A Cross-Sectional Study of Stimulant Use among Migrant and Seasonal Agricultural Workers in Eastern North Carolina

In the context of growing stimulant use among other vulnerable rural populations, this study examines the prevalence and patterns of stimulant use, particularly methamphetamine and cocaine use, among migrant and seasonal agricultural workers. Surveys were conducted with fifty-five male agricultural workers in tobacco cultivation in Eastern North Carolina. Findings demonstrated high levels of commercial energy drink consumption (29% of participants) and limited consumption of illicit stimulants (4% of participants). Despite low reported prevalence, 18% of participants reported concern regarding illicit stimulant use. These findings underscore the need for more research to address the unique challenges faced by migrant and seasonal agricultural workers regarding substance use. This study contributes to the growing body of literature on occupational health disparities and highlights the urgent need for comprehensive strategies to support this vulnerable patient population.