Centre for Global Food and Resources, Faculty of Professions, University of Adelaide, Adelaide, SA 5000, Australia.
Int J Environ Res Public Health. 2019 Dec 2;16(23):4849. doi: 10.3390/ijerph16234849.
Recently, concern has increased globally over farmers' mental health issues. We present a systematic review of the outcomes, locations, study designs, and methods of current studies on farmers' mental health. In particular, this review aims to fill an important gap in understanding of the potential key risk factors affecting farmers' mental health around the world. 167 articles on farmer mental health were included in a final systematic review using a standardized electronic literature search strategy and PRISMA guidelines. The four most-cited influences on farmers' mental health in the reviewed literature respectively were pesticide exposure, financial difficulties, climate variabilities/drought, and poor physical health/past injuries. The majority of studies were from developed countries, most specifically from the United States, Australia, and the United Kingdom. Comparative studies on the mental health of farmers and other occupational workers showed mixed results, with a larger portion identifying that psychological health disturbances were more common in farmers and farm-workers. Knowledge of farmer psychological disorder risk factors and its impacts are essential for reducing the burden of mental illness. Further research will be required on climate change impacts, developing country farmers' mental health, and information on how to reduce help-seeking barriers amongst farmers.
最近，全球对农民心理健康问题的关注日益增加。我们对当前关于农民心理健康的研究结果、地点、研究设计和方法进行了系统评价。特别是，本综述旨在弥补对影响全球农民心理健康的潜在关键风险因素的理解的重要空白。使用标准化的电子文献检索策略和 PRISMA 指南，对 167 篇关于农民心理健康的文章进行了最终的系统综述。在已审查文献中，对农民心理健康影响最大的四个因素分别是农药暴露、经济困难、气候变异性/干旱和身体健康不佳/过去受伤。大多数研究来自发达国家，特别是来自美国、澳大利亚和英国。对农民和其他职业工人心理健康的比较研究结果不一，其中更大比例的研究表明，心理健康障碍在农民和农场工人中更为常见。了解农民心理障碍风险因素及其影响对于减轻精神疾病负担至关重要。需要进一步研究气候变化的影响、发展中国家农民的心理健康以及如何减少农民寻求帮助的障碍等问题。
