Doetzer Julia, Ammann Priska, Imboden Medea, Ingold Karin, Jeong Ayoung, Kaiser-Grolimund Andrea, Schaffner Emmanuel, Winkler Mirko S, Fuhrimann Samuel, Probst-Hensch Nicole
Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
University of Basel, Basel, Switzerland.
Sci Rep. 2025 Mar 28;15(1):10690. doi: 10.1038/s41598-025-94440-0.
FarmCoSwiss is Switzerland's first agricultural cohort study on farmers' health and wellbeing. It aims to longitudinally describe farmers' mental and physical health and identify risk and protective factors. Between November 2022 and August 2023, 872 participants (65.9% men) were enrolled in the baseline survey assessing farm characteristics, occupational hazards, lifestyle and wellbeing, and physical and mental health. Selected variables were descriptively compared to the general population using Swiss Health Survey (SHS) data (2022) and the Swiss-wide SAPALDIA cohort (2020-2023). Findings suggest better physical health-related quality of life (HRQoL) in younger participants, and better mental HRQoL in older farmers. Furthermore, descriptive comparisons indicate that female farmers may have higher physical, but lower mental HRQoL than men. Most participants (60.5%) were classified as overweight or obese based on self-reported height and weight. Descriptive comparisons between the SHS and FarmCoSwiss suggest that farmers might spend less hours sitting, consume less alcohol and tobacco, but eat more red and processed meat. FarmCoSwiss participants further reported lower prevalences of most diseases compared to SAPALDIA participants. Occupational accidents were common in the farmers' cohort. These high accident rates as well as high BMI values and indications for sex-based differences in physical and mental health highlight the need for further research and in-depth studies. Given increasing political, societal, and environmental pressures on agriculture, epidemiological evidence on farmers' health and wellbeing is crucial to maintain a thriving agricultural workforce.
FarmCoSwiss是瑞士首个关于农民健康与福祉的农业队列研究。其目的是纵向描述农民的身心健康状况，并识别风险因素和保护因素。在2022年11月至2023年8月期间，872名参与者（65.9%为男性）参与了基线调查，该调查评估了农场特征、职业危害、生活方式与福祉以及身心健康状况。利用瑞士健康调查（SHS）数据（2022年）和全瑞士的SAPALDIA队列（2020 - 2023年），将选定变量与一般人群进行了描述性比较。研究结果表明，年轻参与者的身体健康相关生活质量（HRQoL）更好，而年长农民的心理健康相关生活质量更好。此外，描述性比较表明，女性农民的身体HRQoL可能高于男性，但心理HRQoL低于男性。根据自我报告的身高和体重，大多数参与者（60.5%）被归类为超重或肥胖。SHS与FarmCoSwiss之间的描述性比较表明，农民可能坐着的时间较少，饮酒和吸烟较少，但食用的红肉和加工肉类较多。与SAPALDIA参与者相比，FarmCoSwiss参与者报告的大多数疾病患病率也较低。职业事故在农民队列中很常见。这些高事故率以及高BMI值和身心健康方面基于性别的差异迹象凸显了进一步研究和深入调查的必要性。鉴于农业面临的政治、社会和环境压力不断增加，关于农民健康与福祉的流行病学证据对于维持一支蓬勃发展的农业劳动力队伍至关重要。
