Exploring factors influencing farmers' health self-assessment in China based on the LASSO method.

As the main force and practice subject of rural revitalisation, farmers' health is intricately linked to agricultural production and the rural economy. This study utilizes open data from the 2015 China Nutrition and Health Survey and employs the Least Absolute Shrinkage and Selection Operator (LASSO) method to explore the factors influencing farmers' self-assessment of health. The findings reveal that education level, proactive nutrition knowledge seeking, healthy dietary preferences and habits, and the use of clean cooking fuel positively impact farmers' health self-assessment. Conversely, age, history of illness or injury, and participation in medical insurance negatively affect their self-assessment. Furthermore, factors influencing farmers' health self-assessment exhibit heterogeneity across regions. Our findings suggest that promoting health education, disseminating nutritional dietary knowledge, and enhancing rural household infrastructure play an important role in improving farmers' self-evaluation of health. Therefore, policymakers should design more targeted health interventions and infrastructure improvement plans based on farmers' self-assessment of health and the level of regional economic development.

Association Between COPD Symptoms and Psychological Distress Among Farmers.

BACKGROUND: Farmers have an increased risk of developing chronic obstructive pulmonary disease (COPD) and psychological distress. The potential role of psychological distress in worsening COPD symptoms has been reported among the general population, but no studies have examined this relationship among farmers with COPD, which is the purpose of this study. METHODS: This study used the data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS). Farmers reporting both psychological distress and COPD symptoms were included in this study (n = 239). Both unadjusted and adjusted logistic regressions were used to explore the association among psychological distress, age, health status, smoking, and COPD symptoms, with crude and adjusted odds ratio (OR) and 95% CIs reported. FINDINGS: The unadjusted analysis suggested that COPD symptoms were significantly associated with psychological distress among farmers (OR = 2.05 [1.18, 3.58]). While adjusted models showed the significant association between COPD symptoms and psychological distress among farmers after controlling for smoking, age, and health status (adjusted OR = 2.08 [1.10, 4.01]). CONCLUSION/IMPLICATIONS FOR PRACTICE: These results suggest that psychological distress is associated with an increased risk of COPD symptoms in farmers, which is consistent with observations from studies in non-farmers. Occupational health professionals need to provide screen for COPD among farmers as well as psychological distress screening and mental health promotion among farmers with COPD.

Groundwater Quality Modeling and Mitigation from Wastewater Used in Irrigation, a Case Study of the Nile Delta Aquifer in Egypt.

Groundwater is an essential freshwater source because traditional sources of freshwater, such as rainfall and rivers, are unable to provide all residential, industrial, and agricultural demands. Groundwater is replenished by different sources: rivers, canals, drains, and precipitation. This research aims to apply numerical models for a real case study (Bahr El Baqar drain) in the Eastern Nile aquifer to monitor groundwater quality due to the use of wastewater from drains directly in irrigation due to the shortage of freshwater in this area. In addition, the effect of over-pumping from the aquifer is studied to show the extent of contaminants in groundwater. Moreover, a management strategy was achieved through mixing treated wastewater with freshwater to reduce the contamination of groundwater and overcome water shortage. Visual MODFLOW is used to simulate groundwater flow and contaminant transport into the Eastern Nile aquifer (ENDA), Egypt. In this study, three stages including 15 scenarios (five scenarios for each stage) were settled to achieve the study objectives. The first stage was carried out to investigate the impact of using untreated wastewater for irrigation due to the shortage of freshwater in this area. The results of this stage showed that increasing the use of untreated wastewater increased the contamination of the aquifer. The average COD concentrations in the five scenarios reached 23.73, 33.76, 36.49, 45.13, and 53.15 mg/L. The second stage was developed to evaluate the impact of over-pumping and using untreated wastewater for irrigation due population increase and a reduction of freshwater in the Nile Delta. The results revealed that over-pumping has increased the contamination of the aquifer and the average COD concentrations increased to 25.3, 33.34, 40.66, 48.6, and 54.17 mg/L. The third stage was applied to investigate the impact of mixing treated wastewater with freshwater for irrigation to support the freshwater quantity. The results of this stage led to enhanced water quality in the aquifer and the average COD concentrations decreased to 20.26, 23.13, 26.03, 30, and 32.83 mg/L. The results showed that mixing freshwater with treated wastewater has a good influence on water quality, can be safely used in irrigation and reduces the effects on farmers' health and life.

Dual process model of farmers' mindfulness and sustainable economic behavior: Mediating role of mental health and emotional labor.

Mindful awareness of our interconnection with the natural environment could help to redeem our lost environmentally entrenched identity and help us to act more sustainably, concluding the predictable gaps between mindfulness and sustainable behavior. We propose more precisely that mindful attentiveness may be essential to establishing sustainable economic behavior through understanding emotional labor and enhanced mental health. Likewise, with an ever-rising concern related to mental health and emotional labor, recent industrialization and commoditization of agricultural products have stressed the need for mindfulness, and causing sustainable economic behavior of farmers that is imminent. Hence, the study will not only explore the connection between mindfulness and sustainable economic behavior, but there is a need to examine the mediating role of emotional labor and the mental health of farmers in China. The study selected the farmers because mindful awareness, emotional labor, and mental health of a farmer can significantly contribute to sustainable economic behavior and bring a connection with the natural environment. The data of 358 responses were analyzed using SPSS-AMOS. The results revealed that mindfulness, mental health, and emotional labor have a significant connection with the sustainable economic behavior of farmers in China. The results also indicated that mental health and emotional labor mediate between mindfulness and sustainable economic behavior. The results set the tone for the policy-makers to create awareness among all the stakeholders about the importance of mindfulness to help farmers manage their emotional labor and mental health for better, sustainable performance outcomes.

Farmers' knowledge and practice regarding good agricultural practices (GAP) on safe pesticide usage in Indonesia.

Synthetic pesticides are widely applied for pest and disease control in Indonesia. However, a lack of knowledge and use of Good Agricultural Practices (GAP) for safe pesticide usage among Indonesian farmers remains a problem. This study aims to investigate the gap between farmers' knowledge of GAP for safe pesticide usage and their application of it. This research was conducted in 2020 in five Indonesian provinces. Primary data collection was by means of a survey, in which 298 respondents answered structured questionnaires. The survey also identified the sources of the information recorded and the respondents' experience of pesticide exposure. The analysis tools used were the Wilcoxon Signed Ranked Test and Importance-Performance Analysis (IPA). There were significant differences in the results of the first analysis. These results appear to confirm the results of further analysis using IPA, which show that a high level of knowledge does not mean that farmers will apply this knowledge in practice: this is particularly relevant to wearing gloves and masks, using tools to remove blockages, never clearing blocked nozzles by blowing into them, and disposing of empty containers properly. Nevertheless, in some cases high levels of knowledge do result in high levels of application. Cases of pesticide exposure affecting human health by causing symptoms such as dizziness, nausea, and vomiting confirm that GAP for pesticide usage are not being implemented properly by some farmers. It is therefore recommended that their knowledge should be enhanced through the series of technical training programs using participatory approaches, so that farmers accumulate knowledge which will drive them to adopt GAP for safe pesticide usage.

Typology of Iranian farmers' vulnerability to the COVID-19 outbreak.

Context: Presently, farmers are faced with a new crisis caused by the outbreak of COVID-19. On the one hand, they are vulnerable to such respiratory diseases due to the nature of their farming activity. On the other hand, they will definitely be influenced by the pandemic in different aspects no matter if they do not contract the infection. So, this research aimed to study the vulnerability of farmers to the COVID-19 pandemic. Methods: The present study was conducted using the quantitative approach and a descriptive-survey methodology. The statistical population was composed of farmers in Kermanshah province, Iran (N = 126,900). The sample (n = 382) was taken by the multistage stratified sampling technique with proportional allocation. The research instrument was a self-designed questionnaire whose face and content validity was confirmed by a panel of relevant experts and its reliability was supported in a pilot test. Results: The main damages of the pandemic to the farmers were found to be the increased costs of production, permanent or seasonal unemployment, reduced access to crop sale markets, and reduced control over pests and diseases at farms. The results revealed that the means of environmental, agronomic-vocational, and economic vulnerability were greater than the scale mean. The results also illustrated significant differences in the means of economic, psychological-social, agronomic-vocational, and environmental dimensions of vulnerability. Among these dimensions, the variable of agronomic-vocational vulnerability had the highest mean, and the variable of psychological-social vulnerability had the lowest mean. Conclusion: Farmers have been one of the groups most severely influenced and damaged by the pandemic in various aspects. In this regard, organizations and institutions in charge of different agriculture sections, especially the Office of Agricultural Extension and Education, must develop practical strategies to reduce the effect of the pandemic on the agricultural sector. Identifying the dimensions and parameters of farmers' vulnerability in the face of COVID-19 can provide new and appropriate solutions to relevant planners and policymakers.

"That's Me I am the Farmer of the Land": Exploring Identities, Masculinities, and Health Among Male Farmers' in Ireland.

Compared to other occupational groups, farmers in Ireland experience a disproportionate burden of health problems, which impact farmers' livelihoods and farming sustainability. Internationally, farmers' poor health outcomes are associated with intersecting economic, environmental, socio-cultural, and occupation-specific factors linked to changes in agricultural governance. This qualitative study explored the challenges and stressors facing farmers in Ireland and how changes in farming governance have impacted farmers' identities, masculinities and health. Eleven focus groups (n = 26 female, n = 35 male, age-range 20s-70s) were conducted with both male farmers (n = 3 focus groups; n = 13) and key informants (n = 8 focus groups; n = 48, 22 male, 26 female). Utilizing Thematic Content Analysis, transcripts were coded independently by the first and second author using open and comparative coding techniques, with emerging themes grouped into primary and subthemes. Theme memos and conceptual maps tracked evolving relationships between themes. The analysis identified three broad themes. "Wrestling with challenges to autonomy and control within farming" examines the impact of tighter regulatory frameworks associated with changes to farming governance and unpacks other challenges associated with scale and succession. "Farming masculinities and health" explores how farming masculinities were closely aligned with farming practices and health practices and were framed relationally. "Isolation and the demise of rural communities" considers the impact of reduced social interaction on loneliness among farmers, particularly among more "at risk" single and older farmers. Findings provide unique insights into contemporary challenges and stressors facing farmers and have important implications for informing the design and roll-out of a national farmers' health training program.

The Process Of Farmers' Occupational Health Behavior by Health Belief Model: Evidence From Iran.

Farm work is considered among the highest risk jobs throughout the world. Occupational health behavior is a critical factor that influences agricultural job-related injuries and diseases. Yet, while educational programs have been set up to encourage farmers to behave more safely, many of these programs do not sufficiently take into account the factors that induce farmers to exhibit risky behavior. The present study aimed to explore the factors underpinning farmers' occupational health behavior using the Health Belief Model (HBM). The study was conducted using aquestionnaire survey of 382 farmers representative of the farmers of Kermanshah province, Iran. The face and content validity of the questionnaire was confirmed by apanel of experts in occupational health, and its reliability by apilot study establishing internal consistency measured by Cronbach's alpha. The results showed that four dimensions of the HBM (perceived susceptibility, perceived benefits, cues to action, and perceived self-efficacy) influence farmers' occupational health behavior (FOHB), with the theoretical model accounting for 54.9% of the variance of FOHB. The findings confirm the potential of the HBM to explain FOHB and the relevance of using the theory in studying farmers' protective behaviors such as the use of chemical pesticides, protection against sunlight, protection of hearing, etc.

The history of arsenical pesticides and health risks related to the use of Agent Blue.

Arsenicals in agriculture. Beginning in the 1970s, the use of arsenic compounds for such purposes as wood preservatives, began to grow. By 1980, in the USA, 70% of arsenic had been consumed for the production of wood preservatives. This practice was later stopped, due to the US Environmental Protection Agency (EPA) ban of the arsenic-and chromium-based wood preservative chromated copper arsenate. In the past, arsenical herbicides containing cacodylic acid as an active ingredient have been used extensively in the USA, from golf courses to cotton fields, and drying-out the plants before harvesting. The original commercial form of Agent Blue was among 10 toxic insecticides, fungicides and herbicides partially deregulated by the US EPA in February 2004, and specific limits on toxic residues in meat, milk, poultry and eggs, were removed. Today, however, they are no longer used as weed-killers, with one exception - monosodium methanearsonate (MSMA), a broadleaf weed herbicide for use on cotton. Severe poisonings from cacodylic acid caused headache, dizziness, vomiting, profuse and watery diarrhea, followed by dehydration, gradual fall in blood pressure, stupor, convulsions, general paralysis and possible risk of death within 3-14 days.The relatively frequent use of arsenic and its compounds in both industry and agriculture points to a wide spectrum of opportunities for human exposure. This exposure can be via inhalation of airborne arsenic, contaminated drinking water, beverages, or from food and drugs. Today, acute organic arsenical poisonings are mostly accidental. Considerable concern has developed surrounding its delayed effects, for its genotoxic and carcinogenic potential, which has been demonstrated in epidemiological studies and subsequent animal experiments. Conclusions. There is substantial epidemiological evidence for an excessive risk, mostly for skin and lung cancer, among humans exposed to organic arsenicals in occupational and environmental settings. Furthermore, the genotoxic and carcinogenic effects have only been observed at relatively high exposure rates. Current epidemiological and experimental studies are attempting to elucidate the mechanism of this action, pointing to the question whether arsenic is actually a true genotoxic, or rather an epigenetic carcinogen. Due to the complexity of its effects, both options remain plausible. Its interactions with other toxic substances still represent another important field of interest.

Farmers Have Hearts: The Prevalence of Risk Factors for Cardiovascular Disease Among a Subgroup of Irish Livestock Farmers.

OBJECTIVES: Despite international findings that farmers have better health outcomes than other occupation groups, Irish farmers are found to be a high-risk group for cardiovascular disease (CVD). Early detection of CVD through preventive health measurements, such as screening of high-risk groups, can contribute to a reduction of CVD cases. Farmers, however, represent a "challenging" group in terms of engaging in preventive health behaviors. This study examined the prevalence of cardiovascular risk factors among male Irish livestock farmers who participated in heart screening as part of a workplace health intervention. METHODS: In this cross-sectional study, data were collected from a convenience sample (N = 310) of farmers. Consent included permission to analyze the heart screening results and to participate in two follow-up questionnaires by phone at Week 1 (n = 224) and Week 12 (n = 172). All data were entered onto the Statistical Package for the Social Sciences (SPSS version 22) and both descriptive and inferential statistics were compiled. RESULTS: Almost one in two (46%; n = 140) farmers had high blood pressure (≥140/≥90 mm Hg), and 46% (n = 140) had elevated total cholesterol. One third of farmers were found to be obese (35%; n = 110). The vast majority (83%; n = 255) had at least four risk factors for CVD based on the outcomes of the heart screening. CONCLUSION: The study findings in relation to obesity and the prevalence of multiple risk factors for CVD are a particular cause of concern and shed considerable light on the current excess burden of CVD among farmers in Ireland.

Staying Fit for Farming-A Health Booklet Designed for Irish Farmers.

The objectives of this study were to design a health booklet specifically targeted to farmers with clear and understandable messages through the use of simple terminologies, pictures, agricultural references, and farmer-related case studies; and to maximize the profile and reach of the booklet to empower farmers to take increased control of their own health. Seven focus groups were carried out with farmers and professionals from the agricultural sector to explore the health needs of farmers and their attitudes and behaviors in relation to their health. Findings from these focus groups informed the content and design of the booklet "Staying Fit for Farming-A Health Booklet for Farmers." This booklet was launched on 25 September 2013 and received widespread publicity in both print and broadcast media. A high-quality print resolution of the booklet was made available nationally (approximately 70,500 print circulation sales) through the Irish Farmers Journal on 25 January 2014. The journal included a feature on the booklet, encouraging farmers to see the booklet as an important resource for their health and as a long-term source of health information. The booklet has been adopted by the Irish Heart Foundation as a resource for its "Farmers Have Hearts-Heart Health Checks" program. The booklet has helped push farmers' health into the forefront identifying health as a key driver of "staying fit for farming." The approach taken to consult with farmers and farm organizations helped ensure maximum buy-in from the target group to hopefully motivate farmers to take increased responsibility for their own health.

Os limites da agricultura convencional e as razões de sua persistência: estudo do caso de Sumidouro, RJ / Limits of conventional agriculture and reasons for its persistence: a case study in Sumidouro, Rio de Janeiro, Brazil

A predominância da agricultura convencional, caracterizada sobretudo pelo uso indiscriminado de agrotóxicos, tem levado a pesquisas acerca da percepção sobre a saúde e o ambiente implicados nas práticas agrícolas. Neste estudo, buscou-se compreender a percepção dos limites da agricultura convencional por agricultores familiares e as razões de sua persistência. Consistiu em pesquisa empírica observacional e participativa realizada em Sumidouro, RJ, entre 2006 e 2008. Verificou-se que a agricultura convencional é avaliada positivamente em termos de ganhos econômicos e sociais - dada a redução do tempo de trabalho socialmente necessário resultante do uso de agrotóxicos - e que, apesar da persistência de elementos da agricultura tradicional na memória e da percepção da dependência dos insumos e dos seus impactos, é percebida pelos agricultores como uma determinação de suas vidas. Esses elementos sugerem que, da mesma forma como o sistema agrícola convencional se impôs mediante crédito subsidiado e assistência técnica pública, alterações profundas nessa percepção e no sistema agrícola vigente devem integrar política pública ampla e de longa duração. Esta, por sua vez, deve considerar, dentre outros, a dependência do poder político local em relação aos maiores produtores e comerciantes, inclusive de agrotóxicos, e a necessidade de articulação entre pesquisa e extensão rural com a participação direta dos agricultores.

The predominance of conventional agriculture, characterized mainly by the indiscriminate use of pesticides, has led to researches on health and environment perception associated with these practices. An observational and participatory research was conducted in Sumidouro, Rio de Janeiro State, between 2006 and 2008, which aimed to understand the family farmer's perception on the limits of conventional agriculture and the reasons for its persistence. Conventional agriculture was positively evaluated by the interviewed in terms of economic and social gains, because socially-necessary labor time is reduced when pesticides were used. It was also perceived as determinative of their lives, despite the persistence of elements of traditional agriculture in their memory and their perception of the dependency on agricultural inputs and their impacts. These elements suggest that a broad and long term public policy needs to be established in order to introduce profound changes in perception and in current agricultural system, in the same way that the conventional one was imposed to the community by subsidized credit programs and technical assistance service. This policy should consider, among others issues, the dependence of the local political power on large agricultural producers and traders, including pesticide dealers, and the need for integration of agricultural research and extension that includes active participation of farmers.