OBJECTIVE: Although there is population data on the prevalence and treated prevalence of mental disorders by urban-rural indices, there is a lacuna of information pertaining to employees. This paper examines the prevalence and treated prevalence of psychological distress in employees by urban-rural indicators. METHODS: Cross-sectional employee Health and Performance at Work Questionnaire responses (n=78,726 from 58 large companies) are interrogated by indices of remoteness (Accessibility/Remoteness Index of Australia), psychological distress (Kessler 6) and treatment-seeking behaviours for mental health problems. RESULTS: The overall prevalence of moderate or high psychological distress in employees was 35.2%. The prevalence varied only slightly (maximum to minimum difference of 4.6%) by rural/remote indices. Overall treatment-seeking behaviour for psychological distress was low (22.5%). The percentage of employees seeking treatment for high levels of psychological distress was the lowest in very remote regions (15.1%). CONCLUSION: Very remote employees are less likely to access mental health treatments and may be an employee subgroup that would benefit from specific employer health interventions aimed to increase treatment-seeking behaviours. IMPLICATIONS: Employees in very remote Australia could benefit from specific interventions aimed to increase mental health awareness/literacy.
OBJECTIVE: Although there is population data on the prevalence and treated prevalence of mental disorders by urban-rural indices, there is a lacuna of information pertaining to employees. This paper examines the prevalence and treated prevalence of psychological distress in employees by urban-rural indicators. METHODS: Cross-sectional employee Health and Performance at Work Questionnaire responses (n=78,726 from 58 large companies) are interrogated by indices of remoteness (Accessibility/Remoteness Index of Australia), psychological distress (Kessler 6) and treatment-seeking behaviours for mental health problems. RESULTS: The overall prevalence of moderate or high psychological distress in employees was 35.2%. The prevalence varied only slightly (maximum to minimum difference of 4.6%) by rural/remote indices. Overall treatment-seeking behaviour for psychological distress was low (22.5%). The percentage of employees seeking treatment for high levels of psychological distress was the lowest in very remote regions (15.1%). CONCLUSION: Very remote employees are less likely to access mental health treatments and may be an employee subgroup that would benefit from specific employer health interventions aimed to increase treatment-seeking behaviours. IMPLICATIONS: Employees in very remote Australia could benefit from specific interventions aimed to increase mental health awareness/literacy.
Authors: David Perkins; Jeffrey Fuller; Brian J Kelly; Terry J Lewin; Michael Fitzgerald; Clare Coleman; Kerry J Inder; John Allan; Dinesh Arya; Russell Roberts; Richard Buss Journal: BMC Health Serv Res Date: 2013-04-30 Impact factor: 2.655
Authors: Anna S Geraedts; Annet M Kleiboer; Noortje M Wiezer; Willem van Mechelen; Pim Cuijpers Journal: J Med Internet Res Date: 2014-05-06 Impact factor: 5.428