Factors associated with personal hopefulness in older rural and urban residents of New South Wales

Kerry Inder · Rafat Hussain · Joanne Allen · Bronwyn K. Brew · Terry J. Lewin · John Attia +1 more

4 citations0/0 files storedAdvances in Mental Health

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Optimism, Hope, and Well-being Psychological Well-being and Life Satisfaction Resilience and Mental Health

Abstract

Background: As research focuses on the concept of resilience, evidence suggests that greater levels of personal hope may have a mitigating effect on the mental health impact of adversity. In view of the adversity affecting rural communities, a better understanding of factors influencing personal hope may help identify foci for mental health promotion and mental illness prevention research and interventions.Aim: To explore the relationship between demographic, socioeconomic and mental health factors and personal hopefulness, including the influence of locality and remoteness.Method: Using data from two community-based longitudinal cohorts from New South Wales – one urban and one rural – we analysed cross-sectional relationships between a range of factors and personal hopefulness using logistic regression techniques, as part of a common follow-up. Personal hopefulness was measured using a 12-item scale and scores were categorised as low (<2.5), medium (2.5–3.4) and high (≥3.5).Results: Of 2774 participants (53% female, mean age 69.1 years [SD 7.3, range 58–91 years], 36% living outside metropolitan areas) 32% had low, 51% had medium and 17% had high personal hopefulness scores. Several factors displayed univariate associations with personal hopefulness. In the multivariate model, five factors were independently associated with lower personal hopefulness: being older, having lower perceived prosperity, less frequent socialisation, experiencing high psychological distress or psychological impairment. Hopefulness was not associated with geographical location.Conclusion: The impact of current psychological distress and aspects of adversity on personal hopefulness over time should be further investigated in longitudinal research. Personal hopefulness did not differ across geographical location.

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