Research trends in farmers’ mental health: A scoping review of mental health outcomes and interventions among farming populations worldwide

Autoři: Briana N. M. Hagen aff001;  Ashley Albright aff001;  Jan Sargeant aff001;  Charlotte B. Winder aff001;  Sherilee L. Harper aff001;  Terri L. O’Sullivan aff001;  Andria Jones-Bitton aff001
Působiště autorů: Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada aff001;  Centre for Public Health and Zoonoses, University of Guelph, Guelph, Ontario, Canada aff002;  School of Public Health, University of Alberta, Edmonton, Alberta, Canada aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article



Mental health issues among farmers are identified population health concerns. While one systematic review focused on suicide in farming populations in the United States, there have been no scoping studies examining mental health in farming communities worldwide. The objectives of this scoping review were to: provide a descriptive analysis of the literature pertaining to mental health outcomes in farming populations; describe the international scope of the research; and highlight published mental health services and interventions that have been evaluated.


Following Arksey and O’Malley’s scoping review framework, five major health and science platforms were used to identify studies examining mental health outcomes in farming populations, worldwide. Studies that met a priori inclusion criteria that were published prior to December 31, 2017 were included in this review. Data synthesis and descriptive statistics were conducted using STATA 15® software; proportions were calculated by country.


The initial literature search yielded 9,906 records. After title and abstract screening, 676 articles were reviewed in-full. Of these, 341 met a priori inclusion criteria. Studies included were conducted between 1979 and 2017; the majority (265; 77.7%) were published between 2002–2017. The most frequently measured outcomes were stress (41.9%), suicide (33.1%), and depression (32.6%). Over 70% of studies that examined stress described using quantitative research methods, most predominantly, cross-sectional designs (42.7%). Approximately 64% of studies that measured suicide reported using a quantitative approach; the largest proportion of included suicide studies (33.6%) described using cohort designs. Approximately 84% of studies that measured depression described using quantitative approaches; sixty percent of these studies reported using a cross-sectional study design. Twenty included studies described a mental health service or intervention (5.9%).


This scoping review provides a critical overview of the literature examining mental health outcomes in farming populations worldwide. Given the importance of farming and agriculture, this review can be used to ensure future research complements existing work, avoids unnecessary overlap, and begins to tackle the less-studied mental health outcomes amongst farmers. These results can guide researchers to identified gaps in research and services, leading to a more informed approach to future work, and ultimately, a more comprehensive understanding of mental health among farmers worldwide.

Klíčová slova:

Agricultural workers – Agriculture – Database searching – Depression – Farms – Mental health and psychiatry – Psychological stress – Suicide


1. Demos K., Sazakli E., Jelastopulu E., Charokopos N., Ellul J. and Leotsinidis M., “Does farming have an effect on health status? A comparison study in West Greece,” Int. J. Environ. Res. Public Health, vol. 10, no. 3, pp. 776–792, 2013. doi: 10.3390/ijerph10030776 23442558

2. Carvajal S. C. et al., “Stress and sociocultural factors related to health status among US-Mexico border farmworkers,” J. Immigr. Minor. Heal., vol. 16, no. 6, pp. 1176–1182, 2014.

3. Linn J. G. and Husaini B. A., “Determinants of psychological depression and coping behaviors of Tennessee farm residents,” J. Community Psychol., vol. 15, no. 4, pp. 503–512, 1987.

4. Olson K. R. and Schellenberg R. P., “Farm stressors,” Am. J. Community Psychol., vol. 14, no. 5, pp. 555–569, 1986. doi: 10.1007/bf00935358 3799552

5. Chaney B. H. and Torres E., “Covariates of identified stress and depression among seasonal farmworkers,” Int. J. Environ. Res. Public Health, vol. 14, no. 7, 2017.

6. Gorgievski-Duijvesteijn M., Giesen C. and Bakker A., “Financial problems and health complaints among farm couples: Results of a 10-year follow-up study,” J. Occup. Health Psychol., vol. 5, no. 3, pp. 359–373, 2000. doi: 10.1037//1076-8998.5.3.359 10912499

7. Andrade S. B., Anneberg I. and Andrade S. B., “Farmers under pressure: analysis of the social conditions of cases of animal neglect,” J. Agric. Environ. Ethics, vol. 27, no. 1, pp. 103–126, 2014.

8. McIntyre B., Herren H., Wakhungu J. and Watson R., “Agriculture at a crossroads: International assessment of agricultural knowledge,” 2009.

9. World Health Organization, “Mental health: New understanding, new hope,” World Health Organization, 2001.

10. Fraser C. E., Smith K. B., Judd F., Humphreys J. S., Fragar L. J. and Henderson A., “Farming and mental health problems and mental illness,” Int. J. Soc. Psychiatry, vol. 51, no. 4, pp. 340–349, 2005. doi: 10.1177/0020764005060844 16400909

11. Klingelschmidt J. et al., “Suicide among agricultural, forestry, and fishery workers: A systematic literature review and meta-analysis,” Scand. J. Work. Environ. Heal., vol. 44, no. 1, pp. 3–15, 2018.

12. Mościcki E. K., “Identification of suicide risk factors using epidemiologic studies,” Psychiatr. Clin. North Am., vol. 20, no. 3, pp. 499–517, Sep. 1997. doi: 10.1016/s0193-953x(05)70327-0 9323310

13. Arksey H. and O’Malley L., “Scoping studies: towards a methodological framework,” Int. J. Soc. Res. Methodol. Theory Pract., vol. 8, no. 1, pp. 19–32, 2005.

14. Tricco A. C. et al., “PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation,” Ann. Intern. Med., vol. 169, no. 7, p. 467, Oct. 2018. doi: 10.7326/M18-0850 30178033

15. Boydell K. M., Hodgins Bed M., Pignatiello A., Teshima Bsc J., Rn H. E. and Willis D., “Using Technology to Deliver Mental Health Services to Children and Youth: A Scoping Review,” J Can Acad Child Adolesc Psychiatry, vol. 23, no. 2, pp. 87–99, 2014. 24872824

16. Ahmad F., Jhajj A. K., Stewart D. E., Burghardt M. and Bierman A. S., “Single item measures of self-rated mental health: a scoping review,” vol. 14, no. 398, 2014.

17. Wei Y., Mcgrath P. J., Hayden J. and Kutcher S., “Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review,” BMC Psychiatry, vol. 15, no. 291, 2015.

18. Seko Y., Kidd S., Wiljer D. and McKenzie K., “Youth Mental Health Interventions via Mobile Phones: A Scoping Review,” Cyberpsychology, Behav. Soc. Netw., vol. 17, no. 9, pp. 591–602, Sep. 2014.

19. Rowan M. et al., “Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study,” Subst. Abuse Treat. Prev. Policy, vol. 9, no. 1, p. 34, Sep. 2014.

20. Kennedy A. J., Versace V. L. and Brumby S. A., “Research protocol for a digital intervention to reduce stigma among males with a personal experience of suicide in the Australian farming community,” BMC Public Health, vol. 16, no. 1, p. 1204, 2016. doi: 10.1186/s12889-016-3874-3 27899094

21. Brumby S. and Smith A., “‘Train the trainer’ model: implications for health professionals and farm family health in Australia,” J. Agromedicine, vol. 14, no. 2, pp. 112–118, 2009. doi: 10.1080/10599240902772563 19437266

22. Brumby S. A., Willder S. J. and Martin J., “The sustainable farm families project: changing attitudes to health,” Rural Remote Health, vol. 9, no. 1, p. 1012, 2009. 19292570

23. Hart C. R., Berry H. L. and Tonna A. M., “Improving the mental health of rural New South Wales communities facing drought and other adversities,” Aust. J. Rural Health, vol. 19, no. 5, pp. 231–238, 2011. doi: 10.1111/j.1440-1584.2011.01225.x 21933364

24. Fuller J. et al., “Use of social network analysis to describe service links for farmers’ mental health,” Aust. J. Rural Health, vol. 15, no. 2, pp. 99–106, 2007. doi: 10.1111/j.1440-1584.2007.00861.x 17441818

25. Anderson D., “Enduring drought then coping with climate change: lived experience and local resolve in rural mental health.,” Rural Soc., vol. 19, no. 4, pp. 340–352, 2009.

26. Polain J. D., Berry H. L. and Hoskin J. O., “Rapid change, climate adversity and the next ‘big dry’: Older farmers’ mental health,” Aust. J. Rural Health, vol. 19, no. 5, pp. 239–243, 2011. doi: 10.1111/j.1440-1584.2011.01219.x 21933365

27. Hossain D., Gorman D., Eley R. and Coutts J., “Value of mental health first aid training of advisory and extension agents in supporting farmers in rural Queensland,” Rural Remote Health, vol. 10, no. 4, p. 1593, 2010. 21105751

28. Brew B., Inder K., Allen J., Thomas M. and Kelly B., “The health and wellbeing of Australian farmers: a longitudinal cohort study,” BMC Public Health, vol. 16, p. 988, 2016. doi: 10.1186/s12889-016-3664-y 27634298

29. Robinson T. et al., “Clinical leadership in rural psychiatry: farmers’ mental health and well-being.,” Aust. J. Rural Health, vol. 17, no. 5, pp. 284–285, 2009. doi: 10.1111/j.1440-1584.2009.01093.x 19785684

30. Crockett J. A., Hart L. and Greig J., “Assessment of the efficacy and performance of the New South Wales rural mental health support line,” Aust. J. Rural Health, vol. 17, no. 5, pp. 282–283, 2009. doi: 10.1111/j.1440-1584.2009.01092.x 19785683

31. Perceval M., Fuller J. and Holley A.-M., “Farm-Link,” Int. J. Ment. Health, vol. 40, no. 2, pp. 88–110, 2011.

32. May J. J., “The Farm Partners program: addressing the problem of occupational stress in agriculture.,” J. agromedicine., vol. 5, no. 2, pp. 39–48, 1998.

33. Rosmann M. R., “Sowing the seeds of hope: providing regional behavioral health supports to the agricultural population,” J. Agric. Saf. Health, vol. 11, no. 4, pp. 431–439, 2005. doi: 10.13031/2013.19722 16381164

34. Schwantes M., Mckinney C. and Hannibal N., “Music therapy’s effects on levels of depression, anxiety, and social isolation in Mexican farmworkers living in the United States: a randomized controlled trial,” Arts Psychother., vol. 41, no. 1, pp. 120–126, 2014.

35. Schweitzer R. A., Deboy G. R., Jones P. J. and Field W. E., “AgrAbility mental/behavioral health for Farm/ranch families with disabilities,” J. Agromedicine, vol. 16, no. 2, pp. 87–98, 2011. doi: 10.1080/1059924X.2011.554766 21462021

36. Gerrard N., “An application of a community psychology approach to dealing with farm stress,” Can. J. Commun. Ment. Health, vol. 19, no. 2, pp. 89–100, 2000. doi: 10.7870/cjcmh-2000-0017 11381740

37. Walsh M., “A nurse practitioner-led farmers’ health service: setting up and evaluating a UK project,” Aust. J. Rural Health, vol. 8, no. 4, pp. 214–217, 2000. doi: 10.1046/j.1440-1584.2000.00288.x 11894287

38. Travasso C., “Maharashtra government launches mental health programme to reduce suicide in farmers,” BMJ, Sep. 2015.

39. Glass N., Perrin N. A., Kohli A. and Remy M. M., “Livestock/animal assets buffer the impact of conflict-related traumatic events on mental health symptoms for rural women,” PLoS One, vol. 9, no. 11, pp. 1–16, 2014.

40. Jones-Bitton A., “London Swine Conference: where research neets production,” in Mental wellness amongst our agricultural producers: where are we, and where do we go from here?, 2017, pp. 97–100.

41. Schweitzer R. A., Deboy G. R., Jones P. J. and Field W. E., “AgrAbility mental/behavioral health for farm/ranch families with disabilities,” J. Agromedicine, vol. 16, no. 2, pp. 87–98, 2011. doi: 10.1080/1059924X.2011.554766 21462021

42. Prina S., “Who Benefited More from the North American Free Trade Agreement: Small or Large Farmers? Evidence from Mexico,” Rev. Dev. Econ., vol. 17, no. 3, pp. 594–608, Aug. 2013.

43. Larue B., “The implications of GATT and NAFTA on the future of supply management programs in Canadian agriculture,” Can. J. Agric. Econ. Can. d'agroeconomie, vol. 42, no. 4, pp. 451–461, Dec. 1994.

44. Williamson P. R. et al., “The COMET Handbook: version 1.0,” Trials, vol. 18, no. S3, p. 280, Jun. 2017.

45. Kallioniemi M. K., Simola A., Kaseva J. and Kymäläinen H. R., “Stress and burnout Among Finnish dairy farmers,” J. Agromedicine, vol. 21, no. 3, pp. 259–268, 2016. doi: 10.1080/1059924X.2016.1178611 27081893

46. Spence Laschinger R N H. K., Leiter D M. P., Day D A. P., Gilin D D. P. and Heather Spence Laschinger C. K., “Workplace empowerment, incivility, and burnout: impact on staff nurse recruitment and retention outcomes,” J. Nurs. Manag., vol. 17, pp. 302–311, 2009. doi: 10.1111/j.1365-2834.2009.00999.x 19426367

47. Reed D. B., Rayens M. K., Conley C. K., Westneat S. and Adkins S. M., “Farm elders define health as the ability to work,” Workplace Health Saf., vol. 60, no. 8, pp. 345–351, 2012. doi: 10.3928/21650799-20120716-49 22823476

48. Sheldon K., Frederickson B., Rathunde K. and Csikszentmihalyi M., “Positive psychology manifesto,” 2000.

49. Friedli L., “Mental health, resilience and inequalities,” 2009.

50. Gerrard N., “An application of a community psychology approach to dealing with farm stress,” Can. J. Commun. Ment. Health, vol. 19, no. 2, pp. 89–100, 2000. doi: 10.7870/cjcmh-2000-0017 11381740

51. Gulliver A., Griffiths K. M. and Christensen H., “Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review,” BMC Psychiatry, vol. 10, no. 113, 2010.

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