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The purpose of this study was threefold: (1) to measure farmers' health poverty, (2) to examine the effect of health vulnerability on health poverty and (3) to identify countermeasures that may alleviate health poverty in rural China.

This study built a health poverty measurement model based on the multi-dimensional poverty framework to evaluate farmers' health vulnerability. Further, this paper used an econometric model to assess the impact of health vulnerability on health poverty. The sample for this study comprised 1,115 rice farmers from Hubei province, China.

The medical affordability poverty ratio was 17.95%, where farmers in the low-income group faced severe medical affordability poverty (27.46%). Results from the multi-dimensional analysis showed that, the health poverty ratios were 17.95 and 30.50%, respectively. Our results indicated that climate change vulnerabilities, living habits, medical facilities and medical accessibility were positively related to health poverty, whereas the regular physical examinations reduced mental health poverty.

Based on this study's findings, we proposed that: (1) to address illness-induced poverty among members of the agricultural community, national and provincial strategies and programs grounded on a multi-dimensional health poverty framework ought to be formulated and implemented, (2) mechanisms of health knowledge exchange may facilitate the improvement of farmers' health status, (3) robust and comprehensive metrics should be employed to understand and improve farmers' ability to absorb and mitigate the negative health impacts and (4) the improvement in both quality and quantity for medical facilities and medical affordability in the rural areas should be key priorities in governmental-wide initiatives.

Existing studies for alleviating poverty caused by disease mainly focus on medical service support to those economic vulnerabilities after a disease happens. However, few studies have focused on the root causes of poverty caused by disease, particularly from the preventive perspective of health vulnerability. To fill this gap, this study, therefore, proposes the health poverty index and analyzes the impact of health vulnerability on health poverty.

The purpose of this study is trying to document and examine the impacts of pesticide use on farmers' health. Different from previous studies, the paper is not only going to focus on the visible effect, but also the invisible effect. At the same time, the paper is going to divided the pesticides into highly toxic and low toxic pesticides and estimate their different impacts on farmers' health, respectively.

This paper uses regression techniques based on a farm household survey gathered by the authors in Zhejiang provinces. In addition to a sit‐down interview with 100 households, the authors gave a comprehensive physical examination and a blood examination to farmers who applied pesticides most frequently in each household.

This paper indicates that farmers who spray more pesticides are more likely to have headache, nausea and skin problems. Beside these visible effects, this paper also finds that exposure to pesticides has significant invisible impact on farmers' neurological, liver and kidney systems.

This, it is believed, is one of the first comprehensive studies to give comprehensive physical examination and blood examination to farmers who applied pesticides most frequently in each household.

This study contributes to the understanding of the health effects of pesticides exposure and of how pesticides have been and should be regulated.

This study presents literature reviews for the period 2000–2013 on (i) the health effects of pesticides and on (ii) preference valuation of health risks related to pesticides, as well as a discussion of the role of benefit-cost analysis applied to pesticide regulatory measures.

This study indicates that the health literature has focused on individuals with direct exposure to pesticides, i.e. farmers, while the literature on preference valuation has focused on those with indirect exposure, i.e. consumers. The discussion highlights the need to clarify the rationale for regulating pesticides, the role of risk perceptions in benefit-cost analysis, and the importance of inter-disciplinary research in this area.

This study relates findings of different disciplines (health, economics, public policy) regarding pesticides, and identifies gaps for future research.

The purpose of this paper is to explore the meaning of quality of life of elderly tobacco farmers in the perspective of agricultural nursing.

This was a qualitative study with a descriptive phenomenological design conducted in rural area of Jember from November until December 2013. Seven elderly tobacco farmers participated in this study by purposive sampling technique. Data were collected through semi-structured in-depth interview and analyzed by using a qualitative descriptive method.

Six themes emerged from data analysis included physical condition, psychological condition, activity level, social relationships, environmental condition and worship activities.

The role of agricultural health nurses should be optimized to improve quality of life of elderly farmers by promoting the health status of elderly farmers and the health of workplace environment.

Elderly tobacco farmers reported decreased health and decreased energy and vitality. Tobacco farming was considered giving heavy workload, especially during harvest season. Participants were still actively participating in activities conducted in the community and eagerly doing worship activities. The environment conditions were described as the easiness of transportation, affordability of health care facilities, safe environment and tobacco storage effects during harvest season.

Occupational health promotion programmes targeting the Indonesian agricultural farmers (AFs) are limited. This action research aimed to involve the AFs in the research and development of community-based occupational health promotion (COHP) programme, which is tailored to meet their perceived needs for preventing health problems related to occupational workplace.

This study employed the qualitative action research approach. The participants (n = 136) were farmers from seven regions in the rural areas of East Java, Indonesia. The COHP was examined from public health centres (PHCs) in seven regions through eight steps, including recognition, analyses, planning, communication, preparation, implementation, evaluation and continuity of programme, for eight weeks. Data were collected through focus group interviews and examined using qualitative content analysis.

The findings revealed that the participants not only lacked health status but were also required to promote a comprehensive programme for occupational health and safety. The health problems of AFs were identified as the lack of nutrition and high blood pressure, which are related to un-ergonomic condition during work, limited use of personal protective equipment, high stress and workload. The lack of support for AF groups to prevent health problems and to access health services was a key theme for all the participants. Therefore, self-help group as social support was designed to solve the health problems among AFs.

The COHP, through action research, provided a change strategy for AFs to manage and promote occupational health and safety within their practice. The study findings could be used in the development of a framework for PHCs in delivering occupational health and safety practices in the agricultural sectors.

The study purposes were to investigate the knowledge, attitude and practice of pesticide use and to determine the levels of serum cholinesterase among rice farmers in Nakhon Nayok province, Thailand.

A cross-sectional study was carried out in communities in Nakhon Nayok Province, Thailand. Multistage random sampling was employed, selecting one person per each rice farmer household. Data was collected from 188 rice farmers using a structured face-to-face interview questionnaire. A reactive-paper finger-blood test was used to determine SChE levels. Chi-square test was used to determine the relationship between the practice of pesticide use and SChE levels.

The results indicated that the rice farmers had a fairly good knowledge and a neutral attitude toward the practice of pesticide use. Most of the respondents had a fairly proper practice of pesticide use. However, serum cholinesterase levels of the farmers were unsafe and risky. It signified that 68.1% of the farmers had a health risk from using pesticides. The prevalence of abnormal SChE levels among rice farmers with improper use was significantly higher than that among rice farmers who had a proper use.

The result provided a guideline for operational planning and control and prevention of health effects from pesticides use in farmers or other agriculturists who use pesticides in cultivation.

Concerned local agencies especially health-related agencies are able to conduct a training to educate and build safety awareness including monitoring continuously the safety behaviors toward pesticides use. It can be implemented by establishing leaders from health promoting hospitals led by village health volunteers, community leaders and participation from farmers to collaboratively monitor proper use of pesticides beginning with health surveillance in the abnormal SChE group to be screened for pesticide exposure every six months or one year.

Farmers gained knowledge and understanding of pesticides use and used it properly, which resulted in a reduction of pesticide residues in body as well as in the environment. In addition, the government policy should legislate measures for related agencies to promote proper use of pesticides. For instance, Department of Agriculture, Minister of Agriculture and Cooperatives should regularly supervise, monitor and inspect the production and distribution of pesticides in local shops and also systematically encourage agriculturists to adopt using pesticides that are less harmful.

Having knowledge, understanding and proper practices toward pesticides use, farmers can reduce health effects of pesticides use in themselves and family members.

Farmers' exposure to pesticides is high in developing countries. As a result many farmers suffer from ill‐health, both short and long term. Deaths are not uncommon. Seeks to address this issue.

Field survey data from Sri Lanka are used to estimate farmers' expenditure on defensive behaviour (DE) and to determine factors that influence DE. The avertive behaviour approach is used to estimate the costs. Tobit regression analysis is used to determine factors that influence DE.

Field survey data show that farmers' expenditures on DE are low. This is inversely related to high incidence of ill health among farmers using pesticides.

The results of this study are useful, not only for Sri Lanka, but also for many countries in South Asia, Africa and Latin America in reducing the current high levels of direct exposure to pesticides among farmers and farm workers using hand sprayers. Farmers' exposure to pesticides is a major occupational health hazard in these countries.

The purpose of this paper is to examine the factors believed to influence the behavior of 1,042 rice farmers in Malaysia regarding the overuse of pesticides. Frequent overuse of pesticide will have an impact on human health and the environment, which lead to greater expenditure on health care.

The theoretical models of compliance behavior tested include the basic deterrence model, which focuses on the enforcement of regulation as a key determinant of compliance. The models integrate economic theory with theories of social behavior to account for motivations expected, influencing individuals’ decisions on whether to follow the regulation on using pesticides.

Significance tests reported that the information regarding the danger of using pesticides, the perception toward the impact on the environment and the expected impact on health influences the compliance behavior of using pesticides.

These findings highlight the necessity for the policy makers to design an effective program which gives more information and provide training related to the risk and the safe handling of pesticides.

The farmers who receive information and training related to handling of pesticides become more cautious in the use of pesticides. Countries involved in agriculture and the use of pesticides widely by their farmers need to emphasize continuous training and periodic information dissemination.

The implication drawn is rice farmers should be encouraged to practice new methods in rice planting, especially in the integrated pest management method.

These research findings suggest that the overuse of pesticides in the rice farming continues to be an important problem.

The social safety net of health care insurance is rapidly expanding in rural China. New Rural Cooperative Medical System (NRCMS) programs proliferated between the national decree of 2002 and 2008, moving from a situation where less than 10 per cent of the rural population had access to health insurance to one where over 80 per cent had the opportunity to participate in these programs. The purpose of this paper is to investigate how NRCMS affects equity goals in access to health care and explore the gender‐specific determinants for farmers to participate in NRCMS and use health care services.

Empirical analysis, by using the national rural socio‐economic survey data collected by the Centre for Chinese Agricultural Policy, Chinese Academy of Sciences in 2005. Based on Andersen's access to medical care model, the probit model for regression was used. All analyses are conducted with Stata 9.0 software.

Gender was found to have significant effects on both NRCMS participation and health care use. Age, education, deductible level and ceiling limits of reimbursement had positive effects on both NRCMS participation and health care use. The narrow coverage with high co‐payment compensation system asserted significant deterrence effects on equity access to health care. This is only a first step toward building an adequate health safety net for all rural residents, there is still a long way to go.

Using the national household survey data, this study is one of few studies focusing on the interplay between gender and the distinct determinants of access to health care under the ongoing NRCMS. The relevant findings have important implications for further policy design.

The purpose of this paper is to ascertain if practising healthy lifestyles improves the technical efficiency of farms in Kwara state, Nigeria. In theory, all deviations from the optimum level of output are due to random effects and inefficiency of producers in which their health plays a key part and is dependent on the kind of lifestyle practiced whether healthy or unhealthy.

Cross-sectional data were employed through a three-staged sampling technique to pick 320 arable crop farmers across the state using a well-defined questionnaire. Data analysis was carried out using descriptive statistics, healthy lifestyles index (HLI), stochastic production frontier (SPF) and propensity score matching (PSM).

First, the analysis showed that about one-third of the sampled arable crop farmers practised healthy lifestyles. Second, the average technical efficiency of arable crop production for farmers who practised a healthy lifestyle was 0.893, and the level of technical inefficiency of the farms was determined by health-related lifestyle status, number of day's illness and educational level. Third, technical efficiency was improved by 0.00431067 for farms whose farmers practised a healthy lifestyle.

Rather than seeing that technical efficiencies of farms are attributed to farm characteristics, inputs used and socioeconomic characteristics alone, the findings suggest that technical inefficiencies of arable crop farmers were also due to the kind of lifestyle practised, which was evidenced in the increased efficiency for farmers who practised healthy lifestyle.

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-05-2023-0353