated to the United States to work. Ethnographic observation took place at a day laborer hiring site in 2006-2007 and qualitative interviewing involved 120 men with divergent drinking patterns. Short interviews were conducted informally on the street, and interviews lasting 1-2 hours addressed day laborers' perspective about how life conditions shape where drinking takes place and how much alcohol gets consumed. Resulting situations, such as roommates bringing alcohol home for extended nights of drinking, and specific strategies used to avoid excess alcohol use are addressed.
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http://dx.doi.org/10.3109/10826084.2013.765481DOI Listing
April 2013

Sexual health of Latino migrant day labourers under conditions of structural vulnerability.

Cult Health Sex 2013 9;15(1):58-72. Epub 2012 Nov 9.

School of Social Welfare, University of California, Berkeley, USA.

The purpose of this paper is to explore the context of the sexual health of Latino migrant day labourers in the USA, challenges to sexual health and ways of coping, with attention to conditions of structural vulnerability permeating the lives of this unique Latino population. Given the limited information about this topic and population, ethnographic research employing in-depth semi-structured interviews with 51 labourers, recruited through purposive sampling in the San Francisco Bay Area, was utilised. The sexual health aspirations of the men are deeply embedded in the core value and practice of Latino familismo or, in this case, the central goal of securing a family headed by men as providers and present husbands/fathers. However, such goals are frequently thwarted by the poverty engendering work and prolonged separations from home that characterise predominantly undocumented day labour in the USA. Resulting goal frustration, combined with pent up sexual urges, often lead to sexual risk in spite of efforts to cope with challenges to sexual health. Unless community-, state- and national-level interventions are developed to mitigate the pronounced structural vulnerability of migrant day labourers, individual level interventions to promote sexual health, and decrease risk and distress, are likely to have diminishing returns.
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http://dx.doi.org/10.1080/13691058.2012.740075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3743724PMC
May 2013