Viswanathan Deepak Justine, Veerakumar A M, Kumarasamy Hemalatha
Trichy SRM Medical College Hospital and Research Centre, Tiruchirappalli, Tamil Nadu, India.
Government Theni Medical College, Theni, Tamil Nadu, India.
J Neurosci Rural Pract. 2019 Apr-Jun;10(2):238-244. doi: 10.4103/jnrp.jnrp_257_18.
Changes in climatic conditions and other factors including trade and commerce have influenced agriculture worldwide. These factors have created a crisis among farmers.
The objective of this study was to find out the prevalence of depression and suicidal ideation, to measure the resilience, and to find out the factors that influence depression and resilience among farmers.
A community-based cross-sectional analytical study was performed among farmers residing in a drought-affected area of Tiruchirappalli district of Tamil Nadu. The sample size was 191 and cluster sampling was used to select the participants. Structured, pretested questionnaires were used to find the prevalence of depression, suicidal ideation, and resilience among farmers. Pearson Correlation, Student's -test, analysis of variance, and Pearson Chi-square test were used to identify the factors influencing depression and resilience.
A total of 194 farmers participated in the study. The mean age of the farmers was 46.68 ± 12.6 years, majority 64% were males and 89% were literates. Among the participants, 97.4% had some form of depression, and 67% had severe depression. About 60% of the farmers had suicidal ideation. Male farmers, farmers with few years of farming experience, and severe reduction in yield had a higher level of depression. Suicidal ideation was influenced by gender, small-scale farming, fewer years of experience in farming, and the impact of drought on yield. The mean resilience score was 49.4 ± 10. Gender and years of experience in farming had a significant association with resilience.
High prevalence of depression and suicidal ideation and low level of resilience has been observed among the farmers. Interventions need to be provided for marginal and small-scale farmers, male farmers in the affected area to reduce the impact of drought in these farmers.
气候条件的变化以及包括贸易和商业在内的其他因素已经影响了全球农业。这些因素给农民带来了危机。
本研究的目的是查明抑郁症和自杀意念的患病率，测量心理弹性，并找出影响农民抑郁症和心理弹性的因素。
在泰米尔纳德邦蒂鲁吉拉伯利区受干旱影响地区的农民中进行了一项基于社区的横断面分析研究。样本量为191，采用整群抽样法选取参与者。使用经过预测试的结构化问卷来查明农民中抑郁症、自杀意念和心理弹性的患病率。采用Pearson相关性分析、学生t检验、方差分析和Pearson卡方检验来确定影响抑郁症和心理弹性的因素。
共有194名农民参与了研究。农民的平均年龄为46.68±12.6岁，大多数（64%）为男性，89%为识字者。在参与者中，97.4%有某种形式的抑郁症，67%有重度抑郁症。约60%的农民有自杀意念。男性农民、务农经验较少的农民以及产量大幅下降的农民抑郁症水平较高。自杀意念受性别、小规模农业、务农年限较少以及干旱对产量的影响等因素影响。心理弹性平均得分为49.4±10。性别和务农年限与心理弹性有显著关联。
在农民中观察到抑郁症和自杀意念的高患病率以及心理弹性的低水平。需要为边缘和小规模农民、受影响地区的男性农民提供干预措施，以减少干旱对这些农民的影响。
