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Oral health is one of the greatest unmet health needs of immigrant farmworkers. This paper describes use of dental services and current oral health problems of children and parents in farmworker families. Interviews were conducted with 108 women in Latino farmworker families in western North Carolina and southwestern Virginia. Dental care had been received in the past year by 73% of children, 47% of mothers, and 37% of spouses. Children were most likely to have received care on a regular basis, while adults usually received no care or emergency care. In general, children's teeth were in better condition than parents' teeth. Children's receipt of dental care and their teeth condition were predicted by being born in the US. No family member's care was related to acculturation or mother's education, typical predictors of health behavior. Differences among family members suggest that access to services, not lack of education, is the primary barrier facing farmworker families.

Pesticide exposure has been linked with immediate and delayed health effects. Anyone who lives in a farmworker household may be exposed to pesticides. Studies with farmworkers have found generally low levels of awareness of pesticide exposure and prevention. Less is known about the perceptions of nonfarmworkers living with farmworkers. This article presents the results of 41 in-depth interviews conducted with Latino women in farmworker households regarding their knowledge of pesticides and perceptions of risk to their children's health. Their perceptions and behavior differ from scientific understanding and policy recommendations for exposure management, resulting in behaviors that may increase children's risk of exposure and subsequent health problems. Because the level at which exposure becomes harmful remains a subject of scientific debate, the wisest course of action is to minimize exposure (the precautionary principle). Families living in farmworker households would benefit from health education programs that target their specific needs.

Adequate housing is a basic human right and an important determinant of environmental health. Little research has documented the housing quality of immigrant Latino farmworker families. This analysis uses data from four surveys of North Carolina farmworker communities conducted in 2001 and 2003 to document aspects of housing quality that could affect farmworker family health. Three housing domains are considered: dwelling characteristics, household characteristics, and household behaviors. Most farmworker families live in mobile homes, and few own their dwellings. Many are located near agricultural fields. Most houses are small, but household size is large, containing adults, in addition to the nuclear family. Crowding is common among farmworker families. Many farmworker households lack basic facilities, such as washing machines. Farmworkers attempt to reduce exposure by frequently cleaning their dwellings. These findings suggest that the health of farmworker families is at risk due to inadequate housing. Further research on housing-related health effects among farmworker families is needed.

The collection of environmental samples presents a responsibility to return information to the affected participants. Explaining complex and often ambiguous scientific information to a lay audience is a challenge. As shown by environmental justice research, this audience frequently has limited formal education, increasing the challenge for researchers to explain the data collected, the risk indicated by the findings, and action the affected community should take. In this study we describe the development and implementation of a risk communication strategy for environmental pesticide samples collected in the homes of Latino/a migrant and seasonal farmworkers in a community-based participatory research project. The communication strategy was developed with community input and was based on face-to-face meetings with members of participating households. Using visual displays of data effectively conveyed information about individual household contamination and placed it in the context of community findings. The lack of national reference data and definitive standards for action necessitated a simplified risk message. We review the strengths and weaknesses of such an approach and suggest areas for future research in risk communication to communities affected by environmental health risks.