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农民与干旱相关的压力:来自澳大利亚农村心理健康研究的发现。

Drought-related stress among farmers: findings from the Australian Rural Mental Health Study.

机构信息

Centre for Water, Climate and Land, University of Newcastle, Newcastle, NSW

Centre for Rural and Remote Mental Health, University of Newcastle, Orange, NSW.

出版信息

Med J Aust. 2018 Aug 20;209(4):159-165. doi: 10.5694/mja17.01200. Epub 2018 Jul 30.

DOI:10.5694/mja17.01200
PMID:30041594
Abstract

OBJECTIVES

To investigate general and drought-related stress experienced by farmers at both the personal and community levels, and whether socio-demographic and community factors influence this stress.

DESIGN

Multivariate analysis of data from the Australian Rural Mental Health Study (ARMHS), a longitudinal cohort study (2007-2013).

SETTING

Non-metropolitan New South Wales.

PARTICIPANTS

Subset of 664 ARMHS participants (at baseline) who identified as living or working on a farm.

MAIN OUTCOME MEASURES

Personal drought-related stress (PDS), community drought-related stress (CDS), and general psychological distress (K10 score).

RESULTS

Farmers who were under 35, both lived and worked on a farm, experienced greater financial hardship, and were in outer regional, remote or very remote NSW reported PDS particularly frequently. Of these factors, only being under 35 and increased remoteness were associated with higher incidence of CDS. Mild wet weather during the prior 12 months reduced PDS and CDS but increased general distress. Moderate or extreme wet weather did not affect PDS or general distress, but moderate wet weather was associated with increased CDS. Drought-related stress and general psychological distress were influenced by different socio-demographic and community factors.

CONCLUSIONS

Farmers in NSW experience significant stress about the effects of drought on themselves, their families, and their communities. Farmers who are younger, live and work on a farm, experience financial hardship, or are isolated are at particular risk of drought-related stress. Medical practitioners who provide assistance to farmers and farming communities can contribute to initiatives that relieve stress about drought.

摘要

目的

调查农民在个人和社区层面所经历的一般压力和与干旱相关的压力,以及社会人口和社区因素是否会影响这种压力。

设计

对澳大利亚农村心理健康研究(ARMHS)的数据进行多变量分析,该研究是一项纵向队列研究(2007-2013 年)。

地点

新南威尔士州非城市地区。

参与者

ARMHS 研究的 664 名参与者(基线时)中确定为居住或工作在农场的参与者子集。

主要观察指标

个人与干旱相关的压力(PDS)、社区与干旱相关的压力(CDS)和一般心理困扰(K10 评分)。

结果

35 岁以下、同时居住和工作在农场、经历更大经济困难且位于新南威尔士州远郊、偏远或极偏远地区的农民报告 PDS 的频率特别高。在这些因素中,只有 35 岁以下和更大的偏远程度与 CDS 的发生率增加相关。过去 12 个月中有轻度湿润天气会降低 PDS 和 CDS,但会增加一般困扰。中度或极端湿润天气不会影响 PDS 或一般困扰,但中度湿润天气与 CDS 增加相关。与干旱相关的压力和一般心理困扰受到不同的社会人口和社区因素的影响。

结论

新南威尔士州的农民经历了与干旱对他们自己、家人和社区的影响相关的重大压力。年龄较小、居住和工作在农场、经历经济困难或孤立的农民面临与干旱相关的压力的风险特别高。向农民和农业社区提供援助的医疗从业者可以为缓解与干旱相关的压力的举措做出贡献。

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