Journal of Agromedicine最新文献

{"title":"Depression, Anxiety, and Coping Strategies Among Farmworkers Exposed to Substance Use at Work.","authors":"Annie J Keeney, Dianne Ciro, Yu Meng, Laura Coco, Katherine Ekonomo","doi":"10.1080/1059924X.2024.2407384","DOIUrl":"10.1080/1059924X.2024.2407384","url":null,"abstract":"<p><strong>Objective: </strong>Migrant farmworkers are at an increased risk of experiencing high levels of stress, depression, anxiety, and problematic substance use. Farmworker behavioral health is a predominant concern for agricultural health and safety efforts. While substance use has been found to be a visible part of the work environment among farming populations, there is scarce information about how farmworkers who are exposed to substance use at work are impacted.</p><p><strong>Methods: </strong>This exploratory assessment investigated the association between substance use exposure at work and migrant farmworkers' (<i>N</i> = 58) symptoms of depression, anxiety, and coping strategies used. Univariate, bivariate, and regression analyses were conducted to examine data from a survey administered to migrant farmworkers in Southern California's Riverside and Imperial Valley counties.</p><p><strong>Results: </strong>Exposure to substance use at work was significantly associated with farmworkers reporting more severe symptoms of anxiety (<i>p</i> = .018). We also found that anxiety among farmworkers was significantly related to their experiences of sexual harassment (<i>p</i> = .026), being called names or insulted (<i>p</i> = .05), feeling unsafe (<i>p</i> = .005), having an increased work burden (<i>p</i> = .001), and caring for a colleague (<i>p</i> = .001). Furthermore, as exposure to substance use at work increased, farmworkers reported more severe symptoms of depression (F (1,45) = 7.90, <i>p</i> = .007) and anxiety (F (1,45) = 16.743, <i>p</i> = .001). To cope, the farmworkers in our sample reported using emotion-focused coping strategies most often.</p><p><strong>Conclusions: </strong>Substance use exposure at work can affect migrant farmworker health and safety. Addressing and supporting the behavioral health of the entire farming community is warranted.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"105-113"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308886","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":"Promoting Workplace Health, Safety, and Well-Being Among Essential Agricultural Workers Through Vaccine-Preventable Infectious Diseases Training in the Rio Grande Valley.","authors":"Anabel Rodriguez, David I Douphrate, Ana L Pineda Reyes, Susana Zavala, Andrea V Cabrera Cruz, Maria D Alegria, Brian Ukaegbu, Annie J Keeney, Brenda Berumen-Flucker, Eva M Shipp, Shannon P Guillot-Wright, Maria E Fernandez-Esquer, David Gimeno Ruiz de Porras","doi":"10.1080/1059924X.2024.2421249","DOIUrl":"10.1080/1059924X.2024.2421249","url":null,"abstract":"<p><strong>Introduction: </strong>Health, safety, and well-being training programs provide essential education on anticipating, identifying, and mitigating exposures like infectious diseases. Gaps in infectious diseases awareness and education became especially apparent during the COVID-19 pandemic and subsequently were exacerbated by mis- and disinformation.</p><p><strong>Methods: </strong>Vaccine-preventable infectious diseases training (influenza, hepatitis A and B, and tetanus infections, including COVID-19) was developed, delivered, and evaluated among 1,043 farmworkers, bodega workers, and production management in the Rio Grande Valley using mobile-learning technologies. The Kirkpatrick Four-Level Training Evaluation Model was utilized to evaluate training satisfaction (Level 1), effectiveness (Level 2), and effect on behavior (Level 3).</p><p><strong>Results: </strong>The mean score on the pretest before training was 67.8% (SD 17.5), and the mean score on the same test immediately after the video training was 77.2% (SD 17.9). A paired t-test revealed that knowledge improved significantly from pre- to post-training (<i>p</i> < .05). We observed a difference between mean pre- and post-test scores relative to the pooled standard deviation, resulting in an effect size estimate of 0.53 indicative of a medium learning effect.</p><p><strong>Conclusion: </strong>There is no \"silver bullet\" for training migrating bodega and farmworkers. Our findings suggest that the utilization of m-learning techniques continues to be a successful mechanism for delivering health, safety, and well-being awareness training content to agricultural workers in remote and challenging work environments. There is a long overdue need for offline capable software with features that allow equitable access to training, even in remote farming regions.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"57-67"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631257","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":"Mental Health and Wellbeing Helplines for Farmers: A Scoping Review of Usage, Acceptability, and Effectiveness of Those Currently in Operation Around the World.","authors":"Donna Hughes-Barton, Gemma Skaczkowski, Hannah Starick, Kate M Gunn","doi":"10.1080/1059924X.2024.2418816","DOIUrl":"https://doi.org/10.1080/1059924X.2024.2418816","url":null,"abstract":"<p><strong>Objectives: </strong>Farmers have higher risk of suicide than the general working population but are less likely to seek help from mainstream mental health services. Farmer-focused sources of support such as farmer helplines may be a viable alternative, and several currently operate internationally. However, it is unclear whether these specialized helplines collectively tend to be used and are acceptable or effective in reducing farmers' distress. This review aimed to fill this important knowledge gap.</p><p><strong>Methods: </strong>The PRISMA 2020 guidelines, in consultation with the extension for scoping reviews, guided the review process. The search included 13 academic databases and grey literature via Google.</p><p><strong>Results: </strong>The database search yielded 1,337 initial results and a Google search strategy resulted in 620 links to investigate. Data extraction was sought from 28 papers and 332 online links. We identified 35 unique helplines operating across Canada, the United States, the United Kingdom, Ireland, Australia, India, and Austria. Farmers do use helplines when experiencing stress; however, we found little empirical evidence of the acceptability or effectiveness of helplines. Anecdotal evidence suggested farmers are more likely to trust telephone support services operated by people who understand the farming way of life.</p><p><strong>Conclusion: </strong>Research in this area is scant but promising. Farmers and farming communities will use farmer helplines in times of elevated stress. However, there is a pressing need for more rigorous evaluation studies to determine their effectiveness in this at-risk group. Further, when designing farmer helplines, careful consideration should be given to the extent to which those answering calls understand farming.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-24"},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883408","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":"Risk Factors for Pediatric Bystander-Related Riding Lawnmower Injuries: A Qualitative Study.","authors":"Charles A Jennissen, Mikayla S Gibson, Maia E Bibbs, Briah M Drewry, Treyton D Krupp, Gerene M Denning, Pam J Hoogerwerf","doi":"10.1080/1059924X.2024.2442385","DOIUrl":"10.1080/1059924X.2024.2442385","url":null,"abstract":"<p><p>Riding lawnmowers are the most frequent cause of major limb amputation in children in the United States. Our study objective was to investigate the circumstances of child bystander-related riding lawnmower injuries and identify behaviors leading to these events. Followers/members of lawnmower injury-related Facebook pages, who were aware of children that had suffered a lawnmower injury, were invited to complete a survey. Qualitative analysis of open-ended questions was performed. Of 140 injured children, 97 (69%) were bystanders. Major themes identified that contributed to the bystander-related injury event included: supervision issues (40%), child not perceiving danger (40%), child allowed to be in vicinity of mower (23%), and mower-related issues (58%), especially mowing in reverse. The contributing risk factors identified for child bystander-related riding lawnmower injuries reinforce many safety directives including close supervision of children by someone other than the operator, and not allowing children outside when mowing is being performed. Many children injured were approaching the mower to get rides. Mower rides likely desensitize children to the inherent dangers and lead them to seek rides when mowers are being used. Mower design preventing blade operation in reverse and not giving children rides may be critical in decreasing bystander-related riding lawnmower injuries.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-6"},"PeriodicalIF":2.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830442","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":"Assessing Stock Photos for Farmworker Health and Safety Education Materials.","authors":"Catherine E LePrevost, Emery L Harwell, Abdul G Zahra, Michelle A Jewell, Jose A Robles Arvizu, Joseph G L Lee","doi":"10.1080/1059924X.2024.2368728","DOIUrl":"10.1080/1059924X.2024.2368728","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to analyze how farmworkers are represented in stock photos available in commercial libraries for use in agricultural health and safety education materials.</p><p><strong>Methods: </strong>We searched for images in five commercial stock photo libraries using the terms \"farmworkers\" and \"women farmworkers\" in April 2022. We used quantitative content analysis. We coded each image for containing a visible face, age, gender, skin tone, work activity, mechanization, presence of hazards, technology use, and protective equipment/clothing after establishing inter-coder reliability. We used descriptive statistics to characterize the available stock photos.</p><p><strong>Results: </strong>We identified stock photos (<i>n</i> = 127) in three databases (Adobe Stock Images, Canva, and Getty Images). Two databases (Microsoft Office Image Library and Pixabay) had no relevant images at the time of the search. Only half of the photos analyzed contained a face. Light skin tones and young or middle-aged adults were more common. A majority of farming activities represented in photos were manual tasks (e.g., harvesting) with few depictions of equipment, hazards, and protective equipment/clothing.</p><p><strong>Conclusions: </strong>Health and safety professionals tasked with developing materials for education in agricultural settings face a severe lack of imagery pertinent to the realistic conditions of farmworkers in the United States. In the databases we reviewed, photos displaying human faces, photos showing a range of skin tones and ages, and photos displaying an array of different farm hazards are likely not sufficient for material development. Health and safety professionals may benefit from sharing photos from their own work with other professionals and allocating resources for professional photo shoots in their material development projects.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"712-716"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evaluation of Living Conditions and Dietary Habits of Seasonal Migrant Agricultural Workers: The Example of Turkey.","authors":"İlksen Orhan, Hatice Serap Koçak","doi":"10.1080/1059924X.2024.2388849","DOIUrl":"10.1080/1059924X.2024.2388849","url":null,"abstract":"<p><strong>Objective: </strong>The nutritional status of seasonal migrant agricultural workers is negatively affected by problems with working conditions, wages, accommodations, and living conditions. This study aimed to investigate the living conditions, dietary habits, and food consumption frequency of seasonal migrant agricultural workers in Turkey.</p><p><strong>Methods: </strong>This descriptive, cross-sectional study was conducted in July and August 2022 in the neighborhoods of Akçadağ district in Malatya Province, Turkey. The sample of the study consisted of 262 seasonal migrant agricultural workers aged 15 and over who came to the region for the apricot harvest. The data were obtained using the face-to-face interview technique via a two-part questionnaire including questions on socio-demographic characteristics, living conditions, dietary behaviors and food consumption frequency.</p><p><strong>Results: </strong>The mean age of the seasonal migrant agricultural workers was 24.16 ± 0.75, and they worked 12.01 ± 0.10 hours per day on average. It was determined 74.8% of the workers had access to clean water, and 50.4% did not think they had an adequate and balanced diet. It was found only 57.3% of the workers had a normal body mass index, 80.2% never ate fish, 53.8% never ate red meat, and 67.2% never drank milk, while only 34.4% were able to eat seasonal vegetables.</p><p><strong>Conclusion: </strong>The findings of the study show that seasonal migrant agricultural workers in Turkey do not have suitable conditions in terms of food and accommodations, and their working conditions, wages, and health conditions are inadequate. These deficiencies have a negative effect on workers' quality of life and health status.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"676-687"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903391","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":"\"I Do Not Have the Time of Being sick\": Para-Occupational Exposure and Women's Health Risk Perception in an Agricultural Community.","authors":"Mayra Vera-Aviles, Teresa Castillo-Burguete, Norma Pérez-Herrera","doi":"10.1080/1059924X.2024.2366458","DOIUrl":"10.1080/1059924X.2024.2366458","url":null,"abstract":"<p><strong>Introduction: </strong>Few studies have explored the relationship between para-occupational exposure and risk perception in farmers' families. Women are indirectly involved in agricultural activities, even though their roles most of the time are hidden. Women's para-occupational exposure and risk perceptions are important to describe, since women have a key gender role in the family's health care and possibly in the impact of acting regarding pesticide safety education. Furthermore, in farmer families, the impact of para-occupational pesticide exposure on women's health has been neglected.</p><p><strong>Aim: </strong>Analyze pesticide para-occupational exposure scenario, knowledge, and health risk perception among women living in a farmer community.</p><p><strong>Methods: </strong>A mixed methodology was used. Two groups of women were identified to screen the exposure scenario: Women living in a farming family and women not living in a farming family. Data on para-occupational pesticide exposure and intradomicile practices were collected by questionnaire and semi-structured interviews to identify health risk perception and risk practices.</p><p><strong>Results: </strong>We observed a complex pesticide exposure scenario. All women were potentially exposed to pesticides through several pathways. One-third of the participants lived near a farming family or in proximity to neighbors that used pesticides at home, and one of every three women referred to spending time in a farmer's home. Among the group of women in a farming family (<i>n</i> = 18) stored pesticides inside the home was common; having the \"safety practice\" of storing pesticides in high places to avoid children being exposed. Women not living in farmimg families (<i>n</i> = 11) felt overexposed due to living in an agricultural community and agricultural drift exposure. Women from this group also mentioned feeling fear of developing cancerous diseases as well as fertility problems.</p><p><strong>Conclusions: </strong>Knowledge and risk perception of pesticide exposure are similar between groups; however, women living in farming families were less willing to attend preventive health check-ups or educational programs than women not living in a farming family.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"561-571"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318729","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":"Rural Natural Disaster Stress: A Survey of Community Resource Use and Effect.","authors":"Kristin K Gaffney, Ellen Duysen, Sharon Medcalf, Christopher Wichman","doi":"10.1080/1059924X.2024.2388862","DOIUrl":"10.1080/1059924X.2024.2388862","url":null,"abstract":"<p><strong>Objective: </strong>This study identified rural community experiences and preferences related to available resources and their effects on stress following tornadoes and floods.</p><p><strong>Methods: </strong>The Rural Natural Disaster Stress and Recovery survey was distributed from December 2021 to February 2022 in rural disaster-affected communities. Within the analysis sample (N = 159) of self-selected participants representing both agricultural and non-agricultural occupations, 125 responded to the Resource Use and Effect survey component that evaluated the effects of 22 resources on post-disaster stress. Additional qualitative questions provided further data.</p><p><strong>Results: </strong>The most frequently used resources post-disaster were found to be talking about the event (98.3%), friends and neighbors (97.6%) and family (97.6%). Using a derived Impact per Use score, groups from the neighboring community and personal faith activities most often reduced stress. Resources that increased stress were identified as FEMA or other government organizations; repairing, replacing, or rebuilding property; and following news or social media. Participants reported help from their community (35.8%) or things they did for themselves (31.2%) most effectively decreased disaster stress. Family, friends, faith, neighbors, and community were top choices to decrease stress in a future disaster.</p><p><strong>Conclusion: </strong>Rural residents identified available resources for reducing disaster stress, but some common post-disaster activities were found to increase stress. Rural emergency management should adapt response and recovery plans and activities to leverage readily accessible people, groups, and activities to mitigate negative mental and emotional health effects.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"688-700"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903392","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":"A Qualitative Enquiry of On-Farm Rules About Quad Bikes (ATVs): How Rules Are Determined and Implemented at a Farm Level in Rural Australia.","authors":"Joseph Michael Freeman, Megan Nicole Keatley, Sarah Hui Xin Wong, Anthony M Brown, Emma Louise Webster","doi":"10.1080/1059924X.2024.2368181","DOIUrl":"10.1080/1059924X.2024.2368181","url":null,"abstract":"<p><strong>Objective: </strong>Quad bikes are a leading cause of death and incident-related injury on farms, yet little is understood about rules used by farmers to ensure their safe operation. This study explored rules about quad bikes set by those who live or work on farms. Through the case of quad bikes, this study sought to understand how rules are determined and implemented at the farm level.</p><p><strong>Setting: </strong>A mix of farm types and locations in rural Australia including Queensland, South Australia, and New South Wales.</p><p><strong>Participants: </strong>Eight farmers were interviewed and recruited from information sheets at farmers' markets, through a local health organisation, and a media release.</p><p><strong>Design: </strong>Thematic analysis was used to transform data from eight semi-structured interviews with farmers in rural Australia.</p><p><strong>Results: </strong>Data were distilled into two themes - \"Rule content\" described the explicit rules farmers had set on their properties, while the theme \"Underlying rule principles\" explored the values and norms which underpinned the creation and implementation of these rules.</p><p><strong>Conclusions: </strong>Through the case of quad bike rules, this study illustrated how rules are determined and implemented at the farm level. Perceptions of risk were tied to farmers being experts in their own environment and therefore able to mitigate risk. In contrast to injury data, reckless use of quad bikes was perceived to cause incidents, and this was the basis of rules for adults and children.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"572-582"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428081","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":"Examining the Relationship Between Stress, Barriers to Healthcare, and Alcohol Use in the US Agricultural Community.","authors":"Christina Proctor, Noah Hopkins","doi":"10.1080/1059924X.2024.2374737","DOIUrl":"10.1080/1059924X.2024.2374737","url":null,"abstract":"<p><strong>Objective: </strong>Farming is a high-risk, physically challenging occupation. Considering farmers report high stress and barriers to seeking healthcare, it is important to understand factors influencing alcohol use to tailor interventions and healthcare resources for alcohol use in rural areas.</p><p><strong>Methods: </strong>An online survey was distributed to the agricultural community in the United States (<i>n</i> = 1045). Data was collected through QualtricsXM, and SPSS 28.0 was used for data analysis.</p><p><strong>Results: </strong>Both formal healthcare challenges (β = 0.112, <i>p</i> = .004) and stigma (β = 0.328, <i>p</i> < .001) were identified as predictors of increased perceived stress, while resilience (β = -0.137, <i>p</i> < .001) was identified as a protective factor against perceived stress. Higher perceived stress was identified as a predictor of binge drinking behavior (β = 0.151, <i>p</i> < .001), and formal healthcare challenges were associated with higher drinking volume (β = 0.174, <i>p</i> < .001), and engaging in more frequent alcohol consumption (β = 0.123, <i>p</i> = .004) over the last three months. Resilience was identified as a protective factor against increased alcohol consumption (β = -0.084, <i>p</i> = .032). Stigmatization of help-seeking for mental health challenges was associated with fewer instances of alcohol consumption over the last three months (β = -0.169, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Interventions to address stress and alcohol consumption should focus on promoting resilience, reducing stigma, and encouraging peer support to address cultural norms around mental health and alcohol use. Rural practitioners should develop cultural competence to better serve agricultural communities to prevent alcohol use disorders. To discuss ways to reduce stigma and encourage peer support to address alcohol and mental health disorders in rural farming populations.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"605-614"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499390","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}