Rurality and mental health: the role of accessibility

作者: Angela Komiti , Garry Robins , Gene Hodgins , Fiona Judd , Caitlin Fraser

DOI: 10.1111/J.1440-1614.2004.01426.X

关键词: Public healthResidenceSocial environmentPersonalityRuralityPsychological well-beingDistressPsychologyMental healthGerontology

摘要: Objective: The absence of an agreed definition ‘rural’ limits the utility existing research into a possible relationship between rurality residence and mental health. present study investigates bipolar dimension accessibility/remoteness as correlate health.Method: A continuous area non-metropolitan Australia was selected to provide range scores on Accessibility/Remoteness Index (ARIA). questionnaire measuring demographics, five-factor model personality three aspects health (distress, disability wellbeing) mailed 20 000 adults randomly from electoral rolls.Results: Responses were received 7615 individuals (response rate = 40.5%; 57.1% female). ARIA not associated with either distress or measures, but small negative association found accessibility two measures wellbeing. Individuals residing in locales better access services opportunities for interact...

参考文章(45)
Errol J Bamford, Danielle S Taylor, Graeme J Hugo, Lyle Dunne, Brian G Symon, David Wilkinson, Accessibility to general practitioners in rural South Australia. A case study using geographic information system technology. The Medical Journal of Australia. ,vol. 171, pp. 614- 616 ,(1999) , 10.5694/J.1326-5377.1999.TB123821.X
S Henderson, W. D. Hall, G. Andrews, M. Teesson, The mental health of Australians Mental Health Branch, Commonwealth Department of Health and Aged Care. pp. 1- 43 ,(1999)
John Eyles, Senses of place ,(1985)
Scott B. Patten, Heather L. Stuart, Margaret L. Russell, Colleen J. Maxwell, Julio Arboleda-Flórez, Epidemiology of major depression in a predominantly rural health region. Social Psychiatry and Psychiatric Epidemiology. ,vol. 38, pp. 360- 365 ,(2003) , 10.1007/S00127-003-0651-2
J Bermudez, B De Raad, J De Vries, AM Perez-Garcia, A Sanchez-Elvita, G van Heck, Personality Psychology in Europe Proceedings of the 8th European Conference on Personality Psychology. Tilburg : Tilburg University Press, 1999. ,vol. 7, ,(1997)
David P. Goldberg, Peter Huxley, Common mental disorders : a bio-social model Tavistock/Routledge. ,(1992)
David Goldberg, A dimensional model for common mental disorders. The British journal of psychiatry. Supplement. ,vol. 168, pp. 44- 49 ,(1996) , 10.1192/S0007125000298401
Raymond Massé, Carole Poulin, Clément Dassa, Jean Lambert, Sylvie Bélair, Alex Battaglini, The Structure of Mental Health: Higher-Order Confirmatory Factor Analyses of Psychological Distress and Well-Being Measures Social Indicators Research. ,vol. 45, pp. 475- 504 ,(1998) , 10.1023/A:1006992032387
David Watson, Mood and temperament ,(2000)