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4. Barriers to Seeking Help for Skin Cancer Detection in Rural Australia.

Author

Fennell, Kate M., Martin, Kimberley, Wilson, Carlene J., Trenerry, Camilla, Sharplin, Greg, and Dollman, James

Subjects
SKIN cancer diagnosis, HELP-seeking behavior, SELF-reliance, CAREGIVERS, SOCIOECONOMIC factors
Abstract

This study explores rural South Australians' barriers to help-seeking for skin cancer detection. A total of 201 randomly selected rural adults (18-94 years, 66% female) were presented with a skin-cancer-related scenario via telephone and were asked the extent to which various barriers would impede their help-seeking, based on an amended version of the Barriers to Help-Seeking Scale. Older (≥63 years) and less educated participants endorsed barriers more strongly than their younger, more educated counterparts in the following domains; "Concrete barriers and distrust of caregivers", "Emotional control", "Minimising problem and Normalisation", "Need for control and self-reliance" (every domain other than "Privacy"). Socioeconomic disadvantage, gender, and farmer status did not predict stronger overall barriers, but some gender and occupation-related differences were detected at the item level. Farmers were also more likely to endorse the "Minimising problem and normalization" domain than their non-farmer working rural counterparts. Widely endorsed barriers included the tendency to minimise the problem, a desire to remain in control/not be influenced by others, reluctance to show emotion or complain, and having concerns about privacy or waiting times. [ABSTRACT FROM AUTHOR]

Published
2017
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12. Neighbourhood Environmental Attributes Associated with Walking in South Australian Adults: Differences between Urban and Rural Areas

Author

Rebecca Nolan, Neil T. Coffee, Narelle M. Berry, Takemi Sugiyama, James Dollman, Berry, Narelle M, Coffee, Neil T, Nolan, Rebecca, Dollman, James, and Sugiyama, Takemi

Subjects
Adult, Male, Rural Population, Urban Population, Health, Toxicology and Mutagenesis, lcsh:Medicine, Level design, Walking, Health benefits, Article, walking, 03 medical and health sciences, 0302 clinical medicine, Sex Factors, Environmental protection, Sex factors, Residence Characteristics, Environmental health, South Australia, Humans, 030212 general & internal medicine, Neighbourhood (mathematics), walkability, Aged, lcsh:R, Public Health, Environmental and Occupational Health, 030229 sport sciences, Middle Aged, Telephone survey, Geography, Walkability, Environment Design, Female, Perception, rural, Rural area, Rural population, human activities, urban, environment
Abstract

Although the health benefits of walking are well established, participation is lower in rural areas compared to urban areas. Most studies on walkability and walking have been conducted in urban areas, thus little is known about the relevance of walkability to rural areas. A computer-assisted telephone survey of 2402 adults (aged ≥18 years) was conducted to determine walking behaviour and perceptions of neighbourhood walkability. Data were stratified by urban (n = 1738) and rural (n = 664). A greater proportion of respondents reported no walking in rural (25.8%) compared to urban areas (18.5%). Compared to urban areas, rural areas had lower walkability scores and urban residents reported higher frequency of walking. The association of perceived walkability with walking was significant only in urban areas. These results suggest that environmental factors associated with walking in urban areas may not be relevant in rural areas. Appropriate walkability measures specific to rural areas should be further researched. Refereed/Peer-reviewed

Published
2017

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