Rural Health - Research Publications
Permanent URI for this collection
Search Results
1 - 7 of 7
-
ItemLongitudinal study of health, disease and access to care in rural Victoria: the Crossroads-II study: methods(BIOMED CENTRAL LTD, 2018-05-30)BACKGROUND: High quality, contemporary data regarding patterns of chronic disease is essential for planning by health services, policy makers and local governments, but surprisingly scarce, including in rural Australia. This dearth of data occurs despite the recognition that rural Australians live with high rates of ill health, poor health behaviours and restricted access to health services. Crossroads-II is set in the Goulburn Valley, a rural region of Victoria, Australia 100-300 km north of metropolitan Melbourne. It is primarily an irrigated agricultural area. The aim of the study is to identify changes in the prevalence of key chronic health conditions including the extent of undiagnosed and undermanaged disease, and association with access to care, over a 15 year period. METHODS/DESIGN: This study is a 15 year follow up from the 2000-2003 Crossroads-I study (2376 households participated). Crossroads-II includes a similar face to face household survey of 3600 randomly selected households across four towns of sizes 6300 to 49,800 (50% sampled in the larger town with the remainder sampled equally from the three smaller towns). Self-reported health, health behaviour and health service usage information is verified and supplemented in a nested sub-study of 900 randomly selected adult participants in 'clinics' involving a range of additional questionnaires and biophysical measurements. The study is expected to run from October 2016 to December 2018. DISCUSSION: Besides providing epidemiological and health service utilisation information relating to different diseases and their risk factors in towns of different sizes, the results will be used to develop a composite measure of health service access. The importance of access to health services will be investigated by assessing the correlation of this measure with rates of undiagnosed and undermanaged disease at the mesh block level. Results will be shared with partner organisations to inform service planning and interventions to improve health outcomes for local people.
-
ItemNotwithstanding High Prevalence of Overweight and Obesity, Smoking Remains the Most Important Factor in Poor Self-rated Health and Hospital Use in an Australian Regional Community(AMER INST MATHEMATICAL SCIENCES-AIMS, 2017)OBJECTIVE: To classify a rural community sample by their modifiable health behaviours and identify the prevalence of chronic conditions, poor self-rated health, obesity and hospital use. METHOD: Secondary analysis of a cross- sectional self-report questionnaire in the Hume region of Victoria, Australia. Cluster analysis using the two-step method was applied to responses to health behaviour items. RESULTS: 1,259 questionnaires were completed. Overall 63% were overweight or obese. Three groups were identified: 'Healthy Lifestyle' (63%), 'Non Smoking, Unhealthy Lifestyle' (25%) and 'Smokers' (12%). 'Healthy lifestyle' were older and more highly educated than the other two groups while 'Non Smoking, Unhealthy Lifestyle' were more likely to be obese. 'Smokers' had the highest rate of poor self-rated health. Prevalence of chronic conditions was similar in each group (>20%). 'Smokers' were twice as likely to have had two or more visits to hospital in the preceding year even after adjustment for age, gender and education. CONCLUSION: High rates of overweight and obesity were identified but 'Smokers' were at the greatest risk for poor self-rated health and hospitalisation. IMPLICATIONS FOR PUBLIC HEALTH: Within an environment of high rates of chronic ill health and obesity, primary care clinicians and public health policy makers must maintain their vigilance in encouraging people to quit smoking.
-
ItemAn evaluation of a primary school service learning model among health students(The University of Melbourne, 2016)
-
ItemPerceptions of reconciliation and related indigenous issues among young residents of Shepparton(WILEY, 2007-01-01)It has been argued that reconciliation between Indigenous and non‐Indigenous Australians requires non‐Indigenous Australians to change their attitudes. Some suggest that this process is occurring and that younger people hold more positive attitudes towards Indigenous Australians. This paper explored the perspectives of 86 young people from Shepparton, Victoria in relation to reconciliation and related Indigenous issues. The study found that young participants' views of reconciliation varied, and while some supported reconciliation, many opposed a national apology and indicated that they were not very informed about or interested in Aboriginal issues. Many distinguished between ‘good’ and ‘bad’ Aboriginals based on behaviour. Their talk was embedded with notions of special privilege, ‘sameness’ and social hierarchy but excluded attention to cultural difference. Findings suggest that these young people have embraced discourses of sameness, individualism and ‘practical reconciliation’ and that they are reluctant to reflect on their position of White privilege.
-
Item
-
Item
-
ItemDeveloping a conceptual understanding of rural health practice.(Wiley, 2004-10)OBJECTIVE: This study presents a set of concepts underpinning rural practice that could assist teaching health and medical students. OUTCOME: Five concepts, important in distinguishing rural health practice, are presented and discussed. These are rural-urban health differentials, access, confidentiality, cultural safety and team practice. Together these concepts impact the ways in which rural health professionals provide care, due to fewer services, greater distances, smaller populations, less choice of services and smaller workforce. CONCLUSION: These concepts introduce students to some of the positive and negative aspects of rural practice, as well as opportunities for rural practitioners to have a diverse practice, to become involved in all aspects of health and to initiate change. They provide an understanding of rurality from which health students can learn from their practical experiences during rural placements.