Department of Emergency Medicine
Migration and Health Research Center

PASOS: Improving the Health of Immigrant Workers

PASOS is a worksite obesity and diabetes prevention program for immigrant farmworkers.




Obesity and diabetes are serious health problems in the United States, with rapidly increasing prevalence and incidence over the last 10 years. The rates of each are dramatically higher among Latinos. The goal of this study is to validate the effectiveness of a worksite-based obesity and diabetes intervention in an immigrant working population. Nationally, it is estimated that there are over 2.6 million hired farm workers in the U.S., and California is among the largest employers of these workers. In California, over 450,000 people are employed in agriculture, with more than two-thirds being of Latino ethnicity. The intervention will be implemented on farms where workers spend a considerable amount of time every day and will be culturally tailored and delivered in Spanish. We hypothesize that the intervention will improve obesity and diabetes risk for employees and will prove to be cost effective for the employer. Our efforts build upon two successful pilot studies and will enable us to reach a larger number of people and evaluate the program’s translation and sustainability potential.

PASOS is a National Institute of Diabetes and Digestive and Kidney Diseases funded study (1R18DK096429-01A1).