ArticleBMC public health2012
Social support and age influence distress outcomes differentially across urban, regional and remote Australia: an exploratory study.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- The Mental Health Outcomes of Drought: A Systematic Review and Causal Process Diagram.International journal of environmental research and public health · 2015Pooled it
- Prevalence and factors associated with mental health problems of psychological distress and depression among rural Victorians - analysis of cross-sectional data (Crossroads II).BMC psychiatry · 2023Article
- Support from Adult Children and Parental Health in Rural America.Journal of rural social sciences · 2022Article
- Social support and depressive symptoms among family caregivers of older people with disabilities in four provinces of urban China: the mediating role of caregiver burden.BMC geriatrics · 2020Article
- Does living in remote Australia lessen the impact of hardship on psychological distress?Epidemiology and psychiatric sciences · 2018Article
- Issues of accessibility to health services by older Australians: a review.Public health reviews · 2018Review
- Depression and Risk of Unintentional Injury in Rural Communities-A Longitudinal Analysis of the Australian Rural Mental Health Study.International journal of environmental research and public health · 2017Article
- "Undressing" distress among cancer patients living in urban, regional, and remote locations in Western Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Long-term effects of lifetime trauma exposure in a rural community sample.BMC public health · 2015Article
- Rural Mental Health Ecology: A Framework for Engaging with Mental Health Social Capital in Rural Communities.EcoHealth · 2015Article
- Self-reported contacts for mental health problems by rural residents: predicted service needs, facilitators and barriers.BMC psychiatry · 2014Article
- Determinants of suicidal ideation and suicide attempts: parallel cross-sectional analyses examining geographical location.BMC psychiatry · 2014Article
- Integrating and extending cohort studies: lessons from the eXtending Treatments, Education and Networks in Depression (xTEND) study.BMC medical research methodology · 2013Article
- Quality of life impact of cardiovascular and affective conditions among older residents from urban and rural communities.Health and quality of life outcomes · 2013Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe variation of determinants of mental health with remoteness has rarely been directly examined. The current research aims to examine whether the association of psychosocial factors with psychological distress outcomes varies with increasing remoteness.
methodsParticipants were persons aged 55 and over from two community cohorts sampling from across rural and urban New South Wales (N = 4219; mean age = 69.00 years; 46.1% male). Measures of social support from these studies were calibrated to facilitate comparison across the sample. Remoteness was assessed using a continuous measure, the Accessibility/Remoteness Index of Australia. The association between demographic characteristics, social support, remoteness, and their interactions with remoteness in the prediction of high psychological distress (cut-off > 21 on the Kessler 10) were examined using logistic regression.
resultsNot being in a married or defacto relationship (OR 0.69; 99% CI 0.51-0.94), lower education (OR 0.52; 99% CI 0.38-0.71) and decreased social support (OR 0.36; 99% CI 0.31-0.42) significantly predicted psychological distress. There was a significant interaction of age and remoteness (OR 0.84; 99% CI 0.67-1.00), indicating that as remoteness increases, older persons are less likely to be highly distressed, as well as a significant interaction of social support and remoteness (OR 1.22; 99% CI 1.04-1.44), indicating that as remoteness decreases, persons with low levels of social support are more likely to be highly distressed.
conclusionsRemoteness may moderate the influence of social support and age on psychological distress outcomes.
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