Rural and Agricultural Natural Disaster Stress and Recovery: A Comparison.

IF 2.1 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Agromedicine Pub Date : 2023-10-01 Epub Date: 2023-07-02 DOI:10.1080/1059924X.2023.2230987
Kristin K Gaffney, Sharon Medcalf, Ellen Duysen, Christopher Wichman
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Abstract

This study used a novel survey instrument to evaluate the hypothesis that U.S. agricultural producers have significantly different stress and recovery experiences following acute-onset natural disaster compared to their non-agricultural counterparts. Participants were recruited through local organizations and targeted email and social media in communities in Arkansas and Nebraska that had experienced violent tornadoes in 2014 and/or severe flooding in 2019. The survey instrument incorporated the Brief Resilience Scale, the Revised Impact of Event Scale referencing two time points, the Posttraumatic Growth Inventory-Short Form, and original questions. Demographic, exposure, stress, and recovery measures were analyzed in SAS with Chi-square tests, t-tests, Wilcoxon tests, and multiple linear regression modeling to test for differences between agricultural and non-agricultural groups in resilience, event exposure, stress symptoms in the week after the event, stress symptoms in the month before the survey, a calculated recovery ratio, and posttraumatic growth. Analysis sample (N = 159) contained 20.8% agricultural occupation, 71.1% female, and 49.1% over age 55. No significant differences were found between agricultural and non-agricultural participants when comparing resilience, stress, or recovery ratio measures. Unadjusted posttraumatic growth score was significantly lower in the agriculture group (P = .02), and an occupation group by sex interaction was significantly associated with posttraumatic growth score (P = .02) when controlled for number of initial posttraumatic stress symptoms in the adjusted model, with agricultural women showing lower growth. Overall, there was no evidence of significant difference in disaster stress and recovery between agricultural and rural, non-agricultural groups in this study. There was some evidence that women in agriculture may have lower levels of recovery. Data indicated that rural residents continue to experience posttraumatic-type symptoms up to 8 years beyond the acute-onset natural disaster events. Communities should include strategies to support mental and emotional health in their preparedness, response, and recovery plans with intentional inclusion of agricultural populations.

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农村和农业自然灾害的压力和恢复:比较。
这项研究使用了一种新的调查工具来评估这样一种假设,即与非农业生产者相比,美国农业生产者在急性自然灾害后的压力和恢复经历显著不同。参与者是通过当地组织、有针对性的电子邮件和社交媒体在阿肯色州和内布拉斯加州的社区招募的,这些社区在2014年经历了猛烈的龙卷风和/或2019年经历了严重的洪水。该调查工具包括简要弹性量表、参考两个时间点的修订的事件影响量表、创伤后成长清单简表和原始问题。在SAS中使用卡方检验、t检验、Wilcoxon检验和多元线性回归模型分析人口统计学、暴露、压力和恢复措施,以检验农业和非农业群体在恢复力、事件暴露、事件后一周的压力症状、调查前一个月的压力症状和计算的恢复率方面的差异,以及创伤后的成长。分析样本(N = 159)中20.8%为农业职业,71.1%为女性,49.1%为55岁以上。在比较恢复力、压力或恢复率指标时,农业和非农业参与者之间没有发现显著差异。未经调整的创伤后生长评分在农业组中显著降低(P = .02),性别互动的职业组与创伤后生长评分显著相关(P = .02)当在调整后的模型中控制初始创伤后应激症状的数量时,农业妇女表现出较低的生长。总体而言,本研究中没有证据表明农业和农村非农业群体在灾害压力和恢复方面存在显著差异。有一些证据表明,农业妇女的恢复水平可能较低。数据表明,农村居民继续经历创伤后型症状,达8例 自然灾害事件发生后数年。社区应在其准备、应对和恢复计划中纳入支持心理和情感健康的战略,并有意将农业人口纳入其中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Agromedicine
Journal of Agromedicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
20.80%
发文量
84
审稿时长
>12 weeks
期刊介绍: The Journal of Agromedicine: Practice, Policy, and Research publishes translational research, reports and editorials related to agricultural health, safety and medicine. The Journal of Agromedicine seeks to engage the global agricultural health and safety community including rural health care providers, agricultural health and safety practitioners, academic researchers, government agencies, policy makers, and others. The Journal of Agromedicine is committed to providing its readers with relevant, rigorously peer-reviewed, original articles. The journal welcomes high quality submissions as they relate to agricultural health and safety in the areas of: • Behavioral and Mental Health • Climate Change • Education/Training • Emerging Practices • Environmental Public Health • Epidemiology • Ergonomics • Injury Prevention • Occupational and Industrial Health • Pesticides • Policy • Safety Interventions and Evaluation • Technology
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