Kelly Brian J, Stain Helen J, Coleman Clare, Perkins David, Fragar Lyn, Fuller Jeffrey, Lewin Terry J, Lyle David, Carr Vaughan J, Wilson Jacqueline M, Beard John R
Centre for Rural and Remote Mental Health, University of Newcastle, Orange, Australia.
Aust J Rural Health. 2010 Feb;18(1):16-24. doi: 10.1111/j.1440-1584.2009.01118.x.
This paper outlines the methods and baseline data from a multisite cohort study of the determinants and outcomes of mental health and well-being within rural and remote communities.
A stratified random sample of adults was drawn in non-metropolitan New South Wales using the Australian Electoral Roll, with the aim of recruiting all adult members of each household. Surveys assessed psychological symptoms, physical health and mental disorders, along with individual-, family/household- and community-level characteristics. A stratified subsample completed a telephone-administered World Mental Health-Composite International Diagnostic Interview (World Mental Health-3.0). Proxy measures of child health and well-being were obtained. Follow up of this sample will be undertaken at one, three and five years.
A total of 2639 individuals were recruited (1879 households), with 28% from remote/very remote regions. A significant relationship was found between recent distress (Kessler-10 scores), age and remoteness, with a linear reduction of Kessler-10 scores with age and the lowest mean scores in remote regions.
Existing rurality categories cannot address the diverse socio-cultural, economic and environmental characteristics of non-metropolitan regions. While it has limitations, the dataset will enable a fine-grained examination of geographic, household and community factors and provide a unique longitudinal dataset over a five-year period.
本文概述了一项多地点队列研究的方法和基线数据，该研究关注农村和偏远社区心理健康与幸福的决定因素及结果。
利用澳大利亚选民登记册在新南威尔士州非大都市地区抽取成年人分层随机样本，目标是招募每个家庭的所有成年成员。调查评估了心理症状、身体健康和精神障碍，以及个人、家庭/住户和社区层面的特征。一个分层子样本完成了电话访谈形式的世界心理健康综合国际诊断访谈（世界心理健康-3.0）。获取了儿童健康与幸福的替代指标。将对该样本进行1年、3年和5年的随访。
共招募了2639人（1879户家庭），其中28%来自偏远/非常偏远地区。发现近期困扰（凯斯勒10项量表得分）、年龄和偏远程度之间存在显著关系，凯斯勒10项量表得分随年龄呈线性下降，偏远地区平均得分最低。
现有的农村分类无法涵盖非大都市地区多样的社会文化、经济和环境特征。尽管有局限性，但该数据集将有助于对地理、家庭和社区因素进行细致考察，并提供一个独特的五年期纵向数据集。
