@article{ref1,
title="Understanding farmers' barriers to health and mental health-related help-seeking: the development, factor structure, and reliability of the Farmer Help-Seeking Scale",
journal="Journal of rural health",
year="2023",
author="Skaczkowski, Gemma and Hull, Melissa and Smith, Ashleigh E. and Dollman, James and Jones, Martin and Gunn, Kate M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The aim of this research was to develop a contextually and culturally appropriate scale to assess farmers' barriers to health-related help-seeking. <br><br>METHODS: An initial pool of items was developed from the academic literature and input from an expert panel of farmers, rural academics, and rural clinicians. A draft 32-item questionnaire was then developed and sent to farmers registered with FARMbase, which is an Australian national farmer database. <br><br>FINDINGS: Two hundred and seventy-four farmers completed the draft questionnaire (93.7% male, 73.7% aged 56-75 years). An exploratory factor analysis identified 6 factors; &quot;Health Issues are a Low Priority,&quot; &quot;Concerns about Stigma,&quot; &quot;Structural Health System Barriers,&quot; &quot;Minimization and Normalization,&quot; &quot;Communication Barriers,&quot; and &quot;Continuity of Care.&quot;. Test-retest reliability was examined with a further 10 farmers (90% male, Mean age = 57, SD = 5.91), who completed the questionnaire twice (at 2- to 3-week intervals). <br><br>RESULTS indicated moderate-good test-retest reliability. <br><br>CONCLUSIONS: The resulting 24-item Farmer Help-Seeking Scale provides a measure of help-seeking that is specifically designed to capture the unique context, culture, and attitudes that can interfere with farmers' help-seeking, and inform the development of strategies to increase health-service utilization in this at-risk group.<p /> <p>Language: en</p>",
language="en",
issn="0890-765X",
doi="10.1111/jrh.12768",
url="http://dx.doi.org/10.1111/jrh.12768"
}