title: Farmer health and adaptive capacity in the face of climate change and variability. Part 1: Health as a contributor to adaptive capacity and as an outcome from pressures coping with climate related adversities.
abstract: This paper examines the role farmers' health plays as an element of adaptive capacity. The study examines which of twenty aspects of adaptation may be related to overall health outcomes, controlling for demographic and on-farm-factors in health problems. The analysis is based on 3,993 farmers' responses to a national survey of climate risk and adaptation. Hierarchical linear regression modelling was used examine the extent to which, in a multivariate analysis, the use of adaptive practices was predictively associated with self-assessed health, taking into account the farmer's rating of whether their health was a barrier to undertaking farm work. We present two models, one excluding pre-existing health (model 1) and one including pre-existing health (model 2). The first model accounted for 21% of the variance. In this model better health was most strongly predicted by an absence of on-farm risk, greater financial viability, greater debt pressures, younger age and a desire to continue farming. Social capital (trust and reciprocity) was moderately associated with health as was the intention to adopt more sustainable practices. The second model (including the farmers' health as a barrier to undertaking farm work) accounted for 43% of the variance. Better health outcomes were most strongly explained, in order of magnitude, by the absence of pre-existing health problems, greater access to social support, greater financial viability, greater debt pressures, a desire to continue farming and the condition of on-farm resources. Model 2 was a more parsimonious model (only nine predictors, compared with 15 in model 1), and explained twice as much variance in health outcomes. These results suggest that (i) pre-existing health problems are a very important factor to consider when designing adaptation programs and policies and (ii) these problems may mediate or modify the relationship between adaptation and health.
authors.affiliation: Centre for Research and Action in Public Health, The University of Canberra, University Drive, Bruce, ACT 2601, Australia. helen.berry@canberra.edu.au
authors.forename: Helen L
authors.initials: HL
authors.lastname: Berry
authors.forename: Anthony
authors.initials: A
authors.lastname: Hogan
authors.forename: Suan Peng
authors.initials: SP
authors.lastname: Ng
authors.forename: Anne
authors.initials: A
authors.lastname: Parkinson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000383:Agriculture; D001294:Attitude to Health; D001315:Australia; D057231:Climate Change; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006304:Health Status; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D012423:Rural Health; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
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