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Health and aging in elderly farmers: the AMI cohort

However, variation in need in smaller areas within HRRs, such as the Primary Care Service Areas (PCSAs), has been documented – which means that small local area shortages of physicians may still exist [18]. One study finds that policies aimed at increasing physician supply in rural areas have been successful [24]. Another finds that international medical graduates (IMGs) have disproportionately located in U.S. counties of greatest need, compared to U.S. medical graduates [25]. Other literature examines the importance of non-physician clinicians in health care [26,27]. States with the highest ratios of non-physician clinicians (nurse practitioners, physician assistants, and advanced practice nurses) to physicians were also the most rural. All things considered, the very recent. | Pérès et al. BMC Public Health 2012 12 558 http www.biomedcentral.eom 1471-2458 12 558 BMC Public Health STUDY PROTOCOL Open Access Health and aging in elderly farmers the AMI cohort I r A 1 9 I A A I 1 9 A A I A I All 19 9 4 I I IA A 191 1 11 rx I I 1 9 Karine Pérès1 2 Fanny Matharan Michèle Allard2 3 4 Hélène Amieva1 2 Isabelle Baldi1 2 11 2 Rarm IT 2 5 Icsuk iCillo R XI ir ol-h l rr-bí ccr rí2 6 7 r o iliCi Plol TM Irf1 2 Pascale Baibeigei Gateau valéiie Beigua Isabelle Bouidel Iviaichasson Cecile Delcouit 1.2 289 2.10 2 5 1.2 Alexandra Foubert-Samier Annie Fourrier-Reglat Maryse Gaimard Sonia Laberon Cecilia Maubaret 1 5 1 2 2 6 2 5 1 2 Viiginie Postal Chantal Chantal Muriel Rainiiay Nicole Rascle and Jean Fiaiiyois Daitigues Abstract Background The health of the agricultural population has been previously explored particularly in relation to the farming exposures and among professionally active individuals. However few studies specifically focused on health and aging among elders retired from agriculture. Yet this population faces the long-term effects of occupational exposures and multiple difficulties related to living and aging in rural area limited access to shops services and practitioners . However these difficulties may be counter-balanced by advantages related to healthier lifestyle richer social support and better living environment. The general aim of the AMI cohort was to study health and aging in elderly farmers living in rural area through a multidisciplinary approach with a main focus on dementia. Methods design The study initially included 1 002 participants randomly selected from the Farmer Health Insurance rolls. Selection criteria were being 65 years and older living in rural area in Gironde South-Western France being retired from agriculture after at least 20 years of activity and being affiliated to the Health Insurance under own name. The study started in 2007 with two follow-up visits over 5 years. Baseline visits were conducted at home .