medRxiv PreprintsInternational29 October 2026
The agrarian imperative as the foundation for how farmers and ranchers diagnosed with alpha-gal syndrome find meaning in their experience: A mixed methods approach
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The agrarian imperative is the drive of agricultural workers to use their land to provide for their families and communities, even when the environment is hazardous and success is often out of their control. Alpha-gal syndrome (AGS), an emerging tickborne allergy to mammalian derived products, is challenging the agrarian imperative by impacting the workers ability to maintain their operation. This study aimed to characterize farmers and ranchers experiences after receiving an AGS diagnosis related to their land and their work. Using the framework of the agrarian imperative theory and a mixed m
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