Shuang Li, June T Spector, Sang D Choi, Meng Zhao, Erika Scott, Cassandra M Germain, Kai Zhang
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引用次数: 0
Abstract
Objectives: Understanding elderly farmers' health and risk factors is fundamental to preventing agricultural injuries and illnesses as the farming population ages. Few reviews have focused on how aging impacts farmers' health and safety. This study reviews scientific literature that characterizes aging farmers' physical and mental health, work-related risk factors, and potential interventions to support healthy work and aging.
Methods: In accordance with the framework established by Arksey and O'Malley (2003), we performed a scoping review by systematically searching the following databases: MEDLINE (via PubMed), CINAHL (via EBSCOhost), Web of Science (via Clarivate), AGRIS, PsycINFO (via APA PsycNet) and Embase (via Elsevier). Studies that examined elderly farmers' health and related risk factors as the primary outcome were included. Eligibility was limited to studies published in English between 1980 and 2024, conducted in the United States or globally. Included publications were organized, thematically coded, and their key findings were synthesized (without meta-analysis).
Results: Ninety-six publications were included in the final review. Our review indicates that injuries, chronic and occupational diseases, mental health, health risk factors, aging, and retirement considerations have been reported among aging farmers. Significant gaps were identified in the study of healthy aging farmers, particularly in longitudinal studies assessing the relationship between long-term occupational hazard exposure and adverse health outcomes over time.
Conclusion: A deeper understanding of aging and farmers' health, particularly through longitudinal panel studies, is needed to develop targeted prevention strategies that sustain productivity until a reasonable retirement age. Additionally, research informs societal and policy interventions that support farmers in transitioning to retirement when appropriate.
目的：了解老年农民的健康状况和危险因素，是预防农业人口老龄化过程中农业伤害和疾病的基础。很少有评论关注老龄化如何影响农民的健康和安全。本研究回顾了有关老年农民身心健康、工作相关危险因素以及支持健康工作和老龄化的潜在干预措施的科学文献。方法：根据Arksey和O'Malley（2003）建立的框架，我们通过系统检索以下数据库进行了范围审查：MEDLINE（通过PubMed）， CINAHL（通过EBSCOhost）， Web of Science（通过Clarivate）， AGRIS, PsycINFO（通过APA PsycNet）和Embase（通过Elsevier）。将老年农民的健康状况和相关风险因素作为主要结果纳入研究。入选资格仅限于1980年至2024年间在美国或全球范围内用英语发表的研究。对纳入的出版物进行组织，按主题编码，并对其主要发现进行综合（不进行meta分析）。结果：96篇文献被纳入终评。我们的回顾表明，在老年农民中，已经报道了伤害、慢性病和职业病、心理健康、健康危险因素、老龄化和退休考虑。在对健康的老年农民的研究中发现了重大差距，特别是在评估长期职业危害接触与长期不利健康结果之间关系的纵向研究中。结论：需要更深入地了解老龄化和农民健康，特别是通过纵向面板研究，以制定有针对性的预防策略，使生产力保持到合理的退休年龄。此外，研究为社会和政策干预提供了信息，支持农民在适当的时候过渡到退休。
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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