Predictors of Depressive Symptoms in Older Rural Couples: The Impact of Work, Stress and Health

Rayens, Mary Kay; Reed, Deborah B.

doi:10.1111/jrh.12028

Cited by 36 publications

(34 citation statements)

References 53 publications

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“…Rather, the TWH approach advocates for a holistic understanding of the factors that contribute to worker wellbeing. Scientific evidence now supports what many workers have long suspected: that risk factors in the workplace can contribute to health problems previously considered unrelated to work (i.e., work-related risk factors for obesity (Champagne et al, 2012;Luckhaupt, Cohen, Li, & Calvert, 2014), sleep disorders (Caruso, 2014) Calvert, 2014) and depression (Arcury, Grzywacz, Chen, Mora, & Quandt, 2014;Rayens & Reed, 2014;Wulsin, Alterman, Bushnell, Li, & Shen, 2014). To reiterate, the TWH approach integrates workplace interventions that protect safety and health with activities that advance the overall well-being of workers.…”

Section: • • Twh Is Not a Collection Of Health Promotion Effortsmentioning

confidence: 89%

Total Worker Health®

Schill

Chosewood

2016

Workplace Health Saf

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Program, we read the Campbell and Burns article titled "Total Worker Health Implications for the Occupational Health Nurse" published in the July issue with great interest. We are delighted that TWH resonates so strongly with many of our stakeholders, especially occupational health nurses, who, we believe, play a critically important role in the health of working Americans. Therefore, we take this opportunity to more fully describe TWH concepts and expand upon four points to more fully inform all Journal readers about TWH efforts at NIOSH. First, TWH is not synonymous with wellness programs. This misunderstanding has been so common that recently (July 2015) the definition of TWH was revised to more clearly distinguish the TWH approach from that of wellness programs that focus primarily on worker health-related behaviors. The revised definition is, A Total Worker Health® (TWH) approach is defined as policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being.

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Section: • • Twh Is Not a Collection Of Health Promotion Effortsmentioning

confidence: 89%

Total Worker Health®

Schill

Chosewood

2016

Workplace Health Saf

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“…Farmers have reported workload and time constraints, uncertainty in job and financial markets, governmental involvement, physical isolation, family conflicts, and succession of the farm as a few of the stressors that impact their mental health (Truchot & Andela, ). Additional factors that may contribute to depressive symptoms include work patterns, satisfaction with farm work, and overall health (Rayens & Reed, ).…”

Section: Discussionmentioning

confidence: 99%

Poor sleep quality is associated with obesity and depression in farmers

Hawes

Wiggins

Reed

et al. 2019

Public Health Nursing

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Background Farmers’ work schedules can result in inconsistent sleep patterns which negatively impact health. Purpose To explore the relationships between sleep, obesity, and depression in working, older farmers and their spouses. Covariates included body mass index (BMI), age, and gender. Methods Sleep quality, BMI, and depression were assessed in farmers (n = 1,394) 50 years and older. Bivariate associations among all covariates (i.e., age, gender, BMI, sleep) and dependent variable (i.e., depression) were analyzed using Pearson's correlation. Multivariable associations of the Center for Epidemiologic Studies Depression Scale (CESD). BMI with other study variables were assessed using linear regression. Results BMI was positively associated with sleep apnea symptoms (p ≤ 0.0001) and CESD scores (p = 0.0006). Participants with difficulty falling asleep were more likely to have poor sleep quality (p ≤ 0.0001) and higher CESD scores (p ≤ 0.0001). Poor sleep quality was associated with higher CESD scores (p ≤ 0.0001). Increased age, female gender, higher BMI, sleep apnea symptoms, and poorer sleep quality were all predictive of higher depressive symptoms. Discussion Farmers have unique lifestyles that increase the risk of poor sleep. Screening for sleep pattern disruption and understanding its impact could result in lower rates of depression and obesity in this group of high‐risk individuals.

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“…44 Our study found that farmers' perceived threatened independence contributed to suicidality. 44 Stress management has been posited as important for older farm couples, 45 while integrating mental health care into primary care has been suggested as an effective strategy for identifying and treating older people with physical conditions and suicidality. 44 Similarly observed by Creighton and colleagues, 9 maladaptive coping responses among farmers were identified, with self-medicating indicated.…”

Section: Discussionmentioning

confidence: 99%