Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/13141
Record ID: 10f2d62f-ae1b-4153-bf14-974a44df5ed9
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dc.contributor.authorTaylor, A. Wen
dc.contributor.authorStewart, Sen
dc.contributor.authorTucker, G. Ren
dc.contributor.authorEckert, K. Aen
dc.contributor.authorWilkinson, Den
dc.date.accessioned2022-06-30T23:04:33Z-
dc.date.available2022-06-30T23:04:33Z-
dc.date.issued2006en
dc.identifier.citationNo 2 Vol.: 6en
dc.identifier.urihttps://anrows.intersearch.com.au/anrowsjspui/handle/1/13141-
dc.formatPages 541en
dc.languageenen
dc.titleA population view of mental illness in South Australia: broader issues than locationen
dc.title.alternativeRural and remote healthen
dc.typeJournal Articleen
dc.identifier.catalogid11882en
dc.identifier.urlhttp://www.scopus.com/inward/record.url?eid=2-s2.0-33745713574&partnerID=40&md5=d7fa4f0ea09742ed4988a51b7561f5b5en
dc.subject.keywordSouth Australiaen
dc.subject.keywordHealth statusen
dc.subject.keywordComorbidityen
dc.subject.keywordHealth surveysen
dc.subject.keywordStress, Psychologicalen
dc.subject.keywordRisken
dc.subject.keywordConfidence intervalsen
dc.subject.keywordroc curveen
dc.subject.keywordStatisticsen
dc.subject.keywordInvalid URLen
dc.subject.keywordMaleen
dc.subject.keywordModels, Statisticalen
dc.subject.keywordAdultsen
dc.subject.keywordOdds Ratioen
dc.subject.keywordPrevalenceen
dc.subject.keywordStatistical modelsen
dc.subject.keywordSmokingen
dc.subject.keywordDrinking behaviouren
dc.subject.keywordFemaleen
dc.subject.keywordMental stressen
dc.subject.keywordnew_recorden
dc.subject.keywordurban populationen
dc.subject.keywordrural populationen
dc.subject.keywordMental illnessen
dc.subject.keywordAdolescentsen
dc.subject.keywordAustraliaen
dc.subject.keywordComparative studiesen
dc.subject.keywordMental Disordersen
dc.description.notesINTRODUCTION: There is growing evidence in Australia and elsewhere to indicate that prevalence rates of mental illness are no higher in rural and remote areas than in urban areas. However, it is generally perceived that people from rural and remote areas are at heightened risk of mental illness, because many psychosocial determinants of health are magnified by factors related to remoteness. In this study we attempt to unpack the factors guiding prevalence rates of mental illness to determine if remoteness per se is an important determinant of mental illness. METHODS: Analysis of data from a cross-sectional, population-based, computer-assisted telephone interview survey in 2000. Respondents included 2545 South Australian adults, aged 18 years or more. The mental illness measure was self-reported, medically confirmed depression, anxiety or stress related problems in the previous 12 months and receiving treatment. Remoteness was determined using the Accessibility and Remoteness Index of Australia (ARIA). Psychosocial measures consisted of major stressful life events, perceived control of life events, socio-demographic characteristics and lifestyle behaviours. RESULTS: Unadjusted odds of mental illness were lower among residents of accessible and remote/very remote areas than for those from highly accessible areas (OR [odds ratio] 0.67, 95% CI 0.50-0.91 and OR 0.73, 0.54-1.00). After controlling for the joint effects of stressful life events, perceived control of life events, socio-demographic characteristics and lifestyle behaviors, odds of mental illness did not vary by ARIA category (highly accessible [reference category]; accessible: OR 0.90 95% CI 0.60-1.31; moderately accessible: OR 0.80, 95% CI 0.45-1.43; remote/very remote: OR 0.70, 95% CI 0.44-1.03). The most important predictors of mental illness in the multivariate logistic model were female sex; smoking; low consumption of vegetables; low exercise; a physical condition; perceived lack of control with life in general, personal life, job security or health; and major stressful events such as family or domestic violence and the death of someone close. CONCLUSIONS: Remoteness per se was not associated with mental illness, either directly or indirectly, as an important confounder in stressful life event/mental illness associations. Psychosocial factors were more important determinants of mental illness.<br/ >Cited By (since 1996):6Export Date: 23 July 2013Source: Scopusen
dc.identifier.sourceRural and remote healthen
dc.date.entered2014-07-21en
dc.description.physicaldescriptionPages 541en
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