Disadvantaged by More Than Distance: A Systematic Literature Review of Injury in Rural Australia

Taylor, Danielle Horton; Peden, Amy E.; Franklin, Richard C.

doi:10.3390/safety8030066

Cited by 5 publications

(3 citation statements)

References 185 publications

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“…Here, we use the term 'Burmese' as most of our participants had lived through the time when the country now known as Myanmar was called Burma. We recognise that there has been significant debate around the use of these names both in that region and globally in relation to the military junta in 1989 [76]. We do not differentiate between ethnic heritage of participants from this region in order to maintain anonymity.…”

Section: Methodsmentioning

confidence: 99%

Social Capital and Rural Health for Refugee Communities in Australia

Mwanri

Miller

Walsh

et al. 2023

IJERPH

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Refugee resettlement significantly contributes to Australia’s migration programs, with recent policy directives prioritising rural resettlement. As a result, the cultural diversity of populations of several Australian rural towns has substantially expanded. Newcomers may encounter challenges becoming part of closed social networks and accessing the resources they need for a healthy life in resettlement. However, there are also benefits that stem from positive integration for newcomers and for receiving populations. As part of a larger study, which aimed to explore facilitators and barriers to successful resettlement in a rural setting, the objective of this paper was to show how social ties were important for participants’ health, both facilitating access to resources, including health services, and connecting people to health-promoting living conditions. In-depth individual interviews with 44 participants from refugee communities originally from Africa and South-East Asia, settled in a rural South Australian town, were conducted. Participants were invited to the study through snowball sampling via known connections between the researchers and key people within the communities. Interview transcripts were analysed using framework thematic analysis. The findings demonstrate how participants drew on connections within their cultural communities, reflecting collectivist cultural values. These social ties were key to enabling access to resources for health. These included emotional resources, such as a sense of belonging, as well as physical and practical resources, including food, housing, and/or accessing services. Several participants were also working towards a career in the health industry. Populations from refugee communities in rural towns are growing, not only with the continuation of new arrivals to these towns, but also as the settled populations expand their families and communities. Effective health service provision in these locations needs to serve these growing communities, and there is scope for services to tap into community networks to assist with this.

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Section: Methodsmentioning

confidence: 99%

Social Capital and Rural Health for Refugee Communities in Australia

Mwanri

Miller

Walsh

et al. 2023

IJERPH

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“…28 Higher rates of injury in rural areas compared with urban areas-injuries that are also more severe and lead to greater morbidity-may be an important reason for urban-rural differences. 29,30 Further explanation will require data on service accessibility as well as detailed, population-level data on acute and chronic pain conditions. Unexplained small-area variation in rates may also speak to local differences in provider behaviour and nonmedical use.…”

Section: Discussionmentioning

confidence: 99%

“…Studies from the USA also report higher rates of opioid prescribing in rural than urban areas, and mixed results for the importance of income 28 . Higher rates of injury in rural areas compared with urban areas—injuries that are also more severe and lead to greater morbidity—may be an important reason for urban–rural differences 29,30 . Further explanation will require data on service accessibility as well as detailed, population‐level data on acute and chronic pain conditions.…”

Section: Discussionmentioning

confidence: 99%

Oxycodone initiation in Australia (2014–2018): Sociodemographic factors and preceding health service use

Gillies,

Camacho,

Bharat

et al. 2024

Brit J Clinical Pharma

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AimsOxycodone is the most commonly prescribed strong opioid in Australia. This study describes health service antecedents and sociodemographic factors associated with oxycodone initiation.MethodsPopulation‐based new user cohort study linking medicine dispensings, hospitalizations, emergency department visits, medical services and cancer notifications from New South Wales (NSW) for 2014–2018. New users had no dispensings of any opioid in the preceding year. We analysed health service use in the 5 days preceding initiation and proportion of people on treatment over 1 year and fitted an area‐based, multivariable initiation model with sociodemographic covariates.ResultsOxycodone accounted for 30% of opioid initiations. Annually, 3% of the NSW population initiated oxycodone, and 5–6% were prevalent users; the new user cohort comprised 830 963 people. Discharge from hospital (39.3%), therapeutic procedures (21.4%) and emergency department visits (19.7%) were common; a hospital admission for injury (6.0%) or a past‐year history of cancer (7.2%) were less common. At 1 year after initiation, 4.6% of people were using oxycodone. In the multivariable model, new use of oxycodone increased with age and was higher for people outside major cities, for example, an incidence rate ratio of 1.43 (95% confidence interval 1.36–1.51) for inner regional areas relative to major cities; there was no evidence of variation in rates of new use by social disadvantage.ConclusionAbout half of new oxycodone use in NSW was preceded by a recent episode of hospital care or a therapeutic procedure. Higher rates of oxycodone initiation in rural and regional areas were not explained by sociodemographic factors.

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