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评估美国中西部农业工人的健康与安全问题及心理压力源

Assessing Health and Safety Concerns and Psychological Stressors among Agricultural Workers in the U.S. Midwest.

作者信息

Arora Kanika, Cheyney Marsha, Gerr Fredric, Bhagianadh Divya, Gibbs Jenna, Anthony T Renée

出版信息

J Agric Saf Health. 2020 Jan 20;26(1):45-58. doi: 10.13031/jash.13660.

DOI:10.13031/jash.13660
PMID:32429619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7250162/
Abstract

There is limited research exploring agricultural workers' own perspectives on the relative importance of the hazards and stressors they experience. There is also a lack of evidence on whether this reporting differs by method of elicitation. Finally, very little research exists on how to improve mail survey response rates among agricultural workers. We examined health and safety concerns and psychological stressors among Midwestern farmers. We assessed whether these reports varied by survey mode (mail survey versus in-person survey). The efficacy of two different types of incentives to enhance mail survey response rates among agricultural workers was also investigated. In 2018, a needs assessment survey was developed and mailed to a random sample of farm owner-operators in Iowa, Ohio, and Missouri, with randomly assigned prepaid or promised monetary incentives. In-person surveys were conducted among farm owner-operators and hired workers at three regional farm shows in Iowa, Minnesota, and Nebraska. The mail survey response rates were compared by incentive type. Content analysis was used to generate themes associated with health and safety concerns and psychological stressors, which were then ranked by frequency counts. Chi-square tests were used to analyze variation in the distribution of these themes by survey mode. The response rate for the $1 prepaid incentive was double that of the $10 promised incentive. Content analysis identified 13 health and safety concerns and eight psychological stressors. Chemicals, equipment/tools, and health outcomes were the most frequently noted health and safety concerns. Finances, climate/weather, and farm workload and management were the most frequently noted psychological stressors. Although there was considerable overlap in survey responses across mail and in-person respondents, important differences by sample and survey mode characteristics were observed. The results can support a variety of stakeholders in prioritizing and developing interventions and educational resources to address health and safety concerns and psychological stressors among Midwestern farmers. Our findings also contribute to the evidence base on primary data collection methods for agricultural workers.

摘要

关于农业工人对自身所经历的危害和压力源的相对重要性的看法,相关研究有限。也缺乏证据表明这种报告是否因引出方法的不同而有所差异。最后,关于如何提高农业工人邮件调查回复率的研究非常少。我们研究了中西部农民的健康与安全问题以及心理压力源。我们评估了这些报告是否因调查方式(邮件调查与面对面调查)而有所不同。还调查了两种不同类型的激励措施对提高农业工人邮件调查回复率的效果。2018年,我们开展了一项需求评估调查,并将其邮寄给爱荷华州、俄亥俄州和密苏里州的农场主兼经营者的随机样本,同时随机分配预付或承诺的货币激励措施。在爱荷华州、明尼苏达州和内布拉斯加州的三个地区性农场展览会上,对农场主兼经营者和雇佣工人进行了面对面调查。通过激励类型比较了邮件调查的回复率。采用内容分析法生成与健康和安全问题以及心理压力源相关的主题,然后按出现频率进行排序。使用卡方检验分析这些主题在不同调查方式下的分布差异。1美元预付激励措施的回复率是10美元承诺激励措施的两倍。内容分析确定了13个健康与安全问题和8个心理压力源。化学品、设备/工具和健康结果是最常被提及的健康与安全问题。财务、气候/天气以及农场工作量和管理是最常被提及的心理压力源。尽管邮件调查和面对面调查的受访者在调查回复上有相当多的重叠,但在样本和调查方式特征方面观察到了重要差异。这些结果可以支持各类利益相关者在确定优先事项以及制定干预措施和教育资源时,以解决中西部农民的健康与安全问题以及心理压力源。我们的研究结果也为农业工人主要数据收集方法的证据库做出了贡献。

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本文引用的文献

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Trends and Characteristics of Occupational Suicide and Homicide in Farmers and Agriculture Workers, 1992-2010.1992-2010 年农民和农业工人职业自杀和他杀的趋势和特征。
J Rural Health. 2018 Jun;34(3):246-253. doi: 10.1111/jrh.12245. Epub 2017 May 2.
3
A cross-sectional study of stressors among farmers in Eastern North Carolina.北卡罗来纳州东部农民压力源的横断面研究。
N C Med J. 2014 Nov-Dec;75(6):384-92. doi: 10.18043/ncm.75.6.384.
4
Musculoskeletal pain among Midwest farmers and associations with agricultural activities.美国中西部农民的肌肉骨骼疼痛及其与农业活动的关联
Am J Ind Med. 2015 Mar;58(3):319-30. doi: 10.1002/ajim.22398. Epub 2014 Oct 23.
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Respiratory disease in United States farmers.美国农民的呼吸疾病。
Occup Environ Med. 2014 Jul;71(7):484-91. doi: 10.1136/oemed-2013-101983.
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Assessing Hmong farmers' safety and health.评估苗族农民的安全和健康。
Workplace Health Saf. 2014 May;62(5):178-85. doi: 10.1177/216507991406200502.
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Health care avoidance among rural populations: results from a nationally representative survey.农村人口的医疗保健回避行为:一项全国代表性调查的结果。
J Rural Health. 2014 Winter;30(1):79-88. doi: 10.1111/jrh.12032. Epub 2013 Jun 24.
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Musculoskeletal injury, functional disability, and health-related quality of life in aging Mexican immigrant farmworkers.墨西哥老年移民农场工人的肌肉骨骼损伤、功能残疾及与健康相关的生活质量
J Immigr Minor Health. 2014 Oct;16(5):904-13. doi: 10.1007/s10903-013-9788-6.
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Health care utilization among migrant Latino farmworkers: the case of skin disease.拉丁裔流动农场工人的医疗保健利用情况:以皮肤病为例。
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