Tideswell health survey: A population survey of the health needs and service utilization of a farming community
Tideswell health survey: A population survey of the health needs and service utilization of a farming community
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DOI：
10.1016/j.puhe.2005.09.005
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发表时间：
2006-03-01
期刊：
影响因子：
5.2
通讯作者：
Cox, P
中科院分区：
文献类型：
--
作者：
Syson-Nibbs, L;Saul, C;Cox, P
目的：在联合王国，尽管农村贫困现象普遍存在，贫穷与健康状况不佳之间的联系也得到广泛承认，但还没有针对农村社区总体健康状况的流行病学研究。这项研究的主要目的是检验零假设，即在一个全科诊所登记的农业和非农业人口的健康状况之间不存在差异，以便为当地的健康需求评估提供信息。第二个目标是测试的研究方法作为一个更广泛的study.Study设计模型的适用性：进行了邮寄问卷调查与总农业人口（n=248）注册与潮汐一般的做法，并匹配了一个等效的随机样本的非农民（n=248）从其余的实践列表。主要观察指标为收入、总体健康状况、生活质量（EQ5D）、肌肉骨骼问题、心理健康状况和服务利用率。农民被确定为有健康需求，大于那些发现在当地非农业样本。此外，观察到的EQ5D值为农民被发现显着低于发现在社会阶层IV和V（0.78与0.82）和英国mean.Conclusions：这种温和的对照研究是第一次在英国。健康的不平等和不公平的确定，可能是普遍的其他英国山区农民。然而，现在需要对不同类型的农业群体进行更大规模、更广泛的流行病学研究，以更全面地了解这些土著农村人口的健康状况。本研究中采用的方法是成功的，可以作为此类研究的模型。
Objectives: In the UK, there have been no epidemiological studies focusing on the general health status of rural communities, despite the prevalence of rural deprivation and the widely acknowledged link between poverty and ill health. The primary objective of this study was to test the null hypothesis that no differences existed between the health status of the farming and non-farming populations registered with one general practice, in order to inform a local health needs assessment. The secondary objective was to test the suitability of the research method as a model for a wider study.Study design: A postal questionnaire survey was undertaken with the total farming population (n=248) registered with Tideswell general practice, and matched with an equivalent random sample of non-farmers (n=248) from the remainder of the practice list. The main outcome measures were income, general health status, quality of life (EQ5D), musculoskeletal problems, mental health status and service utilization.Results: Significant differences were found between the two groups. Farmers were identified as having health needs that were greater than those found in the Local nonfarming sample. In addition, the observed EQ5D value for farmers was found to be significantly lower than that found in social classes IV and V (0.78 vs 0.82) and the UK mean.Conclusions: This modest controlled study is the first of its kind in the UK. Health inequalities and inequities were identified that may be generalizable to other UK hill farmers. However, a larger, wider epidemiological study across different types of farming groups is now required to gain a fuller understanding of the health status of this indigenous rural population. The methodology employed in this study was successful and could serve as a model for such a study.