Socio-Economic and Occupational Variations in Cardiovascular Risk Among Irish Male Livestock Farmers: Baseline...

Irish farmers are recognized as a high-risk group for premature cardiovascular disease (CVD) mortality compared to other occupation groups. To better characterize CVD risk within farming subpopulations, there is a need for real-world data examining socio-demographic, economic, and occupational determinants of cardiovascular risk.

This study reports baseline data from health checks and face-to-face questionnaire capturing socio-demographic and farm characteristics from the Farmers Have Hearts - Cardiovascular Health Program. Farmers were recruited at livestock marts, where live cattle are sold and bought through bidding and predominantly visited by beef farmers, and agri-branches, local retail outlets linked to agribusinesses, commonly visited by dairy farmers. Descriptive statistics characterized the sample, and regression analysis was performed with and without recruitment venue to examine its influence on associations between socio-demographic and cardiovascular risk factors.

Most farmers had a higher cardiovascular risk, with 74.0% having ≥4 CVD risk factors. Mart-recruited farmers had a significantly higher prevalence of multiple risk factors compared to agri-branch-recruited farmers (79.3% vs 68.8%). This disparity aligned with distinct socio-demographic profiles, as mart-recruited farmers were more likely to be older, single, have lower educational attainment, and operate smaller farms. Including recruitment venue in regression models changed associations between education and low HDL-C and between age and smoking, reflecting contextual influences beyond individual factors.

This study demonstrates that cardiovascular risk is unequally distributed among Irish farmers, with mart-recruited farmers carrying a higher burden. Socio-demographic and occupational differences captured by recruitment venue influence cardiovascular risk, emphasizing the need for targeted health interventions, and agricultural health policy.