Hamilton Andrew J, McGrath Ryan, Bourke Lisa, Glenister Kristen M, Simmons David
Department of Rural Health, Melbourne Medical School, University of Melbourne, Shepparton, Victoria, Australia.
Allied Health Education and Research Unit, Goulburn Valley Health, Shepparton, Victoria, Australia.
Aust J Rural Health. 2025 Feb;33(1):e70001. doi: 10.1111/ajr.70001.
Little is known about the socio-demographic factors associated with the use of allied health services in rural Australia. The objective of this study was to determine which factors were associated with the use of various modes of allied health in a region of Northern Victoria.
This is a secondary analysis of the Crossroads-II population health study. Generalised linear mixed models were constructed.
Households were selected at random through address local government area lists. Data were collected by door-to-door surveying.
The northern part of the Goulburn Valley, Victoria, including one large rural conurbation (MM 3) and three medium rural towns (MM 4).
Over 15 years of age.
Use of allied health services.
The odds of using audiology (1.047 [1.035, 1.059]), optometry (1.034 [1.027, 1.042]) and podiatry (1.052 [1.039, 1.066]) increased with age, and psychology decreased (0.985 [0.974, 0.997]). Females had lower odds than males for audiology (0.708 [0.553, 0.907]) and greater odds for optometry (1.712 [1.421, 2.064]) and pharmacy advice (1.593 [1.317, 1.927]). Greater odds were observed forbeing Australian-born and pharmacy advice (1.581 [1.149, 2.175]), English spoken at home and physiotherapy (2.415 [1.279, 4.560]), a bachelor's degree and psychology (1.579 [1.011, 2.466]) and pharmacy advice (1.296 [1.002, 1.675]), not working and psychology (3.518 [1.999, 6.191]) and social work (4.202 [2.110, 8.367]). Those unable to work had greater odds of using six of the eight services investigated.
Socio-demographic associations with allied health use vary across disciplines. For this population in rural Victoria, socio-demographic associations were observed for all of the allied health modalities studied. Such relationships need to be studied in other rural and allied health contexts.
对于澳大利亚农村地区使用辅助医疗服务的社会人口学因素，我们了解甚少。本研究的目的是确定在维多利亚州北部某地区，哪些因素与使用各种辅助医疗服务方式相关。
这是对十字路口-II人群健康研究的二次分析。构建了广义线性混合模型。
通过地方政府区域地址列表随机选取家庭。通过挨家挨户调查收集数据。
维多利亚州古尔本山谷的北部，包括一个大型农村聚居区（MM 3）和三个中型农村城镇（MM 4）。
年龄超过15岁。
辅助医疗服务的使用情况。
使用听力学服务（1.047 [1.035, 1.059]）、验光服务（1.034 [1.027, 1.042]）和足病学服务（1.052 [1.039, 1.066]）的几率随年龄增长而增加，而使用心理学服务的几率下降（0.985 [0.974, 0.997]）。女性使用听力学服务的几率低于男性（0.708 [0.553, 0.907]），使用验光服务（1.712 [1.421, 2.064]）和药房咨询服务（1.593 [1.317, 1.927]）的几率高于男性。出生在澳大利亚且使用药房咨询服务的几率更高（1.581 [1.149, 2.175]），在家说英语且使用物理治疗服务的几率更高（2.415 [1.279, 4.560]），拥有学士学位且使用心理学服务（1.579 [1.011, 2.466]）和药房咨询服务（1.296 [1.002, 1.675]）的几率更高，不工作且使用心理学服务（3.518 [1.999, 6.191]）和社会工作服务（4.202 [2.110, 8.367]）的几率更高。无法工作的人使用所调查的八项服务中的六项的几率更高。
社会人口学因素与辅助医疗服务使用之间的关联因学科而异。对于维多利亚州农村地区的这一人群，在所研究的所有辅助医疗方式中均观察到了社会人口学关联。此类关系需要在其他农村和辅助医疗环境中进行研究。
