Rural and Remote Health Journal photo
African section Asian section Australasian section European section International section Latin American section
current articles
information for authors
status/user profile
about us

Original Research

Rural older adults’ mental health: status and challenges in care delivery

Submitted: 27 April 2012
Revised: 18 July 2012
Published: 8 November 2012

Full text: You can view the full article, or view a printable version.
Comments: (login to access the comments on this article)

Author(s) : Bocker E, Glasser M, Nielsen K, Weidenbacher-Hoper V.

Emilee BockerMichael GlasserKimberly NielsenVicki Weidenbacher-Hoper

Citation: Bocker E, Glasser M, Nielsen K, Weidenbacher-Hoper V.  Rural older adults’ mental health: status and challenges in care delivery. Rural and Remote Health (Internet) 2012; 12: 2199. Available: (Accessed 17 October 2017)


Introduction:  Health disparities remain a challenge in rural populations, with mental health care especially challenging as the proportion of older adults continues to increase worldwide. This study examined the mental health service needs of, and use by, independently living rural older adults, with a focus on depression.
Methods:  Older adults (≥ 50 years) were asked to complete a survey.
Results:  There were 150 respondents: 29% were between the ages of 50 and 64 years and 71% were 65 years and older. On a composite variable, 23.3% were at-risk for depression. One-half to two-thirds reported awareness of local mental health services, but nearly three-quarters never used these. Barriers to effective treatment of depression included stress, healthcare costs, and denial/fear of depression. There was an ‘avoidance’ factor in depression diagnosis and management.
Conclusion:  Older adults in rural communities experiencing depression pose a problem. Strategies are needed to overcome multiple barriers to effective diagnosis and treatment. There is a need to better understand the role of stress in older adults’ lives. It is especially important for primary care providers and the local community to organize resources to allow for more time to be spent with older adults with mental health problems.

Key words: barriers to care, depression, mental health, older adults, primary health care, USA.

This abstract has been viewed 4605 times since 8-Nov-2012.