農民健康行為對健康狀況之影響

Abstract

本研究旨在探討農民健康狀況與農作收成間的關聯性，分析自覺健康程度、就醫行為及其對健康保險參與意願之影響，並評估現行健康促進措施之接受度與不足處，進而提出改善建議。研究以新竹地區經營稻作代耕與代收服務逾十年之S公司為合作對象，運用其近二年所蒐集之農戶資料，進行問卷調查與實證分析。 統計結果顯示，農民是否曾有痠痛經驗與其健康自評分數呈現顯著負相關，顯示痠痛為健康風險指標中最敏感之變項；其他如吸菸、飲酒、教育程度等變數則未顯示統計顯著性。在農業生產層面中，年齡與是否曾發生職業傷害對收成量具負向影響，顯示勞動力衰退與健康事件將影響農業生產力。整體模型之調整後決定係數雖不高，但已能提供健康與農業產出關係之初步實證基礎。 研究結果可作為農業健康政策與保險制度調整之參考依據，促進農民參與健康保險與職災保障之意願，同時提供政策建議以強化農村健康促進介入與服務可近性，有助於農業勞動力之永續發展與農村整體福祉之提升。

This study aims to investigate the relationship between farmers’ health conditions and agricultural productivity. It analyzes self-perceived health status, medical-seeking behavior, and their influence on the willingness to participate in health insurance. In addition, the study evaluates the acceptance and limitations of current health promotion measures, and further proposes recommendations for improvement. The research is conducted in collaboration with Company S, which has been engaged in rice cultivation and harvesting services in the Hsinchu region for over a decade. Data collected from local farmers over the past two years were used for questionnaire surveys and empirical analysis.

Statistical results indicate a significant negative correlation between the experience of musculoskeletal pain and farmers’ self-rated health scores, suggesting that pain is the most sensitive health risk indicator. Other variables such as smoking, alcohol consumption, and educational attainment showed no statistically significant effects. In terms of agricultural productivity, age and the occurrence of occupational injuries had a negative impact on yield, implying that physical decline and health incidents affect farm output. Although the adjusted R-squared of the overall model is not high, it provides an empirical basis for understanding the link between health and agricultural performance.

The findings serve as a reference for the adjustment of agricultural health policies and insurance systems. They support increased participation in health insurance and occupational injury protection among farmers, and offer policy suggestions to strengthen rural health promotion and service accessibility. These efforts are essential for the sustainable development of the agricultural workforce and the overall well-being of rural communities.