Cited by 126Mental Health Treatment and AccessGender Roles and Identity StudiesPsychology and Mental Health

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Mental health problems in rural contexts: What are the barriers to seeking help from professional providers?

Jackson, Henry, Judd, Fiona, Komiti, Angela, Fraser, Caitlin, Murray, Greg, Robins, Garry, Pattison, Philippa, Wearing, Alex·2007·Australian Psychologist

DOI 10.1080/00050060701299532

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Abstract

The aim of this review was to determine which sociodemographic, illness-related and psychological/attitudinal factors impact on a person's decision to seek help and the factors associated with attitudes to help-seeking in rural contexts. A computer search of the literature for 1990 – 2006 using the terms “help-seeking” and “mental” found 350 studies. Examination of the abstracts by one of the authors (AK) identified 20 relevant studies, which we review under two major headings: those papers dealing with help-seeking studies not specific to (but which may have included) rural settings; and a second group of studies conducted specifically in rural locations or that directly compared rural with urban locations. A number of factors were found consistently to be predictive of both mental health utilisation and attitudes toward formal help-seeking. They included sociodemographic factors such as gender, age, and marital status; illness-related factors such as having a mental disorder, comorbidity, and psychological distress; and, to a much lesser extent, psychological/attitudinal factors, including stigma, stoicism, and self-efficacy. Psychological/attitudinal factors have been poorly investigated compared to sociodemographic and illness-related variables and are worthy of further investigation. Their impact and value may vary according to location. Proposed herein is the development of a comprehensive framework that has emerged from the health and place literature as one way of understanding barriers to accessing mental health care.

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Authors: Jackson, H., Judd, F., Komiti, A., Fraser, C., Murray, G., Robins, G., Pattison, P., & Wearing, A.
Affiliations: The University of Melbourne (AU)
Bendigo Health (AU)
Swinburne University of Technology (AU)
Department of Psychology, School of Behavioural Science, University of Melbourne
ORCID: Jackson, Henry
Komiti, Angela
Fraser, Caitlin
Murray, Greg
Robins, Garry
Pattison, Philippa
Venue: Australian Psychologist
Publisher: Informa UK Limited
Published: 2007-06-01
Volume: 42
Issue: 2
Pages: 147-160
ISSN: 0005-0067 (ISSN-L)
1742-9544
DOI: 10.1080/00050060701299532
OpenAlex: W2153509658
Cited by: 125
References: 40
Citations by year: 2026: 1 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 10 · 2020: 11 · 2019: 7 · 2018: 3 · 2017: 10 · 2016: 8 · 2015: 7 · 2014: 5 · 2013: 10 · 2012: 8
FWCI: 7.34
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1342 d)
Locations: Australian Psychologist (publishedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Gender Studies › Gender Roles and Identity Studies
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: help-seeking, mental health, rural mental health, barriers to care, help-seeking attitudes, sociodemographic factors, psychological distress, mental health stigma, Stoicism, self-efficacy, comorbidities, urban-rural differences, place and health

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Mental health problems in rural contexts: What are the barriers to seeking help from professional providers?

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