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Community Mental Health Journal

, Volume 48, Issue 4, pp 503–510 | Cite as

Psychological Morbidity of Farmers and Non-farming Population: Results from a UK Survey

  • Barry Hounsome
  • Rhiannon T. Edwards
  • Natalia Hounsome
  • Gareth Edwards-Jones
Original Paper

Abstract

The relatively high rate of suicide among UK farmers suggests that they may suffer greater mental health problems than the general population. This paper provides a comparison of the psychological morbidity of farmers and their partners/spouses with non-farmers. The General Health Questionnaire (GHQ-12) was administered using face-to-face interviews with 784 attendees of agricultural shows in the UK. Results show that GHQ-12 scores for farmers and their partners/spouses were significantly higher (P < 0.001) than those for the non-farming population, indicating higher psychological morbidity among farmer families. Approximately 35% of farmers had scores 12 and higher (recommended cut-off for psychiatric disorders), compared to 27% of non-farmers. Within the farmers group, male respondents, those aged from 45 to 64, self-employed or not in paid employment, having a non-supervisory position and living in a rural area were characterized by higher mean GHQ-12 scores compared to correspondent subgroups from the non-farming population.

Keywords

Farmer health GHQ-12 Rural health Mental health Wales 

References

  1. Belyea, M. J., & Labao, L. M. (1990). Psychological consequences of agricultural transformation: the farm crisis and depression. Rural Sociology, 55, 58–75.CrossRefGoogle Scholar
  2. Boulanger, S., Deaville, J., Randall-Smith, J., & Wynn-Jones, J. (1999a). Farm suicide in rural Wales—a review of the services in Powys and Ceredigion. Powys: Institute of Rural Health.Google Scholar
  3. Boulanger, S., Gilman, A., & Deaville, J. (1999b). Farmers’ stress survey. Powys: Institute of Rural Health.Google Scholar
  4. Bowling, A. (1997). Measuring health: a review of quality of life measurement scales (2nd ed.). Buckingham and Philadelphia: Open University Press.Google Scholar
  5. BHPS, British Household Panel Survey. (2010). http://www.iser.essex.ac.uk/survey/bhps. Accesses 6 Aug 2010.
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
  7. Das, A. (2009). Farmers’ suicide in India: implications for public mental health. International Journal of Social Psychiatry. Epub ahead of print, doi: 10.1177/0020764009103645.
  8. DEFRA, Department for Environment, Food and Rural Affairs. (2010a). Sustainable Farming and Food Strategy—indicator data sheet. http://www.defra.gov.uk/evidence/statistics/foodfarm/general/indicators/documents/c704.pdf. Accessed 6 Aug 2010.
  9. DEFRA, Department for Environment, Food and Rural Affairs. (2010b). Statistics Digest 2008 http://www.defra.gov.uk/evidence/statistics/foodfarm/farmmanage/earningshours/documents/StatsDigest2008.pdf. Accessed 6 August 2010.
  10. Eisner, C. S., Neal, R. D., & Scaife, B. (1998). Depression and anxiety in farmers. Primary Care Psychiatry, 4, 101–105.Google Scholar
  11. Fraser, C. E., Smith, K. B., Judd, F., Humphreys, J. S., Fragar, L. J., & Henderson, A. (2005). Farming and mental health problems and mental illness. International Journal of Social Psychiatry, 51, 340–349.PubMedCrossRefGoogle Scholar
  12. Freeman, S. A., Schwab, C. V., & Jiang, Q. (2008). Quantifying stressors among Iowa farmers. Journal of Agricultural Safety and Health, 14, 431–439.PubMedGoogle Scholar
  13. Fuller, J. D., Kelly, B., Law, S., Pollard, G., & Fragar, L. (2009). Service network analysis for agricultural mental health. BMC Health Services, 9, 87.CrossRefGoogle Scholar
  14. Gasson, R., Crow, G., Errington, A., Hutson, J., Marsden, T., & Winter, D. M. (1988). The farm as a family business: a review. Journal of Agricultural Economics, 39, 1–41.CrossRefGoogle Scholar
  15. Goldberg, D., & Williams, P. (1988). A user’s guide to the general health questionnaire. Basingstoke: NferNelson Publishing Company.Google Scholar
  16. Hawton, K., Simkin, S., Malmberg, A., Fagg, J., & Harriss, L. (1998). Suicide and stress in farmers. London: TSO.Google Scholar
  17. Holi, M. M., Marttunen, M., & Aalberg, V. (2003). Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population. Nordic Journal of Psychiatry, 57, 233–238.PubMedCrossRefGoogle Scholar
  18. Hu, Y., Stewart-Brown, S., Twigg, L., & Weich, S. (2007). Can the 12-item general health questionnaire be used to measure positive mental health? Psychological Medicine, 37, 1005–1013.PubMedCrossRefGoogle Scholar
  19. Judd, F., Jackson, H., Fraser, C., Murray, G., Robins, G., & Komiti, A. (2006). Understanding suicide in Australian farmers. Social Psychiatry and Psychiatric Epidemiology, 41, 1–10.PubMedCrossRefGoogle Scholar
  20. McDowell, I. (2006). Measuring health: a guide to rating scales and questionnaires (3rd ed.). New York: Oxford University Press.Google Scholar
  21. McGregor, M., Willock, J., & Deary, I. (1995). Farmer stress. Journal of Farm Management, 9, 59–65.Google Scholar
  22. Murphy, H., & Lloyd, K. (2007). Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom: a population study using the British household panel survey and the Northern Ireland household panel survey. International Journal of Social Psychiatry, 53, 397–407.PubMedCrossRefGoogle Scholar
  23. Murphy, H., & Lloyd, K. (2009). Gender as a risk factor in minor psychiatric morbidity in the United Kingdom. The Internet Journal of Epidemiolog, 6, 2.Google Scholar
  24. National Assembly for Wales. (2001). Farming for the future. Cardiff: National Assembly for Wales.Google Scholar
  25. Navarro, P., Ascaso, C., Garcia-Esteve, L., Aguado, J., Torres, A., & Martín-Santos, R. (2007). Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools. General Hospital Psychiatry, 29, 1–7.PubMedCrossRefGoogle Scholar
  26. Nishimura, M., Terao, T., Soeda, S., Nakamura, J., Iwata, N., & Sakamoto, K. (2004). Suicide and occupation: further supportive evidence for their relevance. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 28, 83–87.PubMedCrossRefGoogle Scholar
  27. O’Connor, D. W., & Parslow, R. A. (2010). Mental health scales and psychiatric diagnoses: responses to GHQ-12, K-10 and CIDI across the lifespan. Journal of Affective Disorders, 121, 263–267.PubMedCrossRefGoogle Scholar
  28. Office for National Statistics. (2010). Annual Abstract of Statistics. http://www.statistics.gov.uk/statbase/product.asp?vlnk=94. Accessed 6 Aug 2010.
  29. Olff, M., Koeter, M. W., Van Haaften, E. H., Kersten, P. H., & Gersons, B. P. (2005). Impact of a foot and mouth disease crisis on post-traumatic stress symptoms in farmers. The British Journal of Psychiatry, 186, 165–166.PubMedCrossRefGoogle Scholar
  30. Ortega, S. T., Johnson, D. R., Beeson, P. G., & Craft, B. J. (1994). The farm crisis and mental health: a longitudinal study of the 1980 s. Rural Sociology, 59, 598–619.CrossRefGoogle Scholar
  31. Peck, D. F., Grant, S., McArthur, W., & Godden, D. (2002). Psychological impact of foot-and-mouth disease on farmers. Journal of Mental Health, 11, 523–531.CrossRefGoogle Scholar
  32. Politi, P. L., Piccinelli, M., & Wilkinson, G. (1994). Reliability, validity and factor structure of the 12-item General Health Questionnaire among young males in Italy. Acta Psychiatrica Scandinavica, 90, 432–437.PubMedCrossRefGoogle Scholar
  33. Prajapati, B., Dunne, M., & Armstrong R. (2010). Sample size estimation and statistical power analyses. Optometry Today, 16/07.Google Scholar
  34. Saarni, S. I., Saarni, E. S., & Saarni, H. (2008). Quality of life, work ability, and self employment: a population survey of entrepreneurs, farmers, and salary earners. Occupational and Environmental Medicine, 65, 98–103.PubMedCrossRefGoogle Scholar
  35. Sartore, G. M., Kelly, B., Stain, H., Albrecht, G., & Higginbotham, N. (2008). Control, uncertainty, and expectations for the future: a qualitative study of the impact of drought on a rural Australian community. Rural and Remote Health, 8, 950.PubMedGoogle Scholar
  36. Schulman, M. D., & Armstrong, P. S. (1989). The farm crisis: an analysis of social psychological distress among North Carolina farm operators. American Journal of Community Psychology, 17, 423–441.PubMedCrossRefGoogle Scholar
  37. Shelton, N. J., & Herrick, K. G. (2009). Comparison of scoring methods and thresholds of the General Health Questionnaire-12 with the Edinburgh Postnatal Depression Scale in English women. Public Health, 123, 789–793.PubMedCrossRefGoogle Scholar
  38. Sher, L. (2006). Alcohol consumption and suicide. QJM: An International Journal of Medicine, 99, 57–61.CrossRefGoogle Scholar
  39. SHeS, Scottish Health Survey. (2010). (http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/scottish-health-survey. Accessed 6 Aug 2010.
  40. Stark, C., Gibbs, D., Hopkins, P., Belbin, A., Hay, A., & Selvaraj, S. (2006). Suicide in farmers in Scotland. Rural and Remote Health, 6, 509.PubMedGoogle Scholar
  41. Sturgeon, R., & Morrissette, P. J. (2010). A qualitative analysis of suicide ideation among Manitoban farmers. Canadian Journal of Counselling and Psychotherapy, 44, 2.Google Scholar
  42. The UK Met Office (2010). UK climate and weather statistics. http://www.metoffice.gov.uk/weather/uk/climate.html. Accessed 6 Aug 2010.
  43. Thomas, H. V., Lewis, G., Thomas, D. R., Salmon, R. L., Chalmers, R. M., Coleman, T. J., et al. (2003). Mental health of British farmers. Occupational and Environmental Medicine, 60, 181–185.PubMedCrossRefGoogle Scholar
  44. Winefield, A. H., & Jarrett, R. (2001). Occupational stress in university staff. International Journal of Stress Management, 8, 285–298.CrossRefGoogle Scholar
  45. WHO, World Health Organization. (2010). Suicide. http://www.who.int/topics/suicide/en/. Accessed 6 Aug 2010.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Barry Hounsome
    • 1
  • Rhiannon T. Edwards
    • 1
  • Natalia Hounsome
    • 1
  • Gareth Edwards-Jones
    • 2
  1. 1.Centre for Health Economics and Medicines Evaluation, Institute of Medical and Social Care ResearchBangor UniversityBangor, GwyneddUK
  2. 2.School of Environment, Natural Resources and GeographyBangor UniversityBangor, GwyneddUK

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