Skip to main content

01.12.2014 | Original Article | Ausgabe 6/2014

Journal of Public Health 6/2014

Psychological distress in rural Australia: regional variation and the role of family functioning and social support

Journal of Public Health > Ausgabe 6/2014
Peter Butterworth, Tonelle E. Handley, Terry J. Lewin, Prasuna Reddy, Brian J. Kelly



Regional variation in the prevalence of mental disorders and particularly variation in the role of risk and protective factors has received limited research attention. This study investigates variation in the prevalence of significant psychological distress across regions, and quantifies the relative impact of family functioning and social support.

Subject and method

Multilevel analysis of data from the longitudinal Australian Rural Mental Health Study, comprising a stratified random sample from non-metropolitan New South Wales. Distress was assessed using the Kessler-10. The analysis considered clustering within households and across geographic regions based on Local Government Areas and collapsed to represent residence in inner regional, outer regional, remote and very remote locations.


There was limited clustering of psychological distress within areas (0.4 %). However, the household accounted for almost 45 % of the variance in psychological distress, and the salience of the household was greater in more remote regions (33.1 % in inner regional to 60.5 % in very remote areas). Family functioning and perceived social support were associated with increased risk of psychological distress, but explained only a modest amount of variance in mental health at household level. After controlling for individual and family/social covariates, 34.5 % of the remaining variance in psychological distress was observed at the household level.


The findings suggest that individuals in remote locations are more reliant on their family/confidants for their mental health than those in more populated areas. Future research will consider whether this simply reflects differences in the accessibility of formal health services or broader social and cultural differences.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Über diesen Artikel

Weitere Artikel der Ausgabe 6/2014

Journal of Public Health 6/2014 Zur Ausgabe