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Open Access Mental Health Differences Among Middle-Aged Sawmill Workers in Rural Compared to Urban British Columbia Les différences en matière de santé mentale entre des travailleurs d'âge moyen œuvrant dans une scierie rurale et des travailleurs en milieu urbain, en Colombie-Britannique

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The study sought to determine whether differences in mental health outcomes were observable in a cohort of workers living in rural compared to urban places in the Canadian province of British Columbia. The study was based on a cohort of male sawmill workers. The cohort was probabilistically linked to the BC Linked Health Database in order to yield objective mental health outcomes. A nested case control design was used. Univariate and multivariate models were constructed using conditional logistic regression. While results differed according to the particular mental health outcome, after controlling for socio-economic confounders it was found that workers who remained in or migrated to rural places tended to have better mental health outcomes than workers who remained in or migrated to urban places.

French
Cette étude a pour objectif de cerner les différences observables en matière de santé mentale entre une cohorte de travailleurs ruraux et une cohorte de travailleurs urbains, dans la province canadienne de la Colombie-Britannique. L'étude s'appuie sur une cohorte de travailleurs masculins œuvrant dans une scierie, laquelle comporte un lien probabiliste avec la BC Linked Health Database [base de données en matière de santé portant sur la population de la C.-B.] pour assurer l'objectivité des résultats en matière de santé mentale. Les chercheurs s'appuient sur l'utilisation de cas-témoins nichés et ont conçu des modèles uni- et multi-variables axés sur la régression logistique conditionnelle. Bien que les résultats diffèrent selon le résultat particulier en santé mentale, les chercheurs constatent, après avoir vérifié la présence de variables socioéconomiques confusionnelles, que les travailleurs qui demeurent ou migrent en région rurale affichent de meilleurs résultats sur le plan de la santé mentale, comparativement aux travailleurs demeurant ou migrant en milieu urbain.

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Keywords: CANADA; MENTAL HEALTH; NESTED CASE CONTROL STUDY; RURAL; URBAN

Document Type: Research Article

Publication date: 2010-09-01

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