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Original article

Vol. 155 No. 4 (2025)

Human flourishing in the context of farm characteristics and occupational hazards – Baseline findings from the FarmCoSwiss cohort

Cite this as:
Swiss Med Wkly. 2025;155:4135
Published
02.04.2025

Summary

INTRODUCTION AND OBJECTIVES: In Switzerland, little is known about farmers’ wellbeing. Based on cross-sectional baseline data from the Swiss agricultural health cohort FarmCoSwiss, we carried out a study to investigate farmers’ flourishing i.e. complete wellbeing and ability to thrive – to our knowledge, the first study worldwide to do so –, to descriptively compare it to the general population and to explore its association with farm characteristics and occupational hazards.

METHODS: Of 1480 self-registered adult farmers recruited as a Swiss-wide convenience sample, 947 individuals (63.9%) signed the informed consent form, and 872 answered the online questionnaire in German, French or Italian at baseline between November 2022 and August 2023. The questionnaire obtained information on, among others, the primary outcome flourishing as assessed by the Secure Flourish Index (SFI) with its six subdomains Happiness and life satisfaction, Mental and physical health, Meaning and purpose, Character and virtue, Close social relationships, and Financial and material stability, each assessed on a scale from 0 to 10. Participants additionally answered questions on the primary predictors farm characteristics and 20 pre-selected occupational hazards classified into five domains (physical, chemical, biological, psychosocial and environmental). Participants assessed the hazards in terms of exposure frequency (Likert scale from 1 to 5) and perceived health harmfulness (Likert scale from 1 to 4). First, farmer’s mean SFI was descriptively compared to mean SFI in the general adult population using the data of 7220 participants from the 2023 follow-up of the population-based COVCO-Basel cohort established in Basel-Stadt and Basel-Landschaft cantons. Second, zero-one inflated beta regression models were constructed to investigate the age- and sex-adjusted association of mean SFI values (overall; domain-specific) with the farming system (non-organic or organic), the production system (animal husbandry or crop cultivation), farm size (five categories) as well as the exposure to, and perception of, occupational hazards (sum of respective Likert scales).

RESULTS: Mean SFI values were between 7 and 8, in both FarmCoSwiss and COVCO-Basel. Descriptively comparing these two samples, farmers showed lower flourishing overall (7.44, SD = 1.41; COVCO: 7.70, SD = 1.30) and in the four domains Happiness and life satisfaction (7.39, SD = 1.87; COVCO: 7.91, SD = 1.55), Mental and physical health (7.03, SD = 1.73; COVCO: 7.68, SD = 1.53), Close social relationships (7.66, SD = 2.08; COVCO: 7.94, SD = 1.73) and Financial and material stability (7.06, SD = 2.45; COVCO: 7.33, SD = 2.69). Farmers reported being most frequently exposed to biological hazards (66.2% often/always exposed), but psychosocial hazards were perceived as the most harmful to health (51.9% judging them as rather/very harmful). Exposure to psychosocial hazards was negatively associated with overall flourishing and its six subdomains. In the domains Happiness and life satisfaction, Mental and physical health, and Meaning and purpose, organic farming was associated with higher flourishing. In the domain Close social relationships, organic farming was associated with lower flourishing. The largest association was observed for farm size. Farmers with the smallest farms (<5 ha) scored low in the Financial and material stability domain, with a decrease in mean SFI (logit scale) of 1 as compared to farmers with the largest farms (>50 ha).

CONCLUSION: Our findings suggest a potentially lower overall flourishing among farmers as compared to a sample from the general population, with small farm size and exposure to psychosocial hazards being of particular concern, but organic farming having potential benefits. The study underscores the need for longitudinal research of farmers’ wellbeing to maintain a thriving agricultural workforce.

References

  1. Jakob MC, Santa D, Holte KA, Sikkeland IJ, Hilt B, Lundqvist P. Occupational health and safety in agriculture - a brief report on organization, legislation and support in selected European countries. Ann Agric Environ Med. 2021 Sep;28(3):452–7. 10.26444/aaem/140197
  2. Duong TT, Brewer T, Luck J, Zander K. A global review of farmers’ perceptions of agricultural risks and risk management strategies. Agriculture. 2019;9(1):10. 10.3390/agriculture9010010
  3. Nordgren TM, Charavaryamath C. Agriculture occupational exposures and factors affecting health effects. Curr Allergy Asthma Rep. 2018 Oct;18(12):65. 10.1007/s11882-018-0820-8
  4. Leon ME, Beane Freeman LE, Douwes J, Hoppin JA, Kromhout H, Lebailly P, et al. AGRICOH: a consortium of agricultural cohorts. Int J Environ Res Public Health. 2011 May;8(5):1341–57. 10.3390/ijerph8051341
  5. Baumert BO, Fiedler N, Prapamontol T, Suttiwan P, Naksen W, Panuwet P, et al. Investigation of prenatal pesticide exposure and neurodevelopmental deficits in northern Thailand: protocol for a longitudinal birth cohort study. JMIR Res Protoc. 2022 Feb;11(2):e31696. 10.2196/31696
  6. Brew B, Inder K, Allen J, Thomas M, Kelly B. The health and wellbeing of Australian farmers: a longitudinal cohort study. BMC Public Health. 2016 Sep;16(1):988. 10.1186/s12889-016-3664-y
  7. Guillien A, Soumagne T, Dalphin JC, Degano B. COPD, airflow limitation and chronic bronchitis in farmers: a systematic review and meta-analysis. Occup Environ Med. 2019 Jan;76(1):58–68. 10.1136/oemed-2018-105310
  8. Park Y, Ahn C, Kim TH. Occupational and environmental risk factors of idiopathic pulmonary fibrosis: a systematic review and meta-analyses. Sci Rep. 2021 Mar;11(1):4318. 10.1038/s41598-021-81591-z
  9. Muñoz-Quezada MT, Lucero BA, Iglesias VP, Muñoz MP, Cornejo CA, Achu E, et al. Chronic exposure to organophosphate (OP) pesticides and neuropsychological functioning in farm workers: a review. Int J Occup Environ Health. 2016 Jan;22(1):68–79. 10.1080/10773525.2015.1123848
  10. Dhananjayan V, Ravichandran B. Occupational health risk of farmers exposed to pesticides in agricultural activities. Curr Opin Environ Sci Health. 2018;4:31–7. 10.1016/j.coesh.2018.07.005
  11. García J, Ventura MI, Requena M, Hernández AF, Parrón T, Alarcón R. Association of reproductive disorders and male congenital anomalies with environmental exposure to endocrine active pesticides. Reprod Toxicol. 2017 Aug;71:95–100. 10.1016/j.reprotox.2017.04.011
  12. Kachuri L, Harris MA, MacLeod JS, Tjepkema M, Peters PA, Demers PA. Cancer risks in a population-based study of 70,570 agricultural workers: results from the Canadian census health and Environment cohort (CanCHEC). BMC Cancer. 2017 May;17(1):343. 10.1186/s12885-017-3346-x
  13. Togawa K, Leon ME, Lebailly P, Beane Freeman LE, Nordby KC, Baldi I, et al. Cancer incidence in agricultural workers: findings from an international consortium of agricultural cohort studies (AGRICOH). Environ Int. 2021 Dec;157:106825. 10.1016/j.envint.2021.106825
  14. European Agency for Safety and Health at Work. Jones A, Jakob M, McNamara J. Review of the future of agriculture and occupational safety and health (OSH) – Foresight on new and emerging risks in OSH: Publications Office. 2020. https://data.europa.eu/doi/10.2802/769257
  15. Milner A, Spittal MJ, Pirkis J, LaMontagne AD. Suicide by occupation: systematic review and meta-analysis. Br J Psychiatry. 2013 Dec;203(6):409–16. 10.1192/bjp.bp.113.128405
  16. Daghagh Yazd S, Wheeler SA, Zuo A. Key risk factors affecting farmers’ mental health: A systematic review. Int J Environ Res Public Health. 2019 Dec;16(23):4849. 10.3390/ijerph16234849
  17. Truchot D, Andela M. Burnout and hopelessness among farmers: The Farmers Stressors Inventory. Soc Psychiatry Psychiatr Epidemiol. 2018 Aug;53(8):859–67. 10.1007/s00127-018-1528-8
  18. David L, Dambrun M, Harrington R, Streith M, Michaud A. Psychological and physical health of organic and conventional farmers: A review. Sustainability (Basel). 2021;13(20):11384. 10.3390/su132011384
  19. Nankongnab N, Kongtip P, Tipayamongkholgul M, Bunngamchairat A, Sitthisak S, Woskie S. Difference in accidents, health symptoms, and ergonomic problems between conventional farmers using pesticides and organic farmers. J Agromedicine. 2020 Apr;25(2):158–65. 10.1080/1059924X.2019.1607793
  20. Crawford JM, Hoppin JA, Alavanja MC, Blair A, Sandler DP, Kamel F. Hearing loss among licensed pesticide applicators in the agricultural health study. J Occup Environ Med. 2008 Jul;50(7):817–26. 10.1097/JOM.0b013e31816a8caf
  21. Choochouy N, Kongtip P, Chantanakul S, Nankongnab N, Sujirarat D, Woskie SR. Hearing loss in agricultural workers exposed to pesticides and noise. Ann Work Expo Health. 2019 Aug;63(7):707–18. 10.1093/annweh/wxz035
  22. Barneo-Alcántara M, Díaz-Pérez M, Gómez-Galán M, Carreño-Ortega Á, Callejón-Ferre ÁJ. Musculoskeletal disorders in agriculture: A review from web of science core collection. Agronomy (Basel). 2021;11(10):2017. 10.3390/agronomy11102017
  23. Mattila TE, Perkiö-Mäkelä M, Hirvonen M, Kinnunen B, Väre M, Rautiainen RH. Work exposures and mental and musculoskeletal symptoms in organic farming. Ergonomics. 2022 Feb;65(2):242–52. 10.1080/00140139.2021.1974102
  24. Khan KM, Baidya R, Aryal A, Farmer JR, Valliant J. Neurological and mental health outcomes among conventional and organic farmers in Indiana, USA. Ann Agric Environ Med. 2018 Jun;25(2):244–9. 10.26444/aaem/75113
  25. Cross P, Edwards RT, Hounsome B, Edwards-Jones G. Comparative assessment of migrant farm worker health in conventional and organic horticultural systems in the United Kingdom. Sci Total Environ. 2008 Feb;391(1):55–65. 10.1016/j.scitotenv.2007.10.048
  26. World Health Organization (WHO). Constitution. 1948; Available from: https://www.who.int/about/governance/constitution
  27. OECD. OECD Guidelines on Measuring Subjective Well-Being. Paris: OECD Publishing; 2013. Available from: https://www.oecd.org/en/publications/oecd-guidelines-on-measuring-subjective-well-being_9789264191655-en.html
  28. VanderWeele TJ. On the promotion of human flourishing. Proc Natl Acad Sci USA. 2017 Aug;114(31):8148–56. 10.1073/pnas.1702996114
  29. Doetzer J, Ammann P, Imboden M, Ingold K, Jeong A, Kaiser-Grolimund A, et al. Methods and exploratory findings of the first Swiss agricultural health cohort FarmCoSwiss. Sci Rep. 2025 Mar;15(1):10690. 10.1038/s41598-025-94440-0
  30. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009 Apr;42(2):377–81. 10.1016/j.jbi.2008.08.010
  31. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al.; REDCap Consortium. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019 Jul;95:103208. 10.1016/j.jbi.2019.103208
  32. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996 Mar;34(3):220–33. 10.1097/00005650-199603000-00003
  33. VanderWeele TJ, McNeely E, Koh HK. Reimagining Health-Flourishing. JAMA. 2019 May;321(17):1667–8. 10.1001/jama.2019.3035
  34. Hamilton K, White KM, Cuddihy T. Using a single-item physical activity measure to describe and validate parents’ physical activity patterns. Res Q Exerc Sport. 2012 Jun;83(2):340–5. 10.1080/02701367.2012.10599865
  35. Hsia J, Zhao G, Town M, Ren J, Okoro CA, Pierannunzi C, et al. Comparisons of Estimates From the Behavioral Risk Factor Surveillance System and Other National Health Surveys, 2011-2016. Am J Prev Med. 2020 Jun;58(6):e181–90. 10.1016/j.amepre.2020.01.025
  36. Swiss Federal Statistical Office. Schweizerische Gesundheitsbefragung 2022 - Telefonischer und schriftlicher Fragebogen. 2024; Available from: https://www.bfs.admin.ch/bfs/de/home/statistiken/gesundheit/erhebungen/sgb.assetdetail.28965074.html
  37. Cerletti P, Keidel D, Imboden M, Schindler C, Probst-Hensch N. The modifying role of physical activity in the cross-sectional and longitudinal association of health-related quality of life with physiological functioning-based latent classes and metabolic syndrome. Health Qual Life Outcomes. 2020 Oct;18(1):345. 10.1186/s12955-020-01557-z
  38. Keidel D, Vermes T, Witzig M, Jeong A, Galliker F, Tertemiz E, et al. COVCO-Basel-Corona Immunitas: Wissenschaftlicher Schlussbericht-Juli 2020 bis August 2021; 2021. Available from: https://edoc.unibas.ch/91375/
  39. Weziak-Bialowolska D, McNeely E, VanderWeele TJ. Flourish index and secure flourish index–validation in workplace settings. Cogent Psychol. 2019;6(1):1598926. 10.1080/23311908.2019.1598926
  40. Federal Office for Agriculture (FOAG). Instrumente: Direktzahlungen: Ökologischer Leistungsnachweis. 2024; Available from: https://www.blw.admin.ch/blw/de/home/instrumente/direktzahlungen/oekologischer-leistungsnachweis.html
  41. Federal Office for Agriculture (FOAG). Agrarbericht 2020: Anforderungen für Direktzahlungen. 2020; Available from: https://2020.agrarbericht.ch/de/politik/direktzahlungen/anforderungen-fuer-direktzahlungen
  42. IP-SUISSE. IP-SUISSE Bauern bauern für Generationen. 2024. Available from: https://www.ipsuisse.ch/konsumenten-2/ueber-uns-konsumenten/
  43. Alavanja MC. The Agricultural Health Study - Farmer Applicator Questionnaire; 1996.
  44. Ehlers JK, Connon C, Themann CL, Myers JR, Ballard T. Health and safety hazards associated with farming. AAOHN J. 1993 Sep;41(9):414–21. 10.1177/216507999304100902
  45. Fuchs A, Kouimintzis D, Neumann G, Kirch W. Health risks related to crop farming in Europe. J Public Health. 2007;15(4):233–44. 10.1007/s10389-007-0131-3
  46. Beratungsstelle für Unfallverhütung in der Landwirtschaft (BUL). Fachthemen Übersicht. 2024; Available from: https://www.bul.ch/fachthemen
  47. Brooks ME, Kristensen K, Van Benthem KJ, Magnusson A, Berg CW, Nielsen A, et al. glmmTMB balances speed and flexibility among packages for zero-inflated generalized linear mixed modeling. R J. 2017;9(2):378–400. 10.3929/ethz-b-000240890 doi: https://doi.org/10.32614/RJ-2017-066
  48. Jeong A, Galliker F, Imboden M, Keidel D, de Hoogh K, Vienneau D, et al. Residential exposure to greenspace and life satisfaction in times of COVID-19: a cross-sectional analysis of 9444 participants from a population-based study in Basel-Stadt and Basel-Landschaft. Swiss Med Wkly. 2022 Jul;152(2728):w30204. 10.4414/smw.2022.w30204 doi: https://doi.org/10.4414/SMW.2022.w30204
  49. Sattler S, Wilkinson R, Lee MT. A brief measure of complete subjective well-being in Germany: A population-based validation of a German version of the Flourish Index (FI) and the Secure Flourish Index (SFI). PLoS One. 2023 Nov;18(11):e0284892. 10.1371/journal.pone.0284892
  50. Deegan A, Dunne S. An investigation into the relationship between social support, stress, and psychological well-being in farmers. J Community Psychol. 2022 Sep;50(7):3054–69. doi: https://doi.org/10.1002/jcop.22814
  51. Rudolphi JM, Cuthbertson C, Kaur A, Sarol J. A Comparison between Farm-Related Stress, Mental Health, and Social Support between Men and Women Farmers. Int J Environ Res Public Health. 2024 May;21(6):684. doi: https://doi.org/10.3390/ijerph21060684
  52. Steen NA, Krokstad S, Torske MO. A Cross-Sectional Study of Farmer Health and Wellbeing in Norway: the HUNT Study (2017-2019). J Agromedicine. 2023 Oct;28(4):809–20. 10.1080/1059924X.2023.2229840
  53. Danuser B, Weber C, Künzli N, Schindler C, Nowak D. Respiratory symptoms in Swiss farmers: an epidemiological study of risk factors. Am J Ind Med. 2001 Apr;39(4):410–8. 10.1002/ajim.1032
  54. Strassmann A, Kaufmann M, Dressel H, Turk A, Röösli M, de Hoogh K, et al.; Swiss National Cohort study group. Occupational exposure and the risk of airway obstruction and mortality. Int J Public Health. 2020 Jul;65(6):823–33. 10.1007/s00038-020-01400-8
  55. Hounsome B, Edwards RT, Hounsome N, Edwards-Jones G. Psychological morbidity of farmers and non-farming population: results from a UK survey. Community Ment Health J. 2012 Aug;48(4):503–10. 10.1007/s10597-011-9415-8
  56. Steck N, Junker C, Bopp M, Egger M, Zwahlen M. Time trend of suicide in Swiss male farmers and comparison with other men: a cohort study. Swiss Med Wkly. 2020 May;150(2122):w20251. 10.4414/smw.2020.20251
  57. Reissig L, Crameri A, von Wyl A. Prevalence and predictors of burnout in Swiss farmers–Burnout in the context of interrelation of work and household. Ment Health Prev. 2019;14:200157. 10.1016/j.mph.2019.200157
  58. Lunner Kolstrup C, Kallioniemi M, Lundqvist P, Kymäläinen HR, Stallones L, Brumby S. International perspectives on psychosocial working conditions, mental health, and stress of dairy farm operators. J Agromedicine. 2013;18(3):244–55. 10.1080/1059924X.2013.796903
  59. Contzen S, Häberli I. Exploring dairy farmers’ quality of life perceptions–A Swiss case study. J Rural Stud. 2021;88:227–38. 10.1016/j.jrurstud.2021.11.007
  60. Lu X, Xie X, Liu L. Inverted U-shaped model: how frequent repetition affects perceived risk. Judgm Decis Mak. 2015;10(3):219–24. 10.1017/S1930297500004629
  61. Peres F, Rodrigues KM, da Silva Peixoto Belo MS, Moreira JC, Claudio L. Design of risk communication strategies based on risk perception among farmers exposed to pesticides in Rio de Janeiro State, Brazil. Am J Ind Med. 2013 Jan;56(1):77–89. 10.1002/ajim.22147
  62. Ferrer R, Klein WM. Risk perceptions and health behavior. Curr Opin Psychol. 2015 Oct;5:85–9. 10.1016/j.copsyc.2015.03.012
  63. Slovic P. Perception of risk. science. 1987;236(4799):280-5. doi: https://doi.org/10.1126/science.3563507
  64. Dey M, Jorm AF. Social determinants of mental health service utilization in Switzerland. Int J Public Health. 2017 Jan;62(1):85–93. 10.1007/s00038-016-0898-5
  65. Hagen BN, Sawatzky A, Harper SL, O’Sullivan TL, Jones-Bitton A. “Farmers Aren’t into the Emotions and Things, Right?”: A Qualitative Exploration of Motivations and Barriers for Mental Health Help-Seeking among Canadian Farmers. J Agromedicine. 2022 Apr;27(2):113–23. 10.1080/1059924X.2021.1893884
  66. Schweizerischer Bäuerinnen- und Landfrauenverband (SBLV). Prävention und Hilfsangebote. 2024; Available from: https://www.landfrauen.ch/praevention-und-hilfsangebote/
  67. Verband Thurgauer Landwirtschaft. Wenn alles zu viel wird...sind wir für Sie da! 2023; Available from: https://vtgl.ch/wp-content/uploads/2023/12/Wenn-alles-zu-viel-wird.-.-sind-wir-fuer-Sie-da.pdf
  68. Schweizer Radio und Fernsehen (SRF). Depressionen bei Bauern - Wie der Thurgau Bauern mit psychischen Problemen helfen will. 2023; Available from: https://www.srf.ch/news/schweiz/depressionen-bei-bauern-wie-der-thurgau-bauern-mit-psychischen-problemen-helfen-will
  69. Gunn KM, Skaczkowski G, Dollman J, Vincent AD, Short CE, Brumby S, et al. Combining Farmers’ Preferences With Evidence-Based Strategies to Prevent and Lower Farmers’ Distress: Co-design and Acceptability Testing of ifarmwell. JMIR Hum Factors. 2022 Jan;9(1):e27631. 10.2196/27631
  70. Riley M. Still being the ‘good farmer’:(non‐) retirement and the preservation of farming identities in older age. Sociol Ruralis. 2016;56(1):96–115. 10.1111/soru.12063
  71. Mzoughi N. Do organic farmers feel happier than conventional ones? An exploratory analysis. Ecol Econ. 2014;103:38–43. 10.1016/j.ecolecon.2014.04.015
  72. Hutter HP, Poteser M, Lemmerer K, Wallner P, Kundi M, Moshammer H, et al. Health Symptoms Related to Pesticide Use in Farmers and Laborers of Ecological and Conventional Banana Plantations in Ecuador. Int J Environ Res Public Health. 2021 Jan;18(3):1126. 10.3390/ijerph18031126
  73. Kongtip P, Nankongnab N, Tipayamongkholgul M, Bunngamchairat A, Yimsabai J, Pataitiemthong A, et al. A Cross-Sectional Investigation of Cardiovascular and Metabolic Biomarkers among Conventional and Organic Farmers in Thailand. Int J Environ Res Public Health. 2018 Nov;15(11):2590. 10.3390/ijerph15112590
  74. Uematsu H, Mishra AK. Organic farmers or conventional farmers: where’s the money? Ecol Econ. 2012;78:55–62. 10.1016/j.ecolecon.2012.03.013
  75. Brigance C, Soto Mas F, Sanchez V, Handal AJ. The Mental Health of the Organic Farmer: Psychosocial and Contextual Actors. Workplace Health Saf. 2018 Dec;66(12):606–16. 10.1177/2165079918783211
  76. David L, Streith M, Michaud A, Dambrun M. Organic and Conventional Farmers’ Mental Health: A Preliminary Study on the Role of Social Psychological Mediators. Sustainability (Basel). 2024;16(5):1926. 10.3390/su16051926
  77. Marais J, Eiselen R. Organic agriculture: the trade-off between financial and non-financial benefits. Journal of Economic and Financial Sciences. 2016;9(1):106–19. 10.4102/jef.v9i1.32
  78. Rissing A, Jackson-Smith D, Inwood S, Woods T. Farm households and the elusiveness of social sustainability: contrasting the emotional registers of organic and conventional producers. J Rural Stud. 2023;102:103074. 10.1016/j.jrurstud.2023.103074
  79. Orsini S, Padel S, Lampkin N. Labour use on organic farms: a review of research since 2000 [doi.]. Org Farming. 2018;4(1):7–15. doi: https://doi.org/10.12924/of2018.04010007
  80. Federal Statistical Office (BfS). Statistiken finden - Land-und Forstwirtschaft - Landwirtschaft - Strukturen. 2023; Available from: https://www.bfs.admin.ch/bfs/de/home/statistiken/land-forstwirtschaft/landwirtschaft/strukturen.html
  81. Deutscher Bauernverband (DBV). Strukturen und Strukturentwicklung im EU-Vergleich. 2017; Available from: https://www.bauernverband.de/themendossiers/strukturwandel/themendossier/strukturen-und-strukturentwicklung-im-eu-vergleich
  82. Rada NE, Fuglie KO. New perspectives on farm size and productivity. Food Policy. 2019;84:147–52. 10.1016/j.foodpol.2018.03.015
  83. World Bank. Food security update. 2024; Available from: https://thedocs.worldbank.org/en/doc/40ebbf38f5a6b68bfc11e5273e1405d4-0090012022/related/Food-Security-Update-CVI-May-30-2024.pdf
  84. Probst-Hensch N, Bochud M, Chiolero A, Crivelli L, Dratva J, Flahault A, et al. Swiss Cohort & Biobank - The White Paper. Public Health Rev. 2022 Dec;43:1605660. 10.3389/phrs.2022.1605660
  85. Swiss Farmers’ Union (SBV). Frauen in der Landwirtschaft. 2017; Available from: https://www.sbv-usp.ch/de/schlagworte/frauen-in-der-landwirtschaft