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. 2011 Dec;46(12):1331-42.
doi: 10.1007/s00127-010-0305-0. Epub 2010 Nov 3.

Determinants of mental health and well-being within rural and remote communities

Brian J Kelly  1 , Terry J Lewin, Helen J Stain, Clare Coleman, Michael Fitzgerald, David Perkins, Vaughan J Carr, Lyn Fragar, Jeffrey Fuller, David Lyle, John R Beard
Affiliations

Determinants of mental health and well-being within rural and remote communities

Brian J Kelly et al. Soc Psychiatry Psychiatr Epidemiol. 2011 Dec.

Abstract

Background: The individual and contextual factors influencing current mental health and well-being within rural communities are poorly understood.

Methods: A stratified random sample of adults was drawn from non-metropolitan regions of NSW, Australia. One-quarter (27.7%) of the 2,639 respondents were from remote/very remote regions. An aggregate measure of current well-being was derived from levels of distress and related impairment (Kessler-10 LM), self-reported overall physical and mental health, functioning, satisfaction with relationships, and satisfaction with life. Multivariate methods investigated the contributions to current well-being of demographic/dispositional factors, recent events and social support, individual exposure to rural adversity, and district/neighbourhood level characteristics.

Results: Respondents from very remote regions tended to be younger and have lower education. Univariate associations were detected between well being and exposure to rural adversity (greater drought-related worry, lower perceived service and support availability, greater number of years living in the current district). Multivariate analysis (n = 2,462) accounted for 41% of the variance in well-being scores. The major contributing variables were dispositional factors (trait neuroticism, marital status), recent adverse events and indices of social support. However, no additional effects were detected for district-level variables (drought severity, regional socioeconomic categorisation, population change). Similar associations were detected using the K-10 alone as the outcome measure.

Conclusions: The chief determinants of current well being were those reflecting individual level attributes and perceptions, rather than district-level rural characteristics. This has implications for strategies to promote well being within rural communities through enhancing community connectedness and combating social isolation in the face of major adversities such as drought.

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References

    1. Int J Epidemiol. 2008 Oct;37(5):941-7 - PubMed
    1. BMC Med Res Methodol. 2008 Nov 03;8:71 - PubMed
    1. Can J Psychiatry. 2005 Dec;50(14):926-36 - PubMed
    1. Aust J Rural Health. 2008 Apr;16(2):56-66 - PubMed
    1. Soc Sci Med. 2004 Dec;59(11):2303-12 - PubMed

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