PT - JOURNAL ARTICLE AU - Tamim Rajjo AU - Khaled Mohammed AU - Jennifer Rho AU - M. Hassan Murad TI - On-the-farm cardiovascular risk screening among migrant agricultural workers in Southeast Minnesota: a pilot prospective study AID - 10.1136/bmjopen-2017-019547 DP - 2018 Jul 01 TA - BMJ Open PG - e019547 VI - 8 IP - 7 4099 - http://bmjopen.bmj.com/content/8/7/e019547.short 4100 - http://bmjopen.bmj.com/content/8/7/e019547.full SO - BMJ Open2018 Jul 01; 8 AB - Introduction Accessibility to healthcare services is a major concern facing migrant agricultural workers (MAWs) in the USA. We aimed to test the feasibility of implementing cardiovascular risk screening at farm sites.Methods This was a pilot prospective cohort study providing on-site monthly screenings of cardiovascular risk factors. We estimated the prevalence of cardiovascular risk factors and evaluated the success of this approach via modified validated satisfaction surveys.Results We enrolled 38 MAWs and diagnosed 18 cases of pre-diabetes, diabetes, hypertension and hyperlipidaemia in 15 subjects (39.4%). Mean scores of workers’ satisfaction were high (≥4) on a 5-point scale except ‘Time spent with provider’. Over 80% of workers were likely to use this model if it was permanently available on the farm. Only 8.7% of workers were able to follow up after referral to a clinic.Conclusions Cardiovascular risk factors are highly prevalent in MAWs. On-the-farm screening is a feasible and satisfactory model of healthcare delivery; however, other barriers continue to hinder MAWs from receiving follow-up care.Trial registration number NCT02418637. Results.