Centre for Research and Action in Public Health, Building 22, University of Canberra, 0200, Australia.
Health Place. 2013 Nov;24:97-109. doi: 10.1016/j.healthplace.2013.08.007. Epub 2013 Sep 9.
Farmers have particular wellbeing-related vulnerabilities that conventional health interventions struggle to address. We consider the potential of natural resource management (NRM) programs, which reach large numbers of farmers, as non-conventional place-focused wellbeing interventions. Although designed to address environmental degradation, NRM can influence the wellbeing of farmers. We used qualitative meta-synthesis to reanalyse studies examining social dimensions of NRM in Australia and generate a theoretical framework identifying potential pathways between NRM and wellbeing, intended to inform subsequent empirical work. Our results suggest NRM programs influence several important determinants of farmer wellbeing, in particular social capital, self-efficacy, social identity, material wellbeing, and health itself. The pathways by which NRM influences these determinants are mediated by distal factors such as changes in land conditions, farmer skills and knowledge and resources accessible to farmers. These, in turn, are moderated by the design and delivery of NRM programs, suggesting potential to enhance the health benefits of NRM through specific attention to program design.
农民在健康方面存在特殊的脆弱性，这是传统健康干预措施难以解决的。我们认为，自然资源管理（NRM）计划具有潜在的作用，这些计划可以覆盖大量的农民，作为非传统的以地点为重点的福祉干预措施。虽然 NRM 计划旨在解决环境退化问题，但它可以影响农民的福祉。我们使用定性元综合分析方法重新分析了澳大利亚考察 NRM 社会层面的研究，并生成了一个理论框架，确定了 NRM 与福祉之间的潜在途径，旨在为后续的实证工作提供信息。我们的研究结果表明，NRM 计划会影响到农民福祉的几个重要决定因素，特别是社会资本、自我效能、社会认同、物质福祉和健康本身。NRM 影响这些决定因素的途径受到土地状况变化、农民技能和知识以及农民可获得的资源等远程因素的影响。这些因素反过来又受到 NRM 计划的设计和实施的调节，这表明通过对计划设计的特别关注，有可能增强 NRM 的健康效益。
