Difference in health status of Korean farmers according to gender.

ABSTRACT

BACKGROUND: The objective of this study was to compare differences in lifestyle diseases, musculoskeletal pain, psychosocial stress, and self-health awareness according to gender in Korean farmers. METHODS: The study population comprised 436 farmers residing in rural areas in Korea. A self-administered questionnaire was used to survey demographic characteristics, health-related behaviors, and musculoskeletal pain. The psychosocial well-being index short form (PWI-SF) was used to survey psychosocial stress, and the 12-item short form health survey (SF-12) was used to survey self-health awareness. In addition, a clinical examination was performed for each participant, and lifestyle diseases were identified through a health checkup. RESULTS: Among lifestyle diseases, females showed a significantly higher proportion than males for metabolic syndrome (OR 4.57 [95% CI, 1.67-12.51]). For musculoskeletal pain, females again showed significantly higher proportion than males for hand pain (OR 16.79 [95% CI, 3.09-91.30]), and pain in at least one body part (OR 2.34 [95% CI, 1.16-4.70]). For psychosocial stress, females showed a significantly higher proportion than males for high-risk stress (OR 3.10 [95% CI, 1.17-8.24]). Among the items in self-health awareness, females showed significantly higher proportion than males for mental component score (MCS) (OR 3.10 [95% CI, 1.52-6.31]) and total score (OR 2.34 [95% CI, 1.11-4.90]). CONCLUSIONS: For all items that showed significant differences, females showed higher proportion than males, which indicates that female farmers tended to have poorer overall health than male farmers. Therefore, specialized programs will have to be developed to improve the health of female farmers.