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Mental health in United States agricultural workers

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Agricultural farm in Alaska in the Matanuska Valley near the town of Palmer. The prominent mountain in the background is Pioneer Peak.
A family farm located in Palmer, Matanuska-Susitna Borough, Alaska, United States.

Examination of mental health of agricultural workers in the United States shows that the agricultural workforce suffering from mental illnesses and disorders is widespread. A 2018 report highlighted the fact that male farmers, ranchers, and agricultural managers were nearly twice as likely to die by suicide as the general working population (32.2 suicides per 100,000 people compared to 17.3 suicides per 100,000 people, respectively).[1] Note, in 2020 male suicide rates are 3.88 times higher than female rates.[2]

Background

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Farming is defined as "the science and art of cultivating plants and livestock." Thus, the agricultural workforce includes farmers, ranchers, and workers engaged in agriculture. In addition to the workforce, the agricultural community also includes family members of workers, in particular, spouses and children.[3]

Mental health, or mental well-being, is defined by the World Health Organization (WHO) as "a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community." On the other hand, the terms mental illness and mental disorder refer to a broad range of illnesses that often include "some combination of disturbed thoughts, emotions, behavior and relationships with others."[4]

While sometimes used interchangeably with mental health, the term behavioral health, or behavioral well-being, specifically refers to the connection between individual behaviors and health. Behavioral disorders include conditions that have a genetic or biological component (e.g. Attention Deficit Hyperactivity Disorder, ADHD) as well as behaviors, such as drug and alcohol abuse, gambling addictions, or other behaviors that can have negative consequences on an individual health and quality of life. The latter category of behavioral disorders often develop as a result of mental illness, and are therefore often considered together.[4]

The fields of mental and behavioral health focus on 1) promoting, supporting, and sustaining mental and behavioral well-being and 2) reducing the presence, severity, and impact of mental and behavioral disorders.[5]

Epidemiology

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Mental illnesses often stem from multiple sources but as an occupation, agriculture ranks as one of the most stressful occupations and one that experiences high suicide rates.[6][7][8][9][10][11]

For example, in a 2019 international review article, 71% of studies that compared farming to non-farming populations found that farmers showed worse mental health.[11] In the US, a 2019 study among young Midwestern farmers found that 53% and 71% of study participants met criteria for Major Depressive Disorder and Generalized Anxiety Disorder, respectively.[12] This is compared to the general population, where 2.7% of US adults suffer from Generalized Anxiety Disorder[13] and another 7.1% suffer from Major Depressive Disorder.[14]

Each of these conditions has the potential to lead to suicide. As previously indicated, 2015 data from the U.S. National Violent Death Registry System (NVDRS), maintained by the Centers for Disease Control and Prevention (CDC) reported a suicide rate of 32.2 per 100,000 farmers, ranchers, and agricultural managers. This report also highlights a suicide rate of 17.3 per 100,000 people for both agriculture employees and the general working-age population, indicating a much higher risk to farmers compared to the general population.[1]

Risk factors

[edit]

A wide range of factors affect the mental health of agricultural populations, particularly farm families. Some of these factors are similar to the general population and have in recent years been summarized within the social determinants of mental health framework with consideration of both individual and structural level factors.[15] Others are specific to the agricultural sector.

Family farming as a lifestyle/culture (not just occupation)

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Family farming is a family business where the family members are the employees, their workplace is their home, and success is a function of the capabilities of the family members.[16][17][18] The intermixing of family roles with economic roles means that stressed farms are stressed families and the needs of the farm, not the individual family members, come first and foremost.[19][20]

Often, the operators of family farms are caretakers of a piece of earth that has been maintained by generations of farmers before them.[21] If they lose the farm, they lose their home, their identity, and their legacy. They hope their children will choose the farming life and continue this legacy for generations to come. Farming is a family activity in an environment with strong cultural values.[22][23] Children work before and after school to contribute to the farm's success. As a farm family ages, the stresses of transitioning the farm to the next generation become a source of stress with legal implications and role conflicts as intergenerational opinions differ as to how to manage the future of the farm.[24]

Farm characteristics

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Farm characteristics shape mental health in a variety of ways, including seasonality of the work, type of work, and workplace environment. Farmers work long days alone in an isolated environment during the growing season. They spend the "off-season" making repairs and getting caught up on the work not done during the busy season while preparing for spring planting. For livestock farmers, there is no "off-season" since the animals require daily attention.[25]

Farmers are required to make important business decisions daily with inadequate information about the projected prices of inputs, future demand for their products, and market prices for their crops and animals. If any of these factors are unfavorable, they face increasing levels of debt and stress. Agricultural work is equivalent to being an entrepreneur without the access to capital and where the probability of showing a profit is not only uncertain, but unpredictable. Job satisfaction requires a balance between effort and reward, but economically this balance does not exist for most family farmers.[17][26] For farmers, the reward is far more than economic because it is wrapped up in legacy and personal identity.[25]

Macro-level stressors

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When facing economic challenges, farmers can choose to reduce the number of paid employees that they hire, which leads to longer workdays, or they may choose to diversify or change what they produce. Changes in production are limited to the equipment available to plant and harvest, and the climate that is required for crop production, reducing the flexibility that most businesses need to react to consumer behavior.[27]

Even when farms are successful and can afford to hire workers, they cannot easily hire them.[27] There is a shortage of U.S.-born workers willing to work in agricultural jobs.[28] While U.S. farmers can use the H-2A Temporary Agricultural Worker program, the system has been called burdensome, as it requires legal assistance and extensive paperwork.[29] Moreover, a farmer must initiate the process at least three months in advance with no knowledge of what the growing season will look like. Farmers must pay the travel and living expenses of those they hire to work their farms as well as pay a U.S. Department of Labor pre-determined hourly wage, often making the process more expensive than hiring a U.S.-based worker.[30]

Workers in the United States agricultural sector have the highest rate of fatal and non-fatal injury of any sector.[31] The working conditions involve direct contact with farm machinery and large animals. Machinery breaks down and needs repairing, resulting in costly delays. Handling animals requires training, experience, and a calm mental and physical presence.[32] Aside from the physical demands of farm work, exposures to pesticides and other chemicals, viruses, bacteria, and other human health pathogens are also likely.[33] Children living and working on the farm are frequently exposed to many of the same hazards as their parents.[34][35]

Environmental stressors such as climate variability will make farming a greater challenge in the future as droughts and extreme weather events become more frequent.[36][37][38][39][40] Climate has always been a challenge for the farming community, the Dust Bowl of the 1930s being the best example of the devastation that drought can cause. Extreme heat stress, made worse by climate change, will reduce product yields;[41][42] increase the use of inputs such as pesticides[43][44] and fertilizers;[45][46] and impact the health of farmers and field workers.[47][48] Policy directed at climate change mediation will become important to addressing food security and sustaining agricultural markets, but farmers have no control of these factors.[49] Weather variability, especially related to drought, is one of the most important stressors being reported by farmers in developed countries.[50][51]

Meso-level stressors

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The personal, interpersonal, and external challenges that farmers face cause extreme stress in an environment where healthcare is not affordable when it is accessible, mental healthcare is lacking, and stigmatization poses a barrier to help-seeking because confidentiality is lacking.[52] Farmers often feel that traditional medical care professionals do not understand farm culture and healthcare workers do not communicate with them in a way that encourages honest discourse.[53][54]

Individuals in rural farming communities are connected and there are social bonds between individuals within these communities. The cultural norms and expectations of rugged individualism regardless of the circumstances leads farmers to not seek the help they might need. Farmers expect to be capable of solving their own problems, not complaining, and being unwavering in their responsibilities to their families, even when strained beyond measure.[55][56]

Diverse sub-populations

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A diversity of individuals are engaged in agriculture and previous research has shown that these sub-populations can be affected with a different range of stressors, which in turn may call for a range of interventions.[52]

Farm men

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Compared to the general adult male population, the prevalence of depression is higher amongst male farmers (5.3% versus 9.8%, respectively).[14][57] Agriculture Health Study reports show that 3.0% of the sample population has taken medication for their depression,[58] compared to 13.2% in the general population.[59] The reason for this difference in antidepressant usage is that male farmers have stigmatized attitudes towards mental health but are still just as likely to seek help from a doctor for mental health issues. However, they will seek help for the physical manifestations of stress like hair loss, back pain, headaches, and fatigue.[60]

Born in Mexico 81 years ago, Margarita Munoz has made her American dream a reality. Using for 401K back in 1995, she began her investment into ranching purchasing 120 acres near Perkins, Oklahoma, a tractor and plow disc and 20 heifers. Today, she owns 800-plus acres and handles 250 head of cattle on her own.
As reported by the USDA in 2017, 36% of farm owners are women, and may take on additional jobs including producer, homemaker, caregiver, and family supporter. Many women may also take jobs off the farm in order to access affordable health insurance.

Farm women

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The U.S. Department of Agriculture's 2017 Census of Agriculture shows that 36% of producers are female.[61] Most take on many different roles within the farm, including producer, homemaker, caregiver, and family supporter. In addition, many women take jobs off of the farm in order to access affordable health insurance. This can also lead to a greater need for childcare, thus creating more financial strain. Combining traditional responsibilities with their work as a farmer can also lead to increased work hours, greater challenges creating an appropriate work-life balance, and increased stress.[62] Compared to non-agriculture Latina workers, Latina women in the field of agriculture displayed higher rates of stress, anxiety, and depression.[63]

Other issues farming women may deal with is sexism, discrimination based on a person's sex or gender, including the belief that farming is a male profession.[64] Latina migrant farmworkers not only face marginalization due to their sex but also their immigration status and race.[65] Much like their male counterparts, they face job security, home security, violence, home-sickness, and chronic pain from on the job injuries.[65][66][67][68] These stressors are manifested in the form of depression, anxiety, and alcohol abuse which they experience at a higher rate than non-farmworker Latinas.[69]

Children

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Many family farms will have children that will assist with the farming duties; however, this can increase stresses that are already faced by children such as time for education. Children may work even longer hours during times of economic or environmental stress. For example, a 2019 UNICEF report on the impacts of Australia's ongoing drought, children often had to wake before school to assist with farming tasks before heading to school, then working on the farm into the night before they do homework, going to bed a few hours before having to rise again.[70] Sometimes these farming tasks can prevent students from participating in recreational activities such as sports and other clubs, and at times prevent the child from attending school. This is not to say that parents do not want their children to participate in events, the parents try the best they can; however, most children want to help reduce the workload faced by their parents. Most of these children will have the same attitudes as their parents, that someone else can always be doing worse than them. Despite this attitude, most farmers as well as their children see no rest building their stresses.[71]

Although there are many downsides to children working on farms, a cross-sectional study based on the Health Behavior in School-aged Children survey found that girls from rural farms had "more positive mental health" than those not from farms. However, this study also concluded that farm girls had higher overt risk-taking, which is associated with mental health issues and stress.[72]

LGBTQ+

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Discrimination, prejudice, and stigma towards the LGBTQ+ community is higher in rural areas than in urban areas due to rural communities prizing cultural homogeneity, religion and 'traditional views'.[73] This lack of social support and stigma may lead to a sense of isolation, poor mental health, and a reluctance to access rural primary and preventative healthcare.[74][75][76] Some studies have reported higher levels of threats, property damage, and discrimination in rural LGBTQ+ individuals, as well as homophobia from neighbors.[73]

Racial and ethnic groups

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According to the U.S. Department of Agriculture (USDA) 2017 Census of Agriculture, only 5% of producers identified themselves as nonwhite.[61] These farmers experience additional stresses and adversity due to racism, prejudice, low socioeconomic status, and poor social support.[77] Nonwhite farmers' voices and histories are often excluded from discussions of US agricultural history and practices.[78] For example, the regenerative agriculture movement has gained popularity in farming communities in recent years, but many nonwhite farmers have felt left out of the discussion, despite these 'new' farming practices being used by nonwhite communities for many generations.[78]

In the 1990s, after continued complaints from Black farmers that the USDA had discriminatory loan and disaster relief practices, class action lawsuits were brought against the USDA and became collectively known as Pigford v. Glickman. While a settlement was finally negotiated, many saw it as inadequate for addressing past discrimination as a whole.[79] In 2021, the American Rescue Plan Act created a US$123 million USDA debt relief and loan forgiveness program for nonwhite farmers in another attempt to correct past discriminatory practices, but its future is currently uncertain.[80]

Migrant/seasonal workers

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Migrant workers face many stresses including high job demands, low job security and low job control, meaning that there is a lot expected of them and it is very easy to replace workers if they are unable to perform such tasks.[81] In a study of North Carolina migrant farm workers, Hiott et al. (2008) found that migrant farm workers who experienced social isolation and poor work conditions were more likely to have symptoms of anxiety and depression, and Sandberg et al. (2012) found that 28% of Latino farmworkers reported depressive symptoms.[82][83]

Migrant and seasonal worker health is also impacted by income, as one study showed personal health improved as income rose.[81] These workers also are disproportionately affected by healthcare access issues, including lack of insurance, poverty, and cultural and language barriers. Moreover, some workers may not seek help for health issues due to fears over their immigration status, lack of transportation, and inability to get time off from their job.[84]

Coping strategies

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There are a variety of strategies that are recommended to help farmers improve their mental health. Those experiencing mental health issues are recommended to seek professional help. Those who think someone else is experiencing or at risk of experiencing mental health issues, are recommended to express interest, listen in a non-judgmental way, acknowledge what they are going through, and encourage seeking appropriate professional help.[85][86]

There are many steps that can be taken to cope with or reduce agriculture-related stressors.[87] One is to develop a family and business plan for emergencies, which may include uncontrollable weather, machinery breakdowns, unexpected illness, fluctuating commodity prices, or other issues. Additionally, the American Academy of Sleep Medicine recommends getting at least seven to eight hours of sleep each night, though this may be difficult for farmers, especially during planting and harvesting seasons. Short breaks can be taken as needed, particularly when stressors emerge and before decisions are made.[88]

Creating a professional and social network they can reach out to for guidance when needed, and listen to when their community needs help, is another recommended coping strategy. This also assists with setting goals around healthy habits and share these with others in their network to help hold each other accountable. Even while physical distancing, frequent contact can be maintained through phone, email, or video calls. Being mindful of diet and of alcohol and drug consumption can ensure that these substances are not being used to mask a mental health condition. When an event can't be controlled, farmers can find ways to control their attitude and their response instead.[88]

Barriers to help-seeking

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Agricultural populations face many barriers to seeking help. Farmers often experience stress or exhaustion that can delay seeking treatment. Choosing to seek help requires complex decision-making, which may be challenging while experiencing a mental health disorder, or from barriers such as lack of access, knowledge of resources, or community of support (stigma). Many living in rural areas lack access to local mental health services, the time and resources needed to travel to more distant providers, or the technology resources to connect with telehealth providers remotely. The perception of high treatment fees or lack of insurance coverage may also prevent some farmers from seeking help, as agriculture sector workers are less likely to have health insurance.[11]

In addition, agricultural communities may normalize certain types of mental illness, such as depression, which propagates a perception that treatments are not necessary or worthwhile, or can be addressed through self-reliant means.[89] Some may feel that they cannot receive treatment in a private way—either their car will be recognized in a parking lot, or they lack the privacy in their home to have a telehealth visit that won't be overheard.[55] Healthcare providers also face the challenge of providing culturally appropriate treatment options that accommodate patients’ beliefs and practices, preferred languages, individual and family histories, differences in symptoms, and preferred approaches to treatment.[55]

History

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The early days of research on mental health on farmers, their families, and farmworkers was predominantly focused on alcohol and drug abuse.[90] Rural individuals were recognizing that there were members of their communities that were mentally ill (depression, schizophrenia).[91][92] Due to a lack of medical/psychiatric network in rural U.S. many of these cases would go untreated and uncounted.[93] In 1963 there was an attempt at surveilling mental health of youth and young children by Jenkins. He found that there was lower incidence of "mental disturbance" and "mental illness" amongst rural youth.[94]

In interviews of rural leaders, Bentz et al. (1971) found that participants recognized mental illnesses such as schizophrenia and depression within their communities, but families could not do much to help them.[91] A 1978 Rural Task Force on Mental Health report to President Jimmy Carter noted a lack of understanding of the mental health needs of rural communities as well as lack of research into the causes and barriers to treatment.[95]

Also known as the 1980s U.S. farm debt crisis, sudden shifts in federal fiscal policies, export declines due to a Soviet Union embargo, and record production left farmers largely based in the Midwest saddled with debts they could not repay. In response to the challenges faced by farmers and the epidemic proportion of suicides.[96] As a result of farmer suicide, research on farmers’ mental health increased sharply with a focus on financial difficulties farms faced during the 1980s and depression.[97] A spotlight on rural mental health and specifically on farmers led to calls for more mental health access in rural communities along with government action.[96][98] Likewise, the U.S government passed the Family Farmer Bankruptcy Act in 1986 to help keep farmers on their land, and rolled out subsidies and loans to provide some economic relief to struggling farmers with the 1990 Farm Bill. Responses to mental health challenges came from state agencies of agriculture, university extension, and farmer organizations through suicide hotlines, fundraising to support household needs, and family mediation services.[99][100]

Published research pertaining to farmer suicides and mental health more generally waned in the late 1990s and through the 2000s.[97] However, there was a gradual shift to include migrant farmworkers within the narratives of agricultural mental health.[101][102][103][104] Research on migrant farmworkers has focused on stressors, presentation of stress, depression, anxiety, violence, and the impact of the lack of medical care.[101][105][106][107][108][69][109][110][111]

Following the 2008 economic recession, there was another peak in agricultural mental health research to assess the effects of the Great Recession on farmer stress.[97] However, the evidence for an uptick in worsening mental health and suicides was inconclusive. Soon after the recession, a near-decade-long drought in the Western United States and particularly in California brought to the forefront the woes of climate change.[112][113]

References

[edit]
  1. ^ a b Peterson, Cora; Stone, Deborah M.; Marsh, Suzanne M.; Schumacher, Pamela K.; Tiesman, Hope M.; McIntosh, Wendy LiKamWa; Lokey, Colby N.; Trudeau, Aimée-Rika T.; Bartholow, Brad; Luo, Feijun (November 16, 2018). "Suicide Rates by Major Occupational Group — 17 States, 2012 and 2015". MMWR. Morbidity and Mortality Weekly Report. 67 (45): 1253–1260. doi:10.15585/mmwr.mm6745a1. ISSN 0149-2195. PMC 6290804. PMID 30439869.
  2. ^ "Suicide statistics". American Foundation for Suicide Prevention. November 15, 2019. Retrieved July 3, 2022.
  3. ^ Lee, Barbara C.; Jenkins, Louise S.; Westaby, James D. (June 1997). "Factors Influencing Exposure of Children to Major Hazards on Family Farms". The Journal of Rural Health. 13 (3): 206–215. doi:10.1111/j.1748-0361.1997.tb00844.x. ISSN 0890-765X. PMID 10174611.
  4. ^ a b "Key terms and definitions in mental health". World Health Organization Regional Office for Europe. 2021. Retrieved March 21, 2022.
  5. ^ Compton, Michael T.; Shim, Ruth S. (September 1, 2020). "Mental Illness Prevention and Mental Health Promotion: When, Who, and How". Psychiatric Services. 71 (9): 981–983. doi:10.1176/appi.ps.201900374. ISSN 1075-2730. PMID 32867610. S2CID 221404388.
  6. ^ Grosch, J. W.; Murphy, L. R. (February 1, 1998). "Occupational differences in depression and global health: results from a national sample of US workers". Journal of Occupational and Environmental Medicine. 40 (2): 153–164. doi:10.1097/00043764-199802000-00012. ISSN 1076-2752. PMID 9503292.
  7. ^ Boxer, P. A.; Burnett, C.; Swanson, N. (April 1, 1995). "Suicide and occupation: a review of the literature". Journal of Occupational and Environmental Medicine. 37 (4): 442–452. doi:10.1097/00043764-199504000-00016. ISSN 1076-2752. PMID 7670900. S2CID 32257281.
  8. ^ Klingelschmidt, Justine; Milner, Allison; Khireddine-Medouni, Imane; Witt, Katrina; Alexopoulos, Evangelos C.; Toivanen, Susanna; LaMontagne, Anthony D.; Chastang, Jean-François; Niedhammer, Isabelle (January 1, 2018). "Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis". Scandinavian Journal of Work, Environment & Health. 44 (1): 3–15. doi:10.5271/sjweh.3682. ISSN 1795-990X. PMID 29085951. S2CID 11540725.
  9. ^ Behere, P. B.; Bhise, M. C. (October 1, 2009). "Farmers' suicide: Across culture". Indian Journal of Psychiatry. 51 (4): 242–243. doi:10.4103/0019-5545.58286. ISSN 1998-3794. PMC 2802368. PMID 20048446.
  10. ^ Lunner Kolstrup, Christina; Kallioniemi, Marja; Lundqvist, Peter; Kymäläinen, Hanna-Riitta; Stallones, Lorann; Brumby, Susan (2013). "International perspectives on psychosocial working conditions, mental health, and stress of dairy farm operators". Journal of Agromedicine. 18 (3): 244–255. doi:10.1080/1059924X.2013.796903. ISSN 1545-0813. PMID 23844791. S2CID 33428611.
  11. ^ a b c Daghagh Yazd, Sahar; Wheeler, Sarah Ann; Zuo, Alec (December 2, 2019). "Key Risk Factors Affecting Farmers' Mental Health: A Systematic Review". International Journal of Environmental Research and Public Health. 16 (23): E4849. doi:10.3390/ijerph16234849. ISSN 1660-4601. PMC 6926562. PMID 31810320.
  12. ^ Rudolphi, Josie M.; Berg, Richard L.; Parsaik, Ajay (January 1, 2020). "Depression, Anxiety and Stress Among Young Farmers and Ranchers: A Pilot Study". Community Mental Health Journal. 56 (1): 126–134. doi:10.1007/s10597-019-00480-y. ISSN 1573-2789. PMID 31583619. S2CID 203640119.
  13. ^ "Generalized Anxiety Disorder". National Institute of Mental Health (NIMH). 2017. Retrieved March 21, 2022.
  14. ^ a b "Major Depression". National Institute of Mental Health (NIMH). 2019. Retrieved March 21, 2022.
  15. ^ Lund, Crick; Brooke-Sumner, Carrie; Baingana, Florence; Baron, Emily Claire; Breuer, Erica; Chandra, Prabha; Haushofer, Johannes; Herrman, Helen; Jordans, Mark; Kieling, Christian; Medina-Mora, Maria Elena (April 1, 2018). "Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews". The Lancet. Psychiatry. 5 (4): 357–369. doi:10.1016/S2215-0366(18)30060-9. ISSN 2215-0374. PMID 29580610.
  16. ^ Bennett, John (1982). Of time and the enterprise : north american family farm management in a context of resource ... [Place of publication not identified]: Univ Of Minnesota Press. ISBN 0-8166-6835-3. OCLC 948653369.
  17. ^ a b Davis-Brown, Karen; Salamon, Sonya (1987). "Farm Families in Crisis: An Application of Stress Theory to Farm Family Research". Family Relations. 36 (4): 368–373. doi:10.2307/584485. ISSN 0197-6664. JSTOR 584485.
  18. ^ Swisher, R. R.; Elder, G. H.; Lorenz, F. O.; Conger, R. D. (March 1, 1998). "The long arm of the farm: how an occupation structures exposure and vulnerability to stressors across role domains". Journal of Health and Social Behavior. 39 (1): 72–89. doi:10.2307/2676390. ISSN 0022-1465. JSTOR 2676390. PMID 9575705.
  19. ^ Weigel, Randy R.; Weigel, Daniel J. (October 1, 1987). "Identifying Stressors and Coping Strategies in Two-Generation Farm Families". Family Relations. 36 (4): 379. doi:10.2307/584487. JSTOR 584487.
  20. ^ Weigel, Daniel J.; Weigel, Randy R. (October 1, 1990). "Family Satisfaction in Two-Generation Farm Families: The Role of Stress and Resources". Family Relations. 39 (4): 449. doi:10.2307/585227. JSTOR 585227.
  21. ^ Garner, Elisabeth; de la O Campos, Ana Paula, eds. (2014). Identifying the family farm. An informal discussion of the concepts and definitions. ESA Working Paper 14-10.
  22. ^ Rosmann, Michael R. (2008). "Behavioral healthcare of the agricultural population: A brief history". Journal of Rural Mental Health. 32 (1): 39–48. doi:10.1037/h0095960. ISSN 2163-8969.
  23. ^ Hsia, Jennifer F.; Quevillon, Randal P. (2012). "Generational trends in cultural values and perceived family relations in farm families". Journal of Rural Mental Health. 36 (2): 27–32. doi:10.1037/h0095812. ISSN 2163-8969.
  24. ^ Transfer of the family farm business in a changing rural society : a report for RIRDC. D. R. Gamble, Rural Industries Research and Development Corporation. Barton, A.C.T.: Rural Industries Research and Development Corp. 1995. ISBN 0-642-20491-8. OCLC 38455484.{{cite book}}: CS1 maint: others (link)
  25. ^ a b Lloyd, A.; Malcom, W. (1997). "Agriculture and the family farm in the economy". In Lees, J. W. (ed.). A legacy under threat? : family farming in Australia. [Armidale, N.S.W.?]: Rural Development Centre, University of New England. pp. 59–80. ISBN 1-875821-36-8. OCLC 38137055.
  26. ^ Rosenblatt, Paul C.; Johnson, Patricia A.; Anderson, Roxanne M. (1981). "When Out-of-Town Relatives Visit". Family Relations. 30 (3): 403–409. doi:10.2307/584035. ISSN 0197-6664. JSTOR 584035.
  27. ^ a b Bier, David J. (March 10, 2020). "H-2A Visas for Agriculture: The Complex Process for Farmers to Hire Agricultural Guest Workers" (PDF). Cato Institute. Retrieved March 23, 2022.
  28. ^ Zahniser, Steven; Taylor, J. Edward; Hertz, Thomas; Charlton, Diane; Zahniser, Steven; Taylor, J. Edward; Hertz, Thomas; Charlton, Diane (2018). "Farm Labor Markets in the United States and Mexico Pose Challenges for U.S. Agriculture". Eib-201. doi:10.22004/AG.ECON.281161. {{cite journal}}: Cite journal requires |journal= (help)
  29. ^ "H-2A Visa Program: Modernization and Improved Guidance Could Reduce Employer Application Burden". U.S. Government Accountability Office. September 12, 2012. Retrieved March 23, 2022.
  30. ^ "Farm labor shortage nothing new, getting worse, farmers say". AP NEWS. June 29, 2021. Retrieved May 23, 2022.
  31. ^ "A look at workplace safety in agriculture : The Economics Daily". U.S. Bureau of Labor Statistics. 2020. Retrieved March 21, 2022.
  32. ^ Hakan, Kamil; Demirci, Serafettin (October 24, 2012), Javed, Khalid (ed.), "Livestock-Handling Related Injuries and Deaths", Livestock Production, InTech, doi:10.5772/50834, ISBN 978-953-51-0814-6, retrieved March 23, 2022
  33. ^ "Respiratory health hazards in agriculture". American Journal of Respiratory and Critical Care Medicine. 158 (5 Pt 2): S1–S76. November 1, 1998. doi:10.1164/ajrccm.158.supplement_1.rccm1585s1. ISSN 1073-449X. PMID 9817727.
  34. ^ Bancej, C (June 1, 2000). "Injuries in Ontario farm children: a population based study". Injury Prevention. 6 (2): 135–140. doi:10.1136/ip.6.2.135. PMC 1730622. PMID 10875671.
  35. ^ Gerberich, S. G.; Gibson, R. W.; French, L. R.; Renier, C. M.; Lee, T. Y.; Carr, W. P.; Shutske, J. (June 1, 2001). "Injuries among children and youth in farm households: Regional Rural Injury Study-I". Injury Prevention. 7 (2): 117–122. doi:10.1136/ip.7.2.117. ISSN 1353-8047. PMC 1730710. PMID 11428558.
  36. ^ Walker, James L.; Walker, Lilly Schubert; MacLennan, Patricia M. (October 1, 1986). "An Informal Look at Farm Stress". Psychological Reports. 59 (2): 427–430. doi:10.2466/pr0.1986.59.2.427. ISSN 0033-2941. PMID 3786615. S2CID 30975952.
  37. ^ Staniford, Alice K.; Dollard, Maureen F.; Guerin, Bernard (June 1, 2009). "Stress and help-seeking for drought-stricken citrus growers in the Riverland of South Australia". The Australian Journal of Rural Health. 17 (3): 147–154. doi:10.1111/j.1440-1584.2009.01059.x. ISSN 1440-1584. PMID 19469779.
  38. ^ Hedlund, Dalva; Berkowitz, Alan (1979). "The incidence of social-psychological stress in farm families". International Journal of Sociology of the Family. 9 (2): 233–243. ISSN 0020-7667. JSTOR 23027891.
  39. ^ Ellis, Neville R.; Albrecht, Glenn A. (February 1, 2017). "Climate change threats to family farmers' sense of place and mental wellbeing: A case study from the Western Australian Wheatbelt". Social Science & Medicine. 175: 161–168. doi:10.1016/j.socscimed.2017.01.009. ISSN 1873-5347. PMID 28092757. S2CID 4073634.
  40. ^ Kearney, Gregory D.; Rafferty, Ann P.; Hendricks, Lauren R.; Allen, Daniel Landon; Tutor-Marcom, Robin (November 1, 2014). "A cross-sectional study of stressors among farmers in Eastern North Carolina". North Carolina Medical Journal. 75 (6): 384–392. doi:10.18043/ncm.75.6.384. ISSN 0029-2559. PMID 25402689. S2CID 24481633.
  41. ^ Deutsch, Curtis A.; Tewksbury, Joshua J.; Tigchelaar, Michelle; Battisti, David S.; Merrill, Scott C.; Huey, Raymond B.; Naylor, Rosamond L. (August 31, 2018). "Increase in crop losses to insect pests in a warming climate". Science. 361 (6405): 916–919. Bibcode:2018Sci...361..916D. doi:10.1126/science.aat3466. ISSN 0036-8075. PMID 30166490. S2CID 52132543.
  42. ^ Long, Stephen P.; Ainsworth, Elizabeth A.; Leakey, Andrew D. B.; Nösberger, Josef; Ort, Donald R. (June 30, 2006). "Food for Thought: Lower-Than-Expected Crop Yield Stimulation with Rising CO 2 Concentrations". Science. 312 (5782): 1918–1921. Bibcode:2006Sci...312.1918L. doi:10.1126/science.1114722. ISSN 0036-8075. PMID 16809532. S2CID 2232629.
  43. ^ Bailey, Steven W. (February 1, 2004). "Climate change and decreasing herbicide persistence". Pest Management Science. 60 (2): 158–162. doi:10.1002/ps.785. ISSN 1526-498X. PMID 14971682.
  44. ^ Ladányi, M. (June 10, 2010). "A review of the potential climate change impact on insect populations – general and agricultural aspects" (PDF). Applied Ecology and Environmental Research. 8 (2): 143–151. doi:10.15666/aeer/0802_143151.
  45. ^ Phillips, D. L.; White, D.; Johnson, B. (July 1, 1993). "Implications of climate change scenarios for soil erosion potential in the USA". Land Degradation and Development. 4 (2): 61–72. Bibcode:1993LDeDe...4...61P. doi:10.1002/ldr.3400040202.
  46. ^ Pimentel, David; Burgess, Michael (August 8, 2013). "Soil Erosion Threatens Food Production". Agriculture. 3 (3): 443–463. doi:10.3390/agriculture3030443. ISSN 2077-0472.
  47. ^ Singh, Sudhvir; Hanna, Elizabeth G.; Kjellstrom, Tord (June 1, 2015). "Working in Australia's heat: health promotion concerns for health and productivity". Health Promotion International. 30 (2): 239–250. doi:10.1093/heapro/dat027. ISSN 1460-2245. PMID 23690144.
  48. ^ Bennett, Charmian M.; McMichael, Anthony J. (December 17, 2010). "Non-heat related impacts of climate change on working populations". Global Health Action. 3: 5640. doi:10.3402/gha.v3i0.5640. ISSN 1654-9880. PMC 3009583. PMID 21191440.
  49. ^ Lake, Iain R.; Hooper, Lee; Abdelhamid, Asmaa; Bentham, Graham; Boxall, Alistair B. A.; Draper, Alizon; Fairweather-Tait, Susan; Hulme, Mike; Hunter, Paul R.; Nichols, Gordon; Waldron, Keith W. (November 1, 2012). "Climate change and food security: health impacts in developed countries". Environmental Health Perspectives. 120 (11): 1520–1526. doi:10.1289/ehp.1104424. ISSN 1552-9924. PMC 3556605. PMID 23124134.
  50. ^ Stain, Helen J.; Kelly, Brian; Carr, Vaughan J.; Lewin, Terry J.; Fitzgerald, Michael; Fragar, Lyn (December 1, 2011). "The psychological impact of chronic environmental adversity: Responding to prolonged drought". Social Science & Medicine. 73 (11): 1593–1599. doi:10.1016/j.socscimed.2011.09.016. ISSN 1873-5347. PMID 22005316.
  51. ^ Edwards, Ben; Gray, Matthew; Hunter, Boyd (2009). "A Sunburnt Country: The Economic and Financial Impact of Drought on Rural and Regional Families in Australia in an Era of Climate Change" (PDF). Australia Journal of Labour Economics. 12: 1.
  52. ^ a b Henning-Smith, Carrie; Alberth, Andrew; Bjornestad, Andrea; Becot, Florence; Inwood, Shoshanah (January 1, 2022). "Farmer Mental Health in the US Midwest: Key Informant Perspectives". Journal of Agromedicine. 27 (1): 15–24. doi:10.1080/1059924X.2021.1893881. ISSN 1545-0813. PMID 33645448. S2CID 232080024.
  53. ^ Cole, Donald C; Bondy, Madeleine C (January 2, 2020). "Meeting Farmers Where They Are – Rural Clinicians' Views on Farmers' Mental Health". Journal of Agromedicine. 25 (1): 126–134. doi:10.1080/1059924X.2019.1659201. ISSN 1059-924X. PMID 31434556. S2CID 201277040.
  54. ^ Gustafsdottir, Sonja S.; Fenger, Kristjana; Halldorsdottir, Sigridur; Bjarnason, Thoroddur (2017). "Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland". International Journal of Circumpolar Health. 76 (1): 1347476. doi:10.1080/22423982.2017.1347476. ISSN 2242-3982. PMC 5549823. PMID 28762300.
  55. ^ a b c Hagen, Briana N. M.; Sawatzky, Alex; Harper, Sherilee L.; O’Sullivan, Terri L.; Jones-Bitton, Andria (April 3, 2022). ""Farmers Aren't into the Emotions and Things, Right?": A Qualitative Exploration of Motivations and Barriers for Mental Health Help-Seeking among Canadian Farmers". Journal of Agromedicine. 27 (2): 113–123. doi:10.1080/1059924X.2021.1893884. ISSN 1059-924X. PMID 33618614. S2CID 232019792.
  56. ^ Henning-Smith, Carrie; Alberth, Andrew; Bjornestad, Andrea; Becot, Florence; Inwood, Shoshanah (January 2, 2022). "Farmer Mental Health in the US Midwest: Key Informant Perspectives". Journal of Agromedicine. 27 (1): 15–24. doi:10.1080/1059924X.2021.1893881. ISSN 1059-924X. PMID 33645448. S2CID 232080024.
  57. ^ Scarth, R. D.; Stallones, L.; Zwerling, C.; Burmeister, L. F. (April 1, 2000). "The prevalence of depressive symptoms and risk factors among Iowa and Colorado farmers". American Journal of Industrial Medicine. 37 (4): 382–389. doi:10.1002/(sici)1097-0274(200004)37:4<382::aid-ajim8>3.0.co;2-4. ISSN 0271-3586. PMID 10706750.
  58. ^ Beseler, Cheryl L.; Stallones, Lorann; Hoppin, Jane A.; Alavanja, Michael C. R.; Blair, Aaron; Keefe, Thomas; Kamel, Freya (December 1, 2008). "Depression and pesticide exposures among private pesticide applicators enrolled in the Agricultural Health Study". Environmental Health Perspectives. 116 (12): 1713–1719. doi:10.1289/ehp.11091. ISSN 0091-6765. PMC 2599768. PMID 19079725.
  59. ^ Brody, Debra J.; Gu, Qiuping (September 8, 2020). "Antidepressant Use Among Adults: United States, 2015–2018". U.S. National Center for Health Statistics. Retrieved March 23, 2022.
  60. ^ Roy, Philippe; Tremblay, Gilles; Oliffe, John L.; Jbilou, Jalila; Robertson, Steve (February 1, 2013). "Male farmers with mental health disorders: A scoping review: Male Farmers' Mental health disorders". Australian Journal of Rural Health. 21 (1): 3–7. doi:10.1111/ajr.12008. PMID 23384130.
  61. ^ a b "2017 Census of Agriculture". U.S. National Agricultural Statistics Service. Retrieved March 23, 2022.
  62. ^ Schmidt, Claudia; Goetz, Stephan J.; Tian, Zheng (May 1, 2021). "Female farmers in the United States: Research needs and policy questions". Food Policy. 101: 102039. doi:10.1016/j.foodpol.2021.102039. S2CID 233946692.
  63. ^ Arcury, Thomas A.; Sandberg, Joanne C.; Talton, Jennifer W.; Laurienti, Paul J.; Daniel, Stephanie S.; Quandt, Sara A. (April 2018). "Mental health among Latina farmworkers and other employed Latinas in North Carolina". Journal of Rural Mental Health. 42 (2): 89–101. doi:10.1037/rmh0000091. ISSN 2163-8969. PMC 6141195. PMID 30237844.
  64. ^ Haugen, Marit S.; Brandth, Berit (June 1, 1994). "Gender Differences in Modern Agriculture: The Case of Female Farmers in Norway". Gender & Society. 8 (2): 206–229. doi:10.1177/089124394008002005. ISSN 0891-2432. S2CID 145793038.
  65. ^ a b Pulgar, Camila A.; Trejo, Grisel; Suerken, Cynthia; Ip, Edward H.; Arcury, Thomas A.; Quandt, Sara A. (June 1, 2016). "Economic Hardship and Depression Among Women in Latino Farmworker Families". Journal of Immigrant and Minority Health. 18 (3): 497–504. doi:10.1007/s10903-015-0229-6. ISSN 1557-1920. PMC 4663186. PMID 26022147.
  66. ^ Arcury, Thomas A.; O'Hara, Heather; Grzywacz, Joseph G.; Isom, Scott; Chen, Haiying; Quandt, Sara A. (May 1, 2012). "Work safety climate, musculoskeletal discomfort, working while injured, and depression among migrant farmworkers in North Carolina". American Journal of Public Health. 102 (Suppl 2): S272–278. doi:10.2105/AJPH.2011.300597. ISSN 1541-0048. PMC 3358567. PMID 22401520.
  67. ^ Arcury, Thomas A.; Trejo, Grisel; Suerken, Cynthia K.; Grzywacz, Joseph G.; Ip, Edward H.; Quandt, Sara A. (March 1, 2015). "Work and health among Latina mothers in farmworker families". Journal of Occupational and Environmental Medicine. 57 (3): 292–299. doi:10.1097/JOM.0000000000000351. ISSN 1536-5948. PMC 4352714. PMID 25742536.
  68. ^ Arcury, Thomas A.; Summers, Phillip; Talton, Jennifer W.; Nguyen, Ha T.; Chen, Haiying; Quandt, Sara A. (2015). "Job characteristics and work safety climate among North Carolina farmworkers with H-2A visas". Journal of Agromedicine. 20 (1): 64–76. doi:10.1080/1059924X.2014.976732. ISSN 1545-0813. PMC 4801016. PMID 25635744.
  69. ^ a b Arcury, Thomas A.; Sandberg, Joanne C.; Talton, Jennifer W.; Laurienti, Paul J.; Daniel, Stephanie S.; Quandt, Sara A. (April 1, 2018). "Mental Health Among Latina Farmworkers and Other Employed Latinas in North Carolina". Journal of Rural Mental Health. 42 (2): 89–101. doi:10.1037/rmh0000091. ISSN 1935-942X. PMC 6141195. PMID 30237844.
  70. ^ "The Drought Report – UNICEF Australia". www.unicef.org.au. Retrieved June 23, 2022.
  71. ^ Cunningham, Thomas R.; Tinc, Pamela J.; Guerin, Rebecca J.; Schulte, Paul A. (September 1, 2020). "Translation research in occupational health and safety settings: Common ground and future directions". Journal of Safety Research. 74: 161–167. doi:10.1016/j.jsr.2020.06.015. PMC 8025287. PMID 32951779.
  72. ^ Pickett, William; Berg, Richard L.; Kaprelian, Julie; Marlenga, Barbara (January 1, 2020). "A Contemporary Profile of the Mental Health of Girls from Farm and Non-Farm Environments". Journal of Agromedicine. 25 (1): 96–105. doi:10.1080/1059924X.2019.1623142. ISSN 1545-0813. PMID 31144605. S2CID 169038721.
  73. ^ a b Swank, Eric; Frost, David M.; Fahs, Breanne (September 1, 2012). "Rural location and exposure to minority stress among sexual minorities in the United States". Psychology and Sexuality. 3 (3): 226–243. doi:10.1080/19419899.2012.700026. ISSN 1941-9899. S2CID 4842203.
  74. ^ Whitehead, J.; Shaver, John; Stephenson, Rob (2016). "Outness, Stigma, and Primary Health Care Utilization among Rural LGBT Populations". PLOS ONE. 11 (1): e0146139. Bibcode:2016PLoSO..1146139W. doi:10.1371/journal.pone.0146139. ISSN 1932-6203. PMC 4701471. PMID 26731405.
  75. ^ Barefoot, K. Nikki; Rickard, Amanda; Smalley, K. Bryant; Warren, Jacob C. (2015). "Rural lesbians: Unique challenges and implications for mental health providers". Journal of Rural Mental Health. 39 (1): 22–33. doi:10.1037/rmh0000014. ISSN 2163-8969.
  76. ^ Hulko, Wendy; Hovanes, Jessica (March 21, 2018). "Intersectionality in the Lives of LGBTQ Youth: Identifying as LGBTQ and Finding Community in Small Cities and Rural Towns". Journal of Homosexuality. 65 (4): 427–455. doi:10.1080/00918369.2017.1320169. ISSN 0091-8369. PMID 28506181. S2CID 205471374.
  77. ^ Jamerson, John. "African American Farmers: Stress Issues and Solutions." [Webinar] May 27, 2021. Agrability: North Central Farm and Ranch Stress Assistance Center. http://www.agrability.org/wp-content/uploads/2021/06/African-American-Farmers-Stress-issues-and-Solutions-5-27-21.pdf
  78. ^ a b Wozniacka, Gosia (January 5, 2021). "Does Regenerative Agriculture Have a Race Problem?". Civil Eats. Retrieved March 23, 2022.
  79. ^ Black Food Matters: Racial Justice in the Wake of Food Justice. University of Minnesota Press. 2020. doi:10.5749/j.ctv182jtk0.12. ISBN 978-1-5179-0814-0. JSTOR 10.5749/j.ctv182jtk0. S2CID 228982918.
  80. ^ Reiley, Laura (June 23, 2021). "Federal judge halts Black farmers' debt-relief program in new legal blow". Washington Post. ISSN 0190-8286. Retrieved March 23, 2022.
  81. ^ a b Yang, Chunjiang (February 17, 2020). "The influence of income and working time of rural migrant workers on health: The mediating effect of life stress and the moderating effect of marital status". Human Systems Management. 39 (1): 69–80. doi:10.3233/HSM-190714. S2CID 212898916.
  82. ^ Hiott, Ann E.; Grzywacz, Joseph G.; Davis, Stephen W.; Quandt, Sara A.; Arcury, Thomas A. (January 2008). "Migrant Farmworker Stress: Mental Health Implications". The Journal of Rural Health. 24 (1): 32–39. doi:10.1111/j.1748-0361.2008.00134.x. ISSN 0890-765X. PMID 18257868.
  83. ^ Sandberg, Joanne C.; Grzywacz, Joseph G.; Talton, Jennifer W.; Quandt, Sara A.; Chen, Haiying; Chatterjee, Arjun B.; Arcury, Thomas A. (January 1, 2012). "A Cross-Sectional Exploration of Excessive Daytime Sleepiness, Depression, and Musculoskeletal Pain among Migrant Farmworkers". Journal of Agromedicine. 17 (1): 70–80. doi:10.1080/1059924X.2012.626750. ISSN 1059-924X. PMC 3297680. PMID 22191505.
  84. ^ "Rural Migrant Health Overview – Rural Health Information Hub". U.S. Health Resources and Services Administration. 2018. Retrieved March 21, 2022.
  85. ^ "Helping Farmers Cope with Stress". University of Maine Cooperative Extension. 2021. Retrieved March 21, 2022.
  86. ^ "Farm State of Mind - Stronger Together". American Farm Bureau Federation. 2021. Retrieved March 21, 2022.
  87. ^ Sents Bausch, Natalina (May 12, 2020). "9 tips for coping with farm stress". Successful Farming. Retrieved March 23, 2022.
  88. ^ a b Brotherson, Sean (June 1, 2016). "Farming and Ranching in Tough Times". North Dakota State University. Retrieved March 23, 2022.
  89. ^ "In Brief: Rural Behavioral Health: Telehealth Challenges and Opportunities | SAMHSA Publications and Digital Products". U.S. Substance Abuse and Mental Health Services Administration. November 1, 2016. Retrieved March 23, 2022.
  90. ^ Locke, B. Z.; Duvall, H. J. (September 1, 1964). "Alcoholism among first admissions to Ohio public mental hospitals". Quarterly Journal of Studies on Alcohol. 25 (3): 521–534. doi:10.15288/qjsa.1964.25.521. ISSN 0033-5649. PMID 14211148.
  91. ^ a b Bentz, W. K.; Edgerton, J. W.; Hollister, W. G. (May 1, 1971). "Rural leaders' perceptions of mental illness". Hospital & Community Psychiatry. 22 (5): 143–145. doi:10.1176/ps.22.5.143. ISSN 0022-1597. PMID 5565041.
  92. ^ Kohn, Melvin L.; Clausen, John A. (June 1, 1955). "Social Isolation and Schizophrenia". American Sociological Review. 20 (3): 265. doi:10.2307/2087384. JSTOR 2087384.
  93. ^ Ferguson, Stanley B.; Engels, Dennis W. (March 1, 1989). "American Farmers: Workers in Transition". The Career Development Quarterly. 37 (3): 240–248. doi:10.1002/j.2161-0045.1989.tb00828.x.
  94. ^ Jenkins, Richard L. (September 1, 1963). Incidence of emotional disturbance and mental illness among rural children and youth. National Committee for Children and Youth.
  95. ^ Human, Jeffrey; Wasem, Cathy (1991). "Rural mental health in America". American Psychologist. 46 (3): 232–239. doi:10.1037/0003-066X.46.3.232. ISSN 1935-990X. PMID 2035933.
  96. ^ a b Stallones, L. (1990). "Suicide mortality among Kentucky farmers, 1979–1985". Suicide & Life-Threatening Behavior. 20 (2): 156–163. doi:10.1111/j.1943-278X.1990.tb00098.x. ISSN 0363-0234. PMID 2385858.
  97. ^ a b c Hagen, Briana N. M.; Albright, Ashley; Sargeant, Jan; Winder, Charlotte B.; Harper, Sherilee L.; O’Sullivan, Terri L.; Jones-Bitton, Andria (December 5, 2019). Triberti, Stefano (ed.). "Research trends in farmers' mental health: A scoping review of mental health outcomes and interventions among farming populations worldwide". PLOS ONE. 14 (12): e0225661. Bibcode:2019PLoSO..1425661H. doi:10.1371/journal.pone.0225661. ISSN 1932-6203. PMC 6894791. PMID 31805070.
  98. ^ Mermelstein, Joanne; Sundet, Paul A. (1986). "Rural Community Mental Health Centers' Responses to the Farm Crisis". Human Services in the Rural Environment. 10 (1): 21–26.
  99. ^ DeLind, Laura B. (September 1, 1986). "The U.S. farm crisis: Program responses and alternatives to them?the case of Michigan". Agriculture and Human Values. 3 (4): 59–65. doi:10.1007/BF01535486. ISSN 0889-048X. S2CID 154550291.
  100. ^ Lasley, Paul; Conger, Rand (1986). Farm Crisis Response: Extension and Research Activities in the North Central Region. North Central Regional Center for Rural Development.
  101. ^ a b Alderete, E.; Vega, W. A.; Kolody, B.; Aguilar-Gaxiola, S. (April 1, 2000). "Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California". American Journal of Public Health. 90 (4): 608–614. doi:10.2105/ajph.90.4.608. ISSN 0090-0036. PMC 1446194. PMID 10754977.
  102. ^ White-Means, S. I. (1991). "The economic returns from investments in physical and mental health: a case study of migrant farmworkers in rural New York". Journal of Health & Social Policy. 2 (3): 39–51. doi:10.1300/J045v02n03_03. ISSN 0897-7186. PMID 10116393.
  103. ^ Kupersmidt, J. B.; Martin, S. L. (February 1, 1997). "Mental health problems of children of migrant and seasonal farm workers: a pilot study". Journal of the American Academy of Child and Adolescent Psychiatry. 36 (2): 224–232. doi:10.1097/00004583-199702000-00013. ISSN 0890-8567. PMID 9031575.
  104. ^ Rust, G. S. (October 1, 1990). "Health status of migrant farmworkers: a literature review and commentary". American Journal of Public Health. 80 (10): 1213–1217. doi:10.2105/ajph.80.10.1213. ISSN 0090-0036. PMC 1404815. PMID 2205116.
  105. ^ Grzywacz, Joseph G. (2009), Quandt, Sara A.; Arcury, Thomas A. (eds.), "Mental Health Among Farmworkers in the Eastern United States", Latino Farmworkers in the Eastern United States, New York, NY: Springer New York, pp. 153–172, doi:10.1007/978-0-387-88347-2_7, ISBN 978-0-387-88346-5, retrieved March 21, 2022
  106. ^ Limon, Francisco J.; Lamson, Angela; Hodgson, Jennifer; Bowler, Mark C.; Saeed, Sy (May 1, 2018). "Latino Farmworkers and Under-Detection of Depression: A Review of the Literature". Hispanic Journal of Behavioral Sciences. 40 (2): 210–226. doi:10.1177/0739986318762457. ISSN 0739-9863. S2CID 149345763.
  107. ^ Grzywacz, Joseph G.; Quandt, Sara A.; Early, Julie; Tapia, Janeth; Graham, Christopher N.; Arcury, Thomas A. (January 1, 2006). "Leaving family for work: ambivalence and mental health among Mexican migrant farmworker men". Journal of Immigrant and Minority Health. 8 (1): 85–97. doi:10.1007/s10903-006-6344-7. ISSN 1557-1912. PMID 19835002. S2CID 5770625.
  108. ^ Crain, Rebecca; Grzywacz, Joseph G.; Schwantes, Melody; Isom, Scott; Quandt, Sara A.; Arcury, Thomas A. (2012). "Correlates of mental health among Latino farmworkers in North Carolina". The Journal of Rural Health. 28 (3): 277–285. doi:10.1111/j.1748-0361.2011.00401.x. ISSN 1748-0361. PMC 3708261. PMID 22757952.
  109. ^ Finch, Brian Karl; Frank, Reanne; Vega, William A. (March 1, 2004). "Acculturation and Acculturation Stress: A Social-Epidemiological Approach to Mexican Migrant Farmworkers' Health". International Migration Review. 38 (1): 236–262. doi:10.1111/j.1747-7379.2004.tb00195.x. ISSN 0197-9183. S2CID 143062811.
  110. ^ Hiott, Ann E.; Grzywacz, Joseph G.; Davis, Stephen W.; Quandt, Sara A.; Arcury, Thomas A. (2008). "Migrant farmworker stress: mental health implications". The Journal of Rural Health. 24 (1): 32–39. doi:10.1111/j.1748-0361.2008.00134.x. ISSN 0890-765X. PMID 18257868.
  111. ^ Hovey, Joseph D.; Magaña, Cristina G. (September 1, 2002). "Exploring the mental health of Mexican migrant farm workers in the Midwest: psychosocial predictors of psychological distress and suggestions for prevention and treatment". The Journal of Psychology. 136 (5): 493–513. doi:10.1080/00223980209605546. ISSN 0022-3980. PMID 12431034. S2CID 710456.
  112. ^ Hayes, Katie; Blashki, G.; Wiseman, J.; Burke, S.; Reifels, L. (December 1, 2018). "Climate change and mental health: risks, impacts and priority actions". International Journal of Mental Health Systems. 12 (1): 28. doi:10.1186/s13033-018-0210-6. ISSN 1752-4458. PMC 5984805. PMID 29881451.
  113. ^ Cunsolo, Ashlee; Ellis, Neville R. (April 1, 2018). "Ecological grief as a mental health response to climate change-related loss". Nature Climate Change. 8 (4): 275–281. Bibcode:2018NatCC...8..275C. doi:10.1038/s41558-018-0092-2. ISSN 1758-678X. S2CID 90611076.

Further reading

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