Bureau of Health Preparedness, Ohio Department of Health, Columbus, Ohio, USA.
Department of Food, Agricultural, & Biological Engineering, College of Food, Agricultural & Environmental Sciences, The Ohio State University, Columbus, Ohio, USA.
J Agromedicine. 2022 Jan;27(1):7-14. doi: 10.1080/1059924X.2021.1893882. Epub 2021 Feb 28.
Poor health habits correlate with morbidity and mortality. Rural communities often have decreased access to prevention programs and health care. As a state highly dependent on agriculture, this study identifies rural health services for Ohio farmers. This cross-sectional, descriptive study surveys key informants in Ohio at rural health clinics, critical access hospitals, health departments, Ohio State University (OSU) Extension offices, migrant clinics, and Federally Qualified Health Centers about the types of services available to address eight health behaviors. Key informants were invited via email and U.S. Postal Service to complete an electronic survey. After service types were identified, additional information to describe format, barriers to delivery and perceived importance of the service was asked. Of Ohio's 75 rural counties, 51 counties are represented in the data by at least one participating organization. Nutrition/healthy eating-related health services are provided most often by organizations (95.8%) and sleep services were least often reported (49.5%). The other health behaviors services (sun/UV exposure, physical activity, mental health, tobacco cessation, alcohol/substance abuse, and opioid abuse) fell in-between. Organizations are most likely to offer health education resources in print or web-based format across all health behaviors except for sleep, where social media promotion are the most common. The largest barrier to providing any type of health service is a lack of personnel. Providing health behavior services to farmers and farm families is important for improving their overall health. Documenting available services will assist the rural health community in future collaborative wellness projects.
不良健康习惯与发病率和死亡率相关。农村社区通常获得预防计划和医疗保健的机会减少。俄亥俄州高度依赖农业，本研究确定了该州农村地区农民的医疗服务。这项横断面描述性研究调查了俄亥俄州农村健康诊所、关键通道医院、卫生部门、俄亥俄州立大学（OSU）推广办公室、流动诊所和合格的联邦健康中心的主要信息提供者，了解可提供的服务类型，以解决八项健康行为。主要信息提供者通过电子邮件和美国邮政服务被邀请完成电子调查。在确定服务类型后，还询问了有关格式、提供服务的障碍以及服务的重要性的更多信息。在俄亥俄州的 75 个农村县中，至少有一个参与组织代表 51 个县提供数据。与营养/健康饮食相关的健康服务最常由组织提供（95.8%），而睡眠服务报告最少（49.5%）。其他健康行为服务（日晒/紫外线暴露、身体活动、心理健康、戒烟、酒精/药物滥用和阿片类药物滥用）则介于两者之间。除了睡眠，所有健康行为中，组织最有可能以印刷或基于网络的格式提供健康教育资源，而在睡眠中，社交媒体推广是最常见的。提供任何类型健康服务的最大障碍是人员短缺。为农民和农场家庭提供健康行为服务对于改善他们的整体健康非常重要。记录可用的服务将有助于农村卫生界在未来的合作健康项目中。
