Identifying stressors and coping resources among Austrian farmers: A mixed-methods study for targeted prevention and health promotion

OBJECTIVE: Farmers face elevated mental health risks due to complex occupational stressors. This study examines subjectively perceived burdens and coping resources among Austrian farmers to inform targeted prevention. METHODS: An anonymous online survey conducted in Austria (October 2024-February 2025) included a sample of 2006 farmers. Two open-ended questions were analyzed using qualitative content analysis to identify categories of burdens and coping resources. These were subsequently analyzed using multivariable binary logistic regression models with sociodemographic, occupational, and mental health variables as predictors. RESULTS: Farmers reported a multifaceted stress experience, with professional (36.3%) and financial burdens (21.1%) most frequently mentioned. Social contacts (30.9%) and personal resources and competencies (19.6%) emerged as the main coping resources. Regression analyses revealed distinct risk and coping profiles: professional burdens were associated with higher age and anxiety symptoms, while familial and interpersonal burdens were more likely among women, younger farmers, and those with depression or problematic alcohol use. Notably, reporting no coping resources was associated with older age and clinically relevant anxiety symptoms. CONCLUSIONS: The findings provide an evidence base for targeted, multi-level preventive interventions aimed at reducing mental health risks and strengthening coping resources in agricultural populations.