Meeting Farmers Where They Are - Rural Clinicians' Views on Farmers' Mental Health
Meeting Farmers Where They Are - Rural Clinicians' Views on Farmers' Mental Health
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DOI：
10.1080/1059924x.2019.1659201
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发表时间：
2019-08-30
影响因子：
2.4
通讯作者：
Bondy, Madeleine C.
中科院分区：
文献类型：
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作者：
Col, Donald C.;Bondy, Madeleine C.
目的：了解农村临床医生对农民心理健康和幸福感的了解情况、卫生服务现状及应对措施。方法：定性设计，对安大略省格雷-布鲁斯县乡村执业的5名家庭医生和4名心理健康护士-咨询师进行半结构化录音访谈。通过对紧急主题的迭代编码和主题之间关系的映射，使用N-Vivo分析成绩单。结果：参与调查的乡村临床医生均对农民表示敬佩。他们围绕三个主题分享了自己的见解：1)农业是一种独特的亚文化；2)农业既涉及健康利益，也涉及健康挑战；3)农民很少寻求护理。临床医生需要利用接触机会询问有关心理健康的问题。一些国家提出了满足农民所在地方的方法，例如，通过为家庭农场电话和社区活动提供更多资金。结论：临床医生对农民心理健康挑战的反应包括认识农民的不同背景。需要与农场组织一起进行互补的健康促进，才能接触到农民。
Objective: To explore rural clinicians' understanding of farmers' mental health and well-being, current health services, and potential responses. Methods: Qualitative design, with semi-structured, taped interviews of five family physicians and four mental health nurses-counselors practicing in rural Grey-Bruce counties, Ontario. Transcripts analyzed with N-Vivo through iterative coding of emergent themes and mapping of relationships among themes. Results: Participating rural clinicians all expressed admiration for farmers. They shared insights around three main themes: 1) farming as a unique subculture; 2) farming involved both benefits and challenges for health; and 3) farmers rarely seek care. Clinicians need to take advantage of contact opportunities to ask about mental health. Several suggested ways to meet farmers where they are, e.g., through better funding for house-farm calls and community events. Conclusion: Clinician responses to farmers' mental health challenges include recognizing farmers' distinct context. Complementary health promotion in conjunction with farm organizations is needed to reach farmers.