农民群体中导致情绪低落的可改变风险因素。
Modifiable risk factors for depressed mood among farmers.
作者信息
Onwuameze Obiora E, Paradiso Sergio, Peek-Asa Corinne, Donham Kelley J, Rautiainen Risto H
机构信息
Southern Illinois University School of Medicine, Department of Psychiatry, Springfield, IL, USA.
出版信息
Ann Clin Psychiatry. 2013 May;25(2):83-90.
BACKGROUND
Risk for depression among farmers is not fully understood. DSM-IV considers sadness or depressed mood a critical symptom of depression. The aim of this study was to examine risk factors for depressed mood among farmers using a longitudinal study design.
METHODS
Participants were principal farm operators in the Iowa Certified Safe Farm study. We identified risk factors for depressed mood by calculating relative risks (RR) using the generalized estimating equations method.
RESULTS
In the multivariate model, pesticide exposure (RR = 1.26; 95% CI: 1.04 to 1.53), having an additional job off the farm (RR = 1.32; 95% CI: 1.08 to 1.62), stress (RR = 3.09; 95% CI: 2.55 to 3.75), and previous injury (RR = 1.41; 95% CI: 1.05 to 1.89) prospectively increased the risk of depressed mood.
CONCLUSIONS
Consistent with earlier non-longitudinal studies, the results of this study suggest that reducing pesticide exposure, stress, and injury may reduce the risk of depression in the farm setting.
背景
农民患抑郁症的风险尚未完全明了。《精神疾病诊断与统计手册》第四版（DSM-IV）将悲伤或抑郁情绪视为抑郁症的关键症状。本研究旨在采用纵向研究设计，探究农民抑郁情绪的风险因素。
方法
研究对象为艾奥瓦州认证安全农场研究中的主要农场经营者。我们运用广义估计方程法计算相对风险（RR），以确定抑郁情绪的风险因素。
结果
在多变量模型中，农药暴露（RR = 1.26；95%置信区间：1.04至1.53）、在农场外另有工作（RR = 1.32；95%置信区间：1.08至1.62）、压力（RR = 3.09；95%置信区间：2.55至3.75）以及既往受伤史（RR = 1.41；95%置信区间：1.05至1.89）会前瞻性地增加抑郁情绪的风险。
结论
与早期非纵向研究一致，本研究结果表明，减少农药暴露、压力和受伤情况可能会降低农场环境中患抑郁症的风险。
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