Rurality and mental health: an Australian primary care study
Open accessAbstract
INTRODUCTION: Until recently, there has been a significant gap in the literature exploring the issues of the mental health needs for rural communities in Australia. In this study we investigated the prevalence of diagnosable psychological disorders in both a rural and a non-rural primary care sample in far north Queensland, Australia. METHOD: In a previous study we had screened some 300 GP attendees, on a number of sociodemographic variables and measures of psychological wellbeing, from four rural GP practices and one regional GP practice. Of these, 130 participants agreed to further follow up. In this study, 118 of the participants were selected and contacted by phone to complete the Composite International Diagnostic Interview-Short Form (CIDI-SF). The CIDI-SF diagnosis was then analysed in relation to the sociodemographic indicators that had previously been collected. RESULTS: The prevalence of diagnosable mental health disorders in the rural sample was found to be higher in comparison with the regional urban sample. The sociodemographic factors of rural residence, gender, and length of residence were associated with having a CIDI-SF diagnosis. CONCLUSION: Although there were a number of methodological limitations to this study, there did appear to be a significant relationship between rural location and the likelihood of receiving a CIDI-SF diagnosis. Why this might be the case is not clear, and we consider a number of explanations, but our finding suggests that further research in mental health should consider the issue of rurality as a key feature to be explored.
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Rural areas have a prevalence of mental health problems at least as high as metropolitan areas.
“There is evidence that the prevalence of mental health problems in rural areas is at least as high as among metropolitan residents 1,2”
From Internet-based mental health programs: A powerful tool in the rural medical kit (2007) · cites this paper as [2]
The Abstract reports a higher prevalence of diagnosable mental health disorders among rural GP attendees than among attendees at a regional urban practice. It does not compare rural residents with metropolitan residents generally, and it cautions that earlier rural–urban studies had mixed findings. (LLM, conf=0.86)
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- Authors
- Campbell, A., Manoff, T., & Caffery, J.
- Affiliations
- James Cook University (AU)
- Venue
- Rural and Remote Health
- Publisher
- Rural and Remote Health
- Published
- 2006-08-31
- Volume
- 6
- Issue
- 3
- Pages
- 595-595
- ISSN
- 1445-6354 (ISSN-L)
- OpenAlex
- W2396649099
- Cited by
- 17
- References
- 0
- Citations by year
- 2020: 2 · 2019: 1 · 2018: 3 · 2015: 1 · 2014: 2
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Rural and Remote Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ResearchOnline at James Cook University (James Cook University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- rurality, mental health, rural mental health, prevalence of mental disorders, primary care, urban-rural differences, sociodemographic factors, gender differences, length of residence, Far North Queensland
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Female, Health Surveys, Humans, Male, Mental Health, Middle Aged, Personal Satisfaction, Primary Health Care, Quality of Life, Queensland, Residence Characteristics, Risk Factors, Rural Health, Socioeconomic Factors, Urban Health, Prevalence, Logistic Models, Sex Distribution
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