Farmworkers are low-paid, uninsured employees in an extremely hazardous industry, and they provide an essential service for U.S. society. This review evaluates the delivery of health services to farmworkers. It describes the farmworker population in the United States, noting characteristics (e.g., migratory and immigration status) that limit their access to and utilization of health services. It describes the health services needs of this population, including occupational health, mental health, oral health, and chronic disease treatment. Cultural, structural, legal, financial, and geographic barriers to health services utilization are described. Existing research on health services utilization among farmworkers is discussed. Programs that have been developed to address the barriers to health services utilization among farmworkers are reviewed. Finally, research needed to improve knowledge of farmworker health services utilization is suggested. These research needs include formal evaluations of existing programs and basic research to characterize the health services utilization patterns of farmworkers.

中文翻译：

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向移民和季节性农民工提供保健服务。

在极度危险的行业中，农场工人是低薪，无保险的雇员，他们为美国社会提供重要服务。这项评估评估了向农民工提供卫生服务的情况。它描述了美国的农民工人口，并指出了限制其获得和利用卫生服务的特征（例如移民和移民身份）。它描述了该人群的健康服务需求，包括职业健康，心理健康，口腔健康和慢性疾病治疗。描述了卫生服务利用的文化，结构，法律，财务和地理障碍。讨论了有关在农场工人中利用卫生服务的现有研究。审查了为解决农民工利用卫生服务的障碍而制定的计划。最后，建议进行研究以提高对农民工卫生服务利用的了解。这些研究需求包括对现有计划的正式评估和基础研究，以表征农民工的卫生服务利用模式。