Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
Centre for Public Health and Zoonoses, University of Guelph, Guelph, Ontario, Canada.
PLoS One. 2019 Dec 5;14(12):e0225661. doi: 10.1371/journal.pone.0225661. eCollection 2019.
BACKGROUND: Mental health issues among farmers are identified population health concerns. While one systematic review focused on suicide in farming populations in the United States, there have been no scoping studies examining mental health in farming communities worldwide. The objectives of this scoping review were to: provide a descriptive analysis of the literature pertaining to mental health outcomes in farming populations; describe the international scope of the research; and highlight published mental health services and interventions that have been evaluated. METHODS: Following Arksey and O'Malley's scoping review framework, five major health and science platforms were used to identify studies examining mental health outcomes in farming populations, worldwide. Studies that met a priori inclusion criteria that were published prior to December 31, 2017 were included in this review. Data synthesis and descriptive statistics were conducted using STATA 15® software; proportions were calculated by country. RESULTS: The initial literature search yielded 9,906 records. After title and abstract screening, 676 articles were reviewed in-full. Of these, 341 met a priori inclusion criteria. Studies included were conducted between 1979 and 2017; the majority (265; 77.7%) were published between 2002-2017. The most frequently measured outcomes were stress (41.9%), suicide (33.1%), and depression (32.6%). Over 70% of studies that examined stress described using quantitative research methods, most predominantly, cross-sectional designs (42.7%). Approximately 64% of studies that measured suicide reported using a quantitative approach; the largest proportion of included suicide studies (33.6%) described using cohort designs. Approximately 84% of studies that measured depression described using quantitative approaches; sixty percent of these studies reported using a cross-sectional study design. Twenty included studies described a mental health service or intervention (5.9%). CONCLUSIONS: This scoping review provides a critical overview of the literature examining mental health outcomes in farming populations worldwide. Given the importance of farming and agriculture, this review can be used to ensure future research complements existing work, avoids unnecessary overlap, and begins to tackle the less-studied mental health outcomes amongst farmers. These results can guide researchers to identified gaps in research and services, leading to a more informed approach to future work, and ultimately, a more comprehensive understanding of mental health among farmers worldwide.
背景:农民的心理健康问题是一个备受关注的公共卫生问题。虽然有一项系统评价专门关注美国农业人口的自杀问题,但目前还没有关于全球农业社区心理健康的范围性研究。本范围性评价的目的是:对有关农业人口心理健康结果的文献进行描述性分析;描述研究的国际范围;并强调已评估的已发表的心理健康服务和干预措施。
方法:根据 Arksey 和 O'Malley 的范围性评价框架,使用五个主要的健康和科学平台来确定全球范围内研究农业人口心理健康结果的研究。符合预先确定的纳入标准且发表时间在 2017 年 12 月 31 日之前的研究被纳入本综述。使用 STATA 15®软件进行数据综合和描述性统计;按国家计算比例。
结果:最初的文献检索产生了 9906 条记录。经过标题和摘要筛选后,有 676 篇文章进行了全文审查。其中,有 341 篇符合预先确定的纳入标准。研究的时间范围为 1979 年至 2017 年;其中大多数(265 篇;77.7%)发表于 2002 年至 2017 年。最常测量的结果是压力(41.9%)、自杀(33.1%)和抑郁(32.6%)。超过 70%的研究压力描述使用定量研究方法,其中最主要的是横断面设计(42.7%)。约 64%的自杀研究报告使用定量方法;纳入的自杀研究中最大比例(33.6%)描述使用队列设计。约 84%的测量抑郁的研究使用定量方法;其中 60%的研究报告使用横断面研究设计。20 项研究描述了一项心理健康服务或干预措施(5.9%)。
结论:本范围性评价提供了对全球农业人口心理健康结果的文献的重要概述。鉴于农业的重要性,本综述可用于确保未来的研究补充现有工作,避免不必要的重复,并开始解决农民中研究较少的心理健康结果。这些结果可以指导研究人员识别研究和服务中的差距,从而更明智地开展未来的工作,并最终更全面地了解全球农民的心理健康。
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