Journal of Agromedicine最新文献

{"title":"Characterizing Heat Health Hazards and Receptivity of Cooling Interventions Among Indoor Lumber Mill Workers in Southern Thailand.","authors":"Phayong Thepaksorn, Elizabeth K Hom Thepaksorn, Aaron Bach, Wipawan Kaewlai, Penpitchaya Wongwiwat, Dung Phung","doi":"10.1080/1059924X.2026.2750264","DOIUrl":"https://doi.org/10.1080/1059924X.2026.2750264","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness and feasibility of two workplace cooling strategies and identify priorities for future mixed-methods research and practical solutions.</p><p><strong>Methods: </strong>A pilot randomized crossover field trial was conducted among 12 sawmill workers in southern Thailand under three conditions: no cooling (CON), a phase change cooling vest (VEST), and a combined cooling oasis (OASIS: hydration, fans, water dousing, cooling towels). Core temperature and heart rate were continuously monitored. Worker perceptions were explored through post-intervention focus group discussions.</p><p><strong>Results: </strong>Compared with CON, OASIS reduced core temperature (-0.24°C; 95% CI: 0.23, 0.25) and heart rate (-7 bpm; 95% CI: 6, 9), while VEST reduced core temperature (-0.17°C; 95% CI: 0.17, 0.18) and heart rate (-5 bpm; 95% CI: 4, 6). Despite greater physiological benefits from OASIS, most workers preferred VEST due to ease of use and caused minimal disruption to workflow. OASIS was perceived as effective but interruptive.</p><p><strong>Conclusions: </strong>Combined cooling strategies can reduce heat strain in indoor industrial settings; however, the adoption of interventions is strongly influenced by practicality and economic considerations. Hybrid approaches and structural improvements are recommended. A full mixed-methods study is needed to evaluate effectiveness, productivity, and cost-effectiveness to inform scalable occupational heat policies.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Agricultural Heat-Related Illness Prevention Training in Colorado.","authors":"Yessica Paola Martinez Palenque, Whitney Pennington, Kristin M Skiendzielewski, William J Brazile, Lorann Stallones, Morgan Valley","doi":"10.1080/1059924X.2026.2747377","DOIUrl":"https://doi.org/10.1080/1059924X.2026.2747377","url":null,"abstract":"<p><strong>Objective: </strong>Agricultural workers have high rates of heat-related illnesses (HRI). State-level regulations regarding HRI prevention in agriculture have been evolving and include requirements for heat-related prevention training of workers. There has been limited evaluation of the effectiveness of HRI prevention training. This study aimed to evaluate a train-the-trainer HRI prevention program.</p><p><strong>Methods: </strong>In 2024 and 2025, there were 13 train-the-trainer HRI prevention sessions held in English and Spanish in Colorado. The trainers then trained agricultural workers in their workplaces. Using the Kirkpatrick evaluation framework and a series of surveys and focus groups, changes in participant reaction levels, learning, behavior, and workplace outcomes were assessed. Descriptive statistics and paired t-test were used to analyze survey responses. Thematic analysis was used to analyze focus group data.</p><p><strong>Results: </strong>Across 13 sessions, 143 trainers completed the train-the-trainer program, who then trained 1,270 agricultural workers. The trainers expressed high levels of satisfaction with the training and had significant improvement in their knowledge of HRI symptoms and prevention strategies. Training led to increased confidence among trainers in their ability to train workers. Trainers and agricultural workers reported adopting practices to prevent HRI.</p><p><strong>Conclusion: </strong>This study provides evidence that a bilingual, regulatory-aligned train-the-trainer program can be an effective approach to build HRI prevention capacity among agricultural employers. The Colorado-based train-the-trainer HRI prevention program increased trainer knowledge and confidence and in turn improved agricultural worker workplace heat-related prevention practices. These changes may protect worker health while also improving their well-being and productivity in the long term.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Pest Control to Health Protection: A Health-Based Hierarchy of Control for Sustainable Agriculture.","authors":"Vivien How, Nur Azalina Suzianti Feisal","doi":"10.1080/1059924X.2026.2750256","DOIUrl":"https://doi.org/10.1080/1059924X.2026.2750256","url":null,"abstract":"<p><p>The widespread reliance on synthetic pesticides remains a defining feature of modern agriculture, particularly in tropical and export-oriented farming systems. While these chemicals have contributed to yield stability and pest suppression, their long-term consequences for farmer health, environmental integrity, and food system sustainability remain insufficiently integrated within existing agricultural decision frameworks. In Malaysia and similar middle-income agricultural economies, synthetic pesticide adoption rooted in colonial-era agrochemical trials and intensified through the expansion of herbicides such as glyphosate, has fostered structurally chemical-dependent farming practices. These practices disproportionately transfer occupational and environmental health risks to farmers and rural communities. Current approaches to pesticide management, including Integrated Pest Management (IPM) and regulatory risk assessment, provide important but fragmented solutions. IPM primarily prioritizes pest control and crop protection outcomes, while regulatory frameworks focus on product-level hazard and safety thresholds that may not fully capture cumulative, route-specific exposures in real-world farming conditions. Consequently, no unified framework explicitly positions human health protection as the central organizing principle of pesticide decision-making. This paper proposes a Health-based Hierarchy of Control for Sustainable Agriculture, adapted from occupational safety and health principles and informed by environmental health and chemical risk assessment logic. The framework prioritizes system-level ecological design and non-chemical controls, positioning chemical intervention as a least-preferred, last resort option. By reframing pesticide use through hazard elimination and exposure prevention, the model offers a structured decision logic for agricultural health, policy development, and future empirical validation.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Farm Trauma or Farm Drama? A Novel Approach to Farm Emergency Response Training.","authors":"Alyssa Ramsey Spence","doi":"10.1080/1059924X.2026.2742955","DOIUrl":"https://doi.org/10.1080/1059924X.2026.2742955","url":null,"abstract":"<p><strong>Objectives: </strong>Knowledge of farm hazards is often gained through the retelling of fatal injuries and near-miss events, creating \"Aha! Moments,\" or instances of conceptual clarity in which individuals recognize the error in a risky behavior. Unfortunately, this recognition is frequently followed by what farm populations may refer to as the \"Oh, ****!\" moment, when insight develops only after a severe or fatal injury has already occurred. This study examined immersive simulation using special effects (SFX) techniques and amputee role-players to simulate traumatic farm injuries, assess changes in knowledge of roadway safety and farm equipment hazards, and inform guidance for farm safety instructors.</p><p><strong>Methods: </strong>A convergent mixed-methods pilot study was conducted in rural eastern North Carolina. Participants (<i>n</i> = 62 pre; <i>n</i> = 50 post) completed anonymous pre- and post-intervention surveys to assess knowledge related to farm equipment and roadway hazards. The intervention included two immersive simulations: (1) power take-off (PTO) entanglement and (2) farm vehicle-motor vehicle roadway collision. Post-intervention focus groups explored participant experiences.</p><p><strong>Results: </strong>Moderate knowledge gains were observed following the intervention. Participants reported high realism and emotional engagement. Inconsistencies, safety protocols, and role-player overfamiliarity reduced immersion.</p><p><strong>Conclusion: </strong>Immersive theater techniques may enhance realism and emotional engagement related to simulated learning and farm emergency response education. When implemented with high-fidelity, cohesive design, immersive simulation may enhance awareness of hazards, potentially shifting learning from post injury \"Oh, ****!\" moments to earlier \"Aha!\" moments.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Heat Exposure with Acute Kidney Injury and Kidney Function in Mexican Agricultural Workers.","authors":"Rietta S Wagoner, Nicolas I López-Gálvez, Robert A Canales, Paloma I Beamer, Leslie V Farland, Frank A von Hippel, Jill G de Zapien, Cecilia B Rosales, Melissa A Furlong","doi":"10.1080/1059924X.2026.2679282","DOIUrl":"10.1080/1059924X.2026.2679282","url":null,"abstract":"<p><strong>Objective: </strong>Agricultural workers endure physically demanding, high heat work daily, increasing the risk of kidney injury and reduced kidney function. However, few studies have examined individual measures of heat exposure and risk of kidney injury and impaired function. We assessed the association between measures of heat exposure with acute kidney injury and kidney functioning among agricultural workers, compared to a group of office workers in the same region.</p><p><strong>Methods: </strong>We recruited 77 adult males working in agriculture and 21 adult males in office jobs in Sonora, Mexico in 2019. We administered a demographic questionnaire to participants. A proxy physiological strain index (PSI), based on point measurements of heart rate and tympanic temperature, was used to estimate individual heat exposure. Kidney function was measured using the estimated glomerular filtration rate (eGFR). Kidney injury was assessed via urinary neutrophil gelatinase-associated lipocalin (uNGAL). We compared uNGAL and eGFR over time in the two study groups. We assessed proxy PSI associations with uNGAL and eGFR using linear mixed-effects models, adjusting for age, body mass index, and urinary specific gravity factor.</p><p><strong>Results: </strong>We observed statistically significant differences between agricultural and office workers for eGFR (GM: 121.85 vs. 115.66 mL/min/1.73 m², <i>p</i> = .04). Among agricultural workers, creatinine-adjusted uNGAL levels rose in summer compared to spring (GM: 4.47 vs. 1.98 mg/g creatinine, <i>p</i> < .01), and eGFR declined during the same period GM:(108.41 vs. 122.38 mL/min/1.73 m², <i>p</i> < .01). In mixed models, proxy PSI was inversely associated with eGFR (β-coefficient:-2.87, 95% CI: -4.02, -1.72).</p><p><strong>Conclusion: </strong>Season and proxy PSI predicted kidney functioning in agricultural workers in this study. As climate warming continues, high-risk occupational groups such as agricultural workers will face increasing heat-related health risks.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"600-615"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back Pain Among Horticulture Workers - Need for Prevention Strategies.","authors":"Kim Dunleavy, Kelly K Gurka, Janeen McCormick Blythe, Jason M Beneciuk, M Vanegas, Boyi Hu, Heidi Radunovich","doi":"10.1080/1059924X.2026.2687773","DOIUrl":"10.1080/1059924X.2026.2687773","url":null,"abstract":"<p><strong>Objectives: </strong>Although back pain is common among horticulture workers, effective prevention and management strategies are lacking. The first phase of a study using the Exploration, Preparation, Implementation, and Sustainment Framework is described with aims to characterize stakeholder perceptions of: 1) the need to address back pain, 2) attitudes towards pain medication including opioids, 3) contextual factors, and 4) preferences for training related to musculoskeletal injury prevention.</p><p><strong>Methods: </strong>In-depth interviews were completed in English or Spanish (<i>n</i> = 14) with consultants, owners, supervisors, and workers and in English or Spanish. Transcripts were recorded, transcribed, and coded, followed by qualitative inductive-deductive thematic analysis.</p><p><strong>Results: </strong>While back pain is widespread, productivity requirements and working through pain may lead to de-emphasizing awareness and practices to prevent and manage back pain. Nursery and landscape workers tend to work regardless of pain, often using over-the-counter pain relievers to get through the day. Use of pain medication is seldom discussed, including risks of opioids and owners and consultants were hesitant to provide Naloxone in the workplace. Non-modifiable but variable contextual factors to consider when designing training are seasons and weather, type of horticulture, business models, productivity goals, and income needs. Training, policies, administrative controls, and worker knowledge and attitudes towards pain are potentially modifiable. Most current training is informal and on-the-job, and supervisors play a critical intermediary role. Integrating training into current work practices could minimize reductions in work time.</p><p><strong>Conclusions: </strong>Proactive interventions to limit and manage back pain and increase awareness of medication risks are needed for horticulture workers. Themes will be useful to design horticulture-specific training: 1) variability in contextual factors (weather, seasons, business models) requires training options that can be used at down-times and in different locations, 2) productivity drivers and worker tendencies to work through pain to protect their income require short, practical strategies and training without disrupting workflow, and appropriate messaging, 3) need for a supportive workplace culture, and 4) importance of involving supervisors. The non-modifiable and modifiable contextual findings from this study will be helpful for designing prevention training in the horticulture industry and could potentially apply to other outdoor physically challenging occupations.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"677-694"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are We Lost? What is the Role of OSH Researchers When Structure is the Issue?","authors":"Florence A Becot, Julie A Sorensen, David Meredith","doi":"10.1080/1059924X.2026.2736582","DOIUrl":"https://doi.org/10.1080/1059924X.2026.2736582","url":null,"abstract":"","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Satisfaction with Work-Life Balance as a Mediator Between Recovery Experiences and Burnout in Agricultural Entrepreneurs.","authors":"Mathieu Le Moal, Olivier Torrès","doi":"10.1080/1059924X.2026.2672146","DOIUrl":"10.1080/1059924X.2026.2672146","url":null,"abstract":"<p><strong>Objectives: </strong>Agricultural entrepreneurs face significant occupational stressors, including long working hours, and blurred work-life boundaries. These factors contribute to an increased risk of burnout, yet little research has explored how recovery experiences - psychological detachment, relaxation, mastery, and control - impact their mental health. This study examines the role of recovery experiences in reducing burnout and assesses whether satisfaction with work-life balance mediates this relationship.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using survey data from 916 agricultural entrepreneurs in France. Participants completed validated measures assessing recovery experiences, satisfaction with work-life balance, and burnout. Structural equation modeling (SEM) was used to test direct and indirect associations between recovery dimensions and burnout, while accounting for control variables such as age, sex, relationship status, number of children, weekly working hours, and farm type.</p><p><strong>Results: </strong>Findings indicate that recovery experiences play a crucial role in maintaining satisfaction with work-life balance and reducing burnout. Psychological detachment (β = 0.190, <i>p</i> < .001), relaxation (β = 0.254, <i>p</i> < .001), and control (β = 0.317, <i>p</i> < .001) were positively associated with satisfaction with work-life balance, supporting H1. Satisfaction with work-life balance was significantly related to lower burnout levels (β = -0.399, <i>p</i> < .001), supporting H2. Direct negative associations between relaxation (β = -0.153, <i>p</i> = .001) and control (β = -0.132, <i>p</i> = .001) with burnout were observed, supporting H3. Psychological detachment (β = -0.076, <i>p</i> < .001), relaxation (β = -0.101, <i>p</i> < .001), and control (β = -0.126, <i>p</i> < .001) had significant indirect effects on burnout through satisfaction with work-life balance, supporting H4. Mastery did not show significant associations with satisfaction with work-life balance or burnout.</p><p><strong>Conclusion: </strong>This study highlights the critical role of recovery experiences in mitigating burnout among agricultural entrepreneurs. While relaxation and control directly reduce burnout, psychological detachment primarily influences burnout through improved satisfaction with work-life balance. These findings suggest that targeted interventions, such as promoting structured recovery practices and satisfaction with work-life balance strategies, could enhance mental health in this high-risk population. Future research should explore longitudinal designs and cross-cultural comparisons to further understand recovery experiences among self-employed workers in agriculture.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"561-575"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AgrAbility Quality of Life Profile Transitions and Relationships with Independent Living and Working.","authors":"Brian F French, Robert J Fetsch, Sarah C Ullrich-French","doi":"10.1080/1059924X.2026.2685559","DOIUrl":"10.1080/1059924X.2026.2685559","url":null,"abstract":"<p><strong>Objectives: </strong>AgrAbility is a program that serves agricultural workers with disabilities. It aims to enhance quality of life and strengthen communities. Although AgrAbility can improve quality of life (QoL), there is limited evidence about influence on the different QoL domains. Three QoL profiles were identified that differed on psychological domains. This study extends the understanding of QoL profiles by comparing the QoL profiles across time points for those who did and did not receive AgrAbility services. Specifically, we explored how individuals' transition profiles change over time and relate that transition to independent living and working (ILW).</p><p><strong>Methods: </strong>The sample was 459 farmers and ranchers with disabilities who completed the McGill Quality of Life (MQOL) survey at Time 1. Of those, 359 received AgrAbility services following their completion of the MQOL at Time 1. All individuals completed a follow-up QoL survey at Time 2, with an average of 18 months between assessment points. Latent profile analysis was employed to examine groupings of individuals on the variables of physical, psychological, existential, and social well-being. Profile transition analyses were conducted to explore profile change from Time 1 to Time 2. Descriptive analysis of profile membership and predictive models were used to compare the change in profiles for those receiving and not receiving services. Analyses were performed using Mplus version 8.11.</p><p><strong>Results: </strong>Three QoL profiles were identified representing Low Existential/Social, High Existential/Social, and Moderate levels across QoL dimensions, replicating a previous study. Initial profile membership and transitions between profiles differed between those who did and did not receive services. Although QoL profiles were relatively stable across time, the AgrAbility involvement was related to transitioning to the more adaptive profile of High Existential/Social QoL. The AgrAbility group had lower ILW scores at Time 1, but did not differ from the group not receiving services at Time 2 showing improved ILW.</p><p><strong>Conclusions: </strong>Profile changes show benefits of receiving AgrAbility services for increasing QoL in the areas of existential and social domains. The knowledge gained by identifying these profile changes can improve our understanding of the outcomes of receiving AgrAbility services and could help with future targeted interventions.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"627-639"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inoculation Theory and Agromedicine.","authors":"Josh Compton","doi":"10.1080/1059924X.2026.2692469","DOIUrl":"10.1080/1059924X.2026.2692469","url":null,"abstract":"","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"839-840"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}