Pickett William, King Nathan, Trask Catherine, Michaelson Valerie, Marlenga Barbara L, Hagel Louise, Dosman James A
a Department of Public Health Sciences , Queen's University , Kingston , Ontario , Canada.
J Agromedicine. 2015;20(2):178-87. doi: 10.1080/1059924X.2015.1010063.
This study examined self-perceived health status among men and women who live on farms, as well as variations in factors related to negative health status observed by gender. Data were collected in the province of Saskatchewan, Canada, in 2013 through the use of a cross-sectional survey. A multistage sample was developed consisting of farms nested within rural municipalities and then agricultural soil zones. The response rate was 48.8% at the farm level, with a final sample of 2,353 (1,416 men, 937 women) from 1,119 farms. Variables under study included self-reports of health status, as well as demographic, behavioral, and farm operational factors that could influence perceived health status. The analysis was initially descriptive followed by multilevel logistic regression analyses. Self-reports of diagnosed comorbidities were strongly associated with negative health status among both men and women. Daytime sleepiness was more modestly associated with negative health status in both genders. Among men, additional risk factors tended to be functional, and included older age, part-time work status, and binge drinking. Among women, additional risk factors included cigarette smoking, overweight or obesity, and lower levels of education. The study demonstrated that there were both similarities and differences between men and women on farms in the factors related to negative self-perceived health status. These findings should inform the content and targeting of health promotion programs aimed at rural populations.
本研究调查了居住在农场的男性和女性的自我感知健康状况，以及按性别观察到的与不良健康状况相关因素的差异。2013年，通过横断面调查在加拿大萨斯喀彻温省收集了数据。构建了一个多阶段样本，由嵌套在农村自治市然后是农业土壤区域内的农场组成。农场层面的回复率为48.8%，最终样本来自1119个农场，共2353人（1416名男性，937名女性）。研究变量包括健康状况的自我报告，以及可能影响感知健康状况的人口统计学、行为和农场运营因素。分析首先是描述性的，然后是多水平逻辑回归分析。已诊断合并症的自我报告在男性和女性中均与不良健康状况密切相关。白天嗜睡在两性中与不良健康状况的关联程度较低。在男性中，其他风险因素往往与功能有关，包括年龄较大、兼职工作状态和暴饮。在女性中，其他风险因素包括吸烟、超重或肥胖以及教育水平较低。该研究表明，在与自我感知不良健康状况相关的因素方面，农场男性和女性之间既有相似之处也有差异。这些发现应为针对农村人口的健康促进项目的内容和目标人群提供参考。
