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Sociodemographic Predictors of Attitudes to Support Seeking From a Medical Doctor or Other Health Provider Among Rural Australians

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Abstract

Background

Rural Australians experience higher prevalence of several chronic diseases than metropolitan Australians and are less likely to access supportive health services. This study explored associations of sociodemographic factors and barriers to support seeking for health in a sample of rural South Australians.

Methods

Participants (n = 610) from three rural regions participated in a computer-assisted telephone interview (CATI), based on the Barriers to Help Seeking Scale. Each participant reported on barriers in one of three health contexts: ‘general’ physical health, skin cancer, and mental health. Sociodemographic factors included gender, age, highest education, region of residence, and presence of chronic conditions. Chi-squared Automatic Interaction Detection (CHAID) determined independent associations of sociodemographic factors and barrier categories (high, medium and low importance).

Results

Privacy was a high-importance barrier in the mental health context, particularly among participants of age < 63 years. The tendency to minimise and normalise health issues was also a high-importance barrier in the mental health context. In the physical health context, those with a chronic condition were more likely to perceive normalisation as a barrier than those without a chronic condition. Need for control and self-reliance was a high-importance barrier in the mental health context and a low-importance barrier in the skin cancer context, particularly among participants < 63 years. Structural factors and distrust of providers were high-importance barriers among those who did not complete secondary education, regardless of context.

Conclusion

This study highlights the importance of a nuanced approach to promoting help-seeking in rural Australians, with message content and delivery tailored to specific health conditions and demographic circumstances.

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References

  1. Australian Institute of Health and Welfare. Rural and remote health. 2019. https://www.aihw.gov.au/reports/rural-remote-australians/rural-remote-health. Accessed 28 October 2019.

  2. National Rural Health Alliance. Measuring the metropolitan-rural inequity. Canberra: Australia; 2010. https://www.ruralhealth.org.au/sites/default/files/fact-sheets/Fact-Sheet-23-%20measuring%20the%20metropolitan-rural%20inequity_0.pdf.

  3. Australian Institute of Health and Welfare. A snapshot of men’s health in regional and remote Australia. Canberra: AIHW; 2010.

    Google Scholar 

  4. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.

    Article  CAS  Google Scholar 

  5. Caldwell T, Jorm A, Dear K. Suicide and mental health in rural, remote and metropolitan areas in Australia. Med J Aust. 2004;181(7):10–4.

    Google Scholar 

  6. Jackson H, Judd F, Komiti A, et al. Mental health problems in rural contexts: what are the barriers to seeking help from professional providers? Aust Psychol. 2007;42(2):147–60.

    Article  Google Scholar 

  7. Hull MJ, Fennell KM, Vallury K, Jones M, Dollman J. A comparison of barriers to mental health support‐seeking among farming and non‐farming adults in rural South Australia. Aust J Rural Health. 2017;25(6):347–53.

  8. Fennell K, Hull M, Jones M, Dollman J. A comparison of barriers to accessing services for mental and physical health conditions in a sample of rural Australian adults. Rural Remote Health. 2018;18(4155).

  9. Wrigley S, Jackson H, Judd F, Komiti A. Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Aust NZ J Psychiat. 2005;39(6):514–21.

    Article  Google Scholar 

  10. Komiti A, Judd F, Jackson H. The influence of stigma and attitudes on seeking help from a GP for mental health problems. Soc Psychol Psychiat Epi. 2006;41(9):738–45.

    Article  Google Scholar 

  11. Thorndyke LE. Rural women’s health: a research agenda for the future. Women Health Iss. 2005;15(5):200–3.

    Article  Google Scholar 

  12. Hewitt M, Rowland JH. Mental health service use among adult cancer survivors: analyses of the National Health Interview Survey. J Clin Oncol. 2002;20(23):4581–90.

    Article  Google Scholar 

  13. Emery JD, Walter FM, Gray V, et al. Diagnosing cancer in the bush: a mixed-methods study of symptom appraisal and help-seeking behaviour in people with cancer from rural Western Australia. Fam Prac. 2013;30(3):294–301.

    Article  Google Scholar 

  14. Bushy A. When your client lives in a rural area. Part I: Rural health care delivery issues. Issues in mental health nursing. 1994;15(3):253–66.

    Article  CAS  Google Scholar 

  15. Judd F, Jackson H, Komiti A, et al. Help-seeking by rural residents for mental health problems: the importance of agrarian values. Aust NZ J Psychiat. 2006;40(9):769–76.

    Article  Google Scholar 

  16. Philo C, Parr H, Burns N. Rural madness: a geographical reading and critique of the rural mental health literature. J Rural Stud. 2003;19(3):259–81.

    Article  Google Scholar 

  17. Hoyt DR, Conger RD, Valde JG, Weihs K. Psychological distress and help seeking in rural America. Am J Community Psychol. 1997;25(4):449–70.

    Article  CAS  Google Scholar 

  18. Elliott-Schmidt R, Strong J. The concept of well-being in a rural setting: understanding health and illness. Aust J Rural Health. 1997;5(2):59–63.

    Article  CAS  Google Scholar 

  19. Rawolle TA, Sadauskas D, van Kessel G, Dollman J. Farmers’ perceptions of health in the Riverland region of South Australia: ‘If it’s broke, fix it.’ Aust J Rural Health. 2016;24(5):312–6.

    Article  Google Scholar 

  20. Kannan VD, Veazie PJ. Predictors of avoiding medical care and reasons for avoidance behavior. Med Care. 2014;52(4):336–45.

    Article  Google Scholar 

  21. Judd F, Komiti A, Jackson H. How does being female assist help-seeking for mental health problems? Aust NZ J Psychiat. 2008;42(1):24–9.

    Article  Google Scholar 

  22. Barry MM, Doherty A, Hope A, Sixsmith J, Kelleher CC. A community needs assessment for rural mental health promotion. Health Educ Res. 2000;15(3):293–304.

    Article  CAS  Google Scholar 

  23. Buckley D, Lower T. Factors influencing the utilisation of health services by rural men. Aust Health Rev. 2002;25(2):11–5.

    Article  Google Scholar 

  24. van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun. 2013;18 Suppl 1:172–84.

  25. Fennell KM, Jarrett CE, Kettler LJ, Dollman J, Turnbull DA. “Watching the bank balance build up then blow away and the rain clouds do the same”: A thematic analysis of South Australian farmers’ sources of stress during drought. J Rural Stud. 2016;46:102–10.

  26. Fennell KM, Martin K, Wilson CJ, Trenerry C, Sharplin G, Dollman J. Barriers to seeking help for skin cancer detection in rural Australia. J Clin Med. 2017;6(2):19.

  27. Dollman J, Hull M, Lewis N, Carroll S, Zarnowiecki D. Regional differences in correlates of daily walking among middle age and older Australian rural adults: implications for health promotion. Int J Env Res Pub Health. 2016;13(1):116.

    Article  Google Scholar 

  28. Lavergne MR, Kephart G. Examining variations in health within rural Canada. Rural Remote Health. 2012;12:1848.

    PubMed  Google Scholar 

  29. Ricketts TC. Rural health in the United States: Oxford University Press New York; 1999.

  30. Wilkinson D, Cameron K. Cancer and cancer risk in South Australia: what evidence for a rural-urban health differential? Aust J Rural Health. 2004;12(2):61–6.

  31. Australian Bureau of Statistics. Australian Statistical Geography Standard (ASGS): Volume 5 -Remoteness Structure July 2011. Canberra: ACT; 2013.

  32. Australian Bureau of Statistics. 2011 Census quick stats. 2014. https://quickstats.censusdata.abs.gov.au/census_services/getproduct/census/2011/quickstat/405041128?opendocument&navpos=220. Accessed July 20 2019.

  33. Mansfield AK, Addis ME, Courtenay W. Measurement of men's help seeking: development and evaluation of the Barriers to Help Seeking Scale. Psychol of Men Masculin. 2005;6(2):95.

  34. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, (DSM-5®): American Psychiatric Pub; 2013.

  35. Bourke L, Sheridan C, Russell U, Jones G, DeWitt D, Liaw ST. Developing a conceptual understanding of rural health practice. Aust J Rural Health. 2004;12(5):181–6.

  36. Wagstaff GF, Rowledge AM. Stoicism: Its relation to gender, attitudes toward poverty, and reactions to emotive material. J Soc Psychol. 1995;135(2):181–4.

    Article  CAS  Google Scholar 

  37. Australian Communication Consumer Action Network. Implications of falling landline usage. Sydney: Australia; 2011.

    Google Scholar 

  38. Dewa CS, Van Weeghel J, Joosen MC, Brouwers EP. What could influence workers’ decisions to disclose a mental illness at work? Int J Occup Environ Med. 2020;11(3):119.

    Article  Google Scholar 

  39. Eiser J, Pendry L, Greaves C, Melia J, Harland C, Moss S. Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening. J Med Screen. 2000;7(4):199–202.

    Article  CAS  Google Scholar 

  40. Montague M, Borland R, Sinclair C. Slip! Slop! Slap! and SunSmart, 1980–2000: Skin cancer control and 20 years of population-based campaigning. Health Educ Behav. 2001;28(3):290–305.

    Article  CAS  Google Scholar 

  41. Bettencourt BA, Schlegel RJ, Talley AE, Molix LA. The breast cancer experience of rural women: a literature review. Psycho-Oncol. 2007;16(10):875–87.

    Article  Google Scholar 

  42. Gonzalez JM, Alegria M, Prihoda TJ. How do attitudes toward mental health treatment vary by age, gender, and ethnicity/race in young adults? J Commun Psychol. 2005;33(5):611–29.

    Article  Google Scholar 

  43. Lovelock K. The injured and diseased farmer: occupational health, embodiment and technologies of harm and care. Sociol Health Ill. 2012;34(4):576–90.

    Article  Google Scholar 

  44. AIHW, Bayram C, Britt H, Kelly Z, L V. Male consultations in general practice in Australia 1999–00. Canberra: AIHW; 2003.

  45. Begg S, Vos T, Barker B, Stanley L, Lopez A. Burden of disease and injury in Australia in the new millennium: measuring health loss from diseases, injuries and risk factors. Med J Aust. 2008;188(1):36–40.

    Article  Google Scholar 

  46. Heart Foundation. Heart maps- South Australia. 2019. https://www.heartfoundation.org.au/assets/HeartMaps/SouthAust/lga-map/StatPlanet.html.

  47. Mitchell BL, Lewis NR, Smith AE, Rowlands AV, Parfitt G, Dollman J. Rural Environments and Community Health (REACH): a randomised controlled trial protocol for an online walking intervention in rural adults. BMC Public Health. 2014;14(1):1–9.

    Article  Google Scholar 

  48. Gunn K, Barrett A, Dollman J, et al. Helping farmers to cope: www.ifarmwell.com.au a co-designed, web-based intervention. National Rural and Remote Mental Health Conference: Adelaide; 2019.

  49. Sareen J, Jagdeo A, Cox BJ, et al. Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. 2007.

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Authors and Affiliations

  1. Alliance for Research in Exercise, Nutrition and Activity (ARENA) Research Concentration, School of Health Sciences, University of South Australia, Adelaide, Australia

    James Dollman & Melissa Joan Hull

  2. Department of Rural Health, University of South Australia, Adelaide, Australia

    Kate M. Gunn

  3. University of South Australia Cancer Research Institute, Adelaide, Australia

    Kate M. Gunn

Authors
  1. James Dollman
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Correspondence to Melissa Joan Hull.

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Dollman, J., Gunn, K.M. & Hull, M.J. Sociodemographic Predictors of Attitudes to Support Seeking From a Medical Doctor or Other Health Provider Among Rural Australians. Int.J. Behav. Med. 28, 616–626 (2021). https://doi.org/10.1007/s12529-021-09956-2

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