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气候变化和阿肯色州小农户的健康风险感知:健康信念模型的应用。

Climate Change and Health Risk Perceptions of Arkansas Small Farmers through the Application of the Health Belief Model.

机构信息

Department of Environmental Health Sciences, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

Department of Health Behavior and Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

出版信息

Int J Environ Res Public Health. 2024 Jul 22;21(7):955. doi: 10.3390/ijerph21070955.

Abstract

Climate change poses health risks to Arkansas small farmers. Farmers face an increased risk of heat-related illnesses (e.g., heat exhaustion, cerebral vascular accidents, and cardiovascular issues) and work-related injuries, death, and mental health conditions due to climate change. This cross-sectional survey employed the health belief model (HBM) as its theoretical framework. This study aimed to assess the health status of small farmers, climate change beliefs, adaptive agricultural practices, and the perceived effects of climate change on health. Study data were collected using non-probability sampling methods from small farmers ( = 72) with a gross farm income of < USD 250,000. The study findings show that 93% of participants reported good-excellent health, 69% believe the climate is changing and getting warmer, 58.3% believe people are responsible for the changes in our climate, and 75% believe the changing climate impacts farmers. Among the HBM predictive variables, participants reported self-efficacy (50%), perceived susceptibility (48.6%), and perceived severity (43%). Only 16.7% of farmers reported believing they have all the information needed to prepare for climate-related health impacts. This study suggests small farmers have protective factors and adaptive capacity, including health status, income, and education levels, but believe they lack the information necessary to protect their health from climate change.

摘要

气候变化给阿肯色州的小农带来了健康风险。由于气候变化,农民面临与热相关的疾病(例如热衰竭、脑血管意外和心血管问题)以及与工作相关的伤害、死亡和心理健康状况的风险增加。本横断面调查以健康信念模型(HBM)为理论框架。本研究旨在评估小农户的健康状况、对气候变化的信念、适应性农业实践以及气候变化对健康的感知影响。研究数据采用非概率抽样方法从小农户(总收入<25 万美元)中收集(n = 72)。研究结果表明,93%的参与者报告健康状况良好-优秀,69%的人认为气候正在变化且变得更暖,58.3%的人认为人类应对气候变化负责,75%的人认为气候变化会影响农民。在 HBM 的预测变量中,参与者报告了自我效能感(50%)、感知易感性(48.6%)和感知严重性(43%)。只有 16.7%的农民表示他们相信自己拥有应对与气候相关的健康影响所需的所有信息。本研究表明,小农户具有保护因素和适应能力,包括健康状况、收入和教育水平,但他们认为自己缺乏保护健康免受气候变化影响所需的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25b7/11277086/3ca74497f423/ijerph-21-00955-g001.jpg

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