Migrant farmworker stress: Mental health implications
Migrant farmworker stress: Mental health implications
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DOI：
10.1111/j.1748-0361.2008.00134.x
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发表时间：
2008-12-01
影响因子：
4.9
通讯作者：
Arcury, Thomas A.
中科院分区：
文献类型：
--
作者：
Hiott, Ann E.;Grzywacz, Joseph G.;Arcury, Thomas A.
背景：美国农村地区的拉丁裔人数正在增加。对于破坏这部分农村人口心理健康的因素知之甚少。目的：本研究的目的是确定农活和农场工人生活方式中固有的哪些压力因素会导致心理健康状况不佳。方法：对 125 名男性农民工进行访谈，其中包含农民工压力量表 (MFWSI) 和 3 个心理健康量表（PAI [焦虑]、CES-D [抑郁]和 CAGE/4M [酒精滥用]）。因子分析区分了 MFWSI 中压力源的离散域。回归模型确定了 MFWSI 压力源领域与心理健康结果的关联。结果：根据 MFWSI 的测定，38% 的参与者承受着显着的压力。 MFWSI 减少到 5 个压力源领域：合法性和后勤、社会隔离、工作条件、家庭和他人滥用药物。约 18.4% 的参与者焦虑程度受损，41.6% 的参与者患有抑郁症，37.6% 对 CAGE 上的 2 个或更多问题回答“是”。社会孤立和工作条件与焦虑和抑郁症状相关。然而，社会孤立与焦虑的关系更为密切，工作条件与抑郁的关系也更为密切。结论：农场工作和农场工人生活方式固有的特定类别的压力源（社会隔离、工作条件）与移民农场工人的心理健康相关。隔离特定类别的压力源有助于设计预防和管理移民、农场工人心理健康障碍的方案和实践。
Context: The number of Latinos in rural regions of the United States is increasing. Little is known about factors that undermine the mental health of this segment of the rural population. Purpose: The goal of this study is to determine which stressors inherent in farmwork and the farmworker lifestyle contribute to poor mental health. Methods: An interview containing the Migrant Farmworker Stress Inventory (MFWSI) and 3 mental health scales (the PAI [anxiety], CES-D [depression], and CAGE/4M [alcohol abuse]) was administered to a sample of 125 male migrant farmworkers. Factor analysis differentiated discrete domains of stressors in the MFWSI. Regression models identified associations of the MFWSI stressor domains with mental health outcomes. Findings: Thirty-eight percent of participants had significant levels of stress as determined by the MFWSI. The MFWSI reduced to 5 stressor domains: legality and logistics, social isolation, work conditions, family, and substance abuse by others. Some 18.4% of participants had impairing levels of anxiety, 41.6% met caseness for depression, and 37.6% answered yes to 2 or more questions on the CAGE. Social isolation and working conditions were associated with both anxiety and depressive symptoms. However, social isolation was more strongly associated with anxiety, and working conditions were more strongly linked to depression. Conclusions: Specific categories of stressors (social isolation, working conditions) inherent in farmwork and the farmworker lifestyle are associated with mental health among immigrant farmworkers. Isolating specific categories of stressors helps in designing programs and practice for the prevention and management of mental health disorders in the immigrant, farmworker population.