Living Conditions, Access to Healthcare Services, and Occupational Health and Safety Conditions of Migrant Seasonal Agricultural Workers in the Çukurova Region

J Agromedicine. 2018;23(3):262-269. doi: 10.1080/1059924X.2018.1470048.


Objective: Migrant seasonal agricultural workers who are employed in one of the most hazardous occupations in Turkey experience difficulties in accessing health-care services. The aim of this study is to investigate the living conditions, access to health-care services, and occupational health and safety conditions of migrant seasonal agricultural workers in the Çukurova region.

Methods: Four hundred migrant seasonal agricultural workers were contacted in the county of Karataş located in the province of Adana, Turkey. A four-section questionnaire was administered using face-to-face interview techniques.

Results: The mean age of the participants was 32.8 ± 12.4 years. One-fourth of the participants did not have any social security coverage. Almost all had a monthly income below minimum wage, and 98% were living in tents. One-fifth experienced health problems in the last year, and 63% of them visited a health-care facility for diagnosis and treatment. About 3.3% of the participants sustained injuries at work, and only 23% of them visited a health-care facility.

Conclusion: The findings of the study show that migrant seasonal agricultural workers in Turkey have insufficient working conditions, wages, accommodation facilities, nutrition opportunities, health conditions, and occupational health and safety conditions. This insufficiency negatively affects life qualities of the workers, utilization of health-care services, and their occupational health status and safety.

Keywords: Agricultural worker; health-care services; living conditions; occupational health; occupational safety.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Cross-Sectional Studies
  • Farmers / statistics & numerical data*
  • Female
  • Health Services Accessibility / statistics & numerical data
  • Housing / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Occupational Health / statistics & numerical data
  • Salaries and Fringe Benefits / statistics & numerical data
  • Social Conditions / statistics & numerical data*
  • Surveys and Questionnaires
  • Transients and Migrants / statistics & numerical data*
  • Turkey