Georgia Rural Health Innovation Center at Mercer University, Macon, Georgia, USA.
School of Medicine, Mercer University, Macon, Georgia, USA.
J Rural Health. 2024 Jan;40(1):75-86. doi: 10.1111/jrh.12764. Epub 2023 Apr 24.
The suicide rate among farmers is higher than that of the overall working population. Literature on farmer mental health in Georgia (GA) has been scarce and mostly focused on suicide as a result. Literature on stressors or coping are mostly qualitative studies. This study looks at the influence of being a first-generation farmer on farm-related stressors and coping mechanisms.
This cross-sectional study inventories mental well-being, stressors, and coping mechanisms for different types of farmers in GA, USA. The online survey ran from January 2022 through April 2022. Participants (N = 1,288) were asked about demographics, work descriptors, health care access, specific stressors, stress levels, and coping mechanisms.
Two-thirds of our sample were first-generation farmers. First-generation farmers had a higher stress score on average, as well as being more likely to feel depressed, and feel hopeless. They also showed less diverse coping mechanisms than generational farmers, with alcohol in their top 3 coping mechanisms. First-generation farmers were also much more likely to experience suicidal ideation: 9% daily and 61% at least once in the past year (vs generational: 1% daily; 20% once in the past year). Binary logistic regression indicated that having more diverse coping mechanisms is a protective factor against suicidal ideation within the previous year. The same model indicated that being a farm owner or farm manager, being first-generation, being unhappy with one's role, feeling sad or depressed, and feeling hopeless were all risk factors.
First-generation farmers experience more stress and exhibit more risk factors for suicidal ideation than generational farmers.
农民的自杀率高于整体劳动人口。佐治亚州(GA)有关农民心理健康的文献很少,而且大多集中在自杀问题上。关于压力源或应对方式的文献大多是定性研究。本研究探讨了作为第一代农民对与农场相关的压力源和应对机制的影响。
本横断面研究对美国 GA 不同类型农民的心理健康、压力源和应对机制进行了调查。在线调查于 2022 年 1 月至 2022 年 4 月进行。参与者(N=1288)被问及人口统计学、工作描述、医疗保健获取、特定压力源、压力水平和应对机制。
我们的样本中有三分之二是第一代农民。第一代农民的平均压力评分较高,更有可能感到抑郁和绝望。与代际农民相比,他们的应对机制也不那么多样化,酒精是他们前 3 种应对机制之一。第一代农民也更有可能出现自杀意念:9%的人每天都有,61%的人在过去一年中至少有一次(而代际农民:每天 1%;过去一年中有 20%的人)。二元逻辑回归表明,具有更多样化的应对机制是过去一年中自杀意念的保护因素。同样的模型表明,作为农场主或农场经理、第一代农民、对自己的角色不满意、感到悲伤或沮丧以及感到绝望都是风险因素。
第一代农民比代际农民经历更多的压力,表现出更多自杀意念的风险因素。