Purpose
Research examining psychological well‐being associated with COVID‐19 in rural/regional Australia is limited. This study aimed to assess the extent of psychological distress, fear of COVID‐19, and coping strategies among the attendees in COVID‐19 screening clinics at 2 rural Victorian settings.
Methods
A cross‐sectional study was conducted during July 2020 to February 2021 inclusive. Participants were invited to fill in an online questionnaire. Kessler Psychological Distress Scale (K‐10), Fear of COVID‐19 Scale, and Brief Resilient Coping Scale were used to assess psychological distress, fear of COVID‐19, and coping, respectively.
Findings
Among 702 total participants, 69% were females and mean age (±SD) was 49 (±15.8) years. One in 5 participants (156, 22%) experienced high to very high psychological distress, 1 in 10 (72, 10%) experienced high fear, and more than half (397, 57%) had medium to high resilient coping. Participants with mental health issues had higher distress (AOR 10.4, 95% CI: 6.25‐17.2) and fear (2.56, 1.41‐4.66). Higher distress was also associated with having comorbidities, increased smoking (5.71, 1.04‐31.4), and alcohol drinking (2.03, 1.21‐3.40). Higher fear was associated with negative financial impact, drinking alcohol (2.15, 1.06‐4.37), and increased alcohol drinking. Medium to high resilient coping was associated with being ≥60 years old (1.84, 1.04‐3.24) and completing Bachelor and above levels of education.
Conclusion
People who had pre‐existing mental health issues, comorbidities, smoked, and consumed alcohol were identified as high‐risk groups for poorer psychological well‐being in rural/regional Victoria. Specific interventions to support the mental well‐being of these vulnerable populations, along with engaging health care providers, should be considered.
