Chronic ill health in a regional Victoria setting: A 13-year comparison

Article


Glenister, Kristen, Bourke, Lisa, Terry, Daniel and Simmons, David. 2019. "Chronic ill health in a regional Victoria setting: A 13-year comparison." Australian Journal of Rural Health. 27 (6), pp. 527-534. https://doi.org/10.1111/ajr.12565
Article Title

Chronic ill health in a regional Victoria setting: A 13-year comparison

ERA Journal ID13436
Article CategoryArticle
AuthorsGlenister, Kristen, Bourke, Lisa, Terry, Daniel and Simmons, David
Journal TitleAustralian Journal of Rural Health
Journal Citation27 (6), pp. 527-534
Number of Pages8
YearDec 2019
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1038-5282
1440-1584
Digital Object Identifier (DOI)https://doi.org/10.1111/ajr.12565
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/ajr.12565
Abstract

Objective
High-quality data regarding the prevalence of chronic disease in rural areas are essential in understanding the challenges faced by rural populations and for informing strategies to address health care needs. This study compared the prevalence of a range of self-reported chronic conditions and utilisation of GP services and emergency department in a regional Victorian setting between two studies conducted in the same region in 2001-2003 and 2014.

Design
Repeat cross-sectional studies conducted over a decade apart.

Setting
The projects were conducted in the Goulburn Valley in regional Victoria.

Participants
The earlier study randomly selected households from local government lists. The later study randomly selected householders from the telephone directory.

Main outcome measures
Participants were asked whether they had been diagnosed with a range of chronic health conditions and how often they had visited a general practitioner or emergency department in the past 12 months.

Results
The age-standardised prevalence of depression was higher in the 2014 study than the 2001-2003 study in men (increased by 8.0% (95% CI 4.5, 11.5%)) and women (increased by 13.7% (95% CI 8.4, 19.0%)). Similarly, the prevalence of age-standardised diabetes and hypertension was higher in 2014 than 2001-2003 (men increased by 3.6% (95% CI 0.7, 6.5% (diabetes)) and 13.6% (95% CI 8.6, 18.6% (hypertension)), women increased by 3.1% (95% CI 0.3, 6.5% (diabetes)) and 8.4% (95% CI 2.3, 14.5% (hypertension))).

Conclusion
The results of this study indicate that the prevalence of self-reported depression, diabetes and hypertension has increased in this regional Victorian area over the past 13 years. The reasons for these observed increases and the subsequent impact on the health care needs of regional communities warrants further investigation.

Keywordschronic disease; health service utilisation; obesity; regional; rural
ANZSRC Field of Research 2020420202. Disease surveillance
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsUniversity of Melbourne
Federation University
Western Sydney University
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