Race, Toxic Exposures, and Environmental Health: The Contestation of Lupus among Farmworkers

J Health Soc Behav. 2023 Mar;64(1):136-151. doi: 10.1177/00221465221132787. Epub 2022 Nov 28.

Abstract

Extant research has established that low-wage workers of color are at higher risk for occupational exposures. While the medical sociology literature regarding contested illness provides insights into the dynamics surrounding workplace exposures, some environmental illnesses such as lupus have gotten scant analytical attention. This is a significant gap because women of color, who are more likely to hold these high-risk jobs, are disproportionately affected by the disease. We examine a case of pesticide exposure among Black women farmworkers in Florida. We investigate how race and occupation intersect to shape lived experiences with toxics and what role race plays in the process of contesting exposures and illness. Our data include in-depth interviews (N = 36), media coverage, and archival materials. Our findings indicate that race-related factors played an important part in shaping the farmworkers' experiences with exposures, illness, and interaction with elite actors.

Keywords: contested illness; environmental illness; farmworkers; lupus; pesticides; race.

MeSH terms

  • Black or African American* / statistics & numerical data
  • Environmental Health
  • Farmers* / statistics & numerical data
  • Female
  • Florida
  • Humans
  • Lupus Erythematosus, Systemic* / ethnology
  • Occupational Exposure* / adverse effects
  • Pesticides* / toxicity
  • Race Factors

Substances

  • Pesticides