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Have urban/rural inequalities in suicide in New Zealand grown during the period 1980-2001?

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  • Pearce, Jamie
  • Barnett, Ross
  • Jones, Irfon

Abstract

Previous studies have noted that in many countries there has been a disproportionate increase in suicide in rural areas, contributing to greater urban/rural inequalities in health. This paper evaluates whether this trend was also apparent in New Zealand during the 1980s and 1990s, a period of rapid social and economic change. Using suicide incidence data for the period 1980-2001, we investigate whether urban/rural status had an effect upon rates of suicide independently of socioeconomic deprivation. While both male and female suicide rates were significantly higher in urban than rural areas in 1980-1982, by the end of the 1990s, urban/rural differences in suicide rates were not significant. The narrowing of urban/rural differences was, to some extent, a result of the growth in suicide rates in more isolated rural communities and small rural service centres. Recent geographical variations in suicide in New Zealand are therefore to a large extent similar to trends observed elsewhere, but are less marked. Potential explanations are offered for the fluctuating urban/rural inequalities in suicide including compositional arguments, rural restructuring and economic decline, social isolation and health service utilisation.

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  • Pearce, Jamie & Barnett, Ross & Jones, Irfon, 2007. "Have urban/rural inequalities in suicide in New Zealand grown during the period 1980-2001?," Social Science & Medicine, Elsevier, vol. 65(8), pages 1807-1819, October.
  • Handle: RePEc:eee:socmed:v:65:y:2007:i:8:p:1807-1819
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    3. Samara McPhedran & Diego De Leo, 2013. "Suicide Among Miners in Queensland, Australia," SAGE Open, , vol. 3(4), pages 21582440135, November.
    4. Ferdi Botha, 2012. "The Economics Of Suicide In South Africa," South African Journal of Economics, Economic Society of South Africa, vol. 80(4), pages 526-552, December.
    5. Cheung, Yee Tak Derek & Spittal, Matthew J. & Pirkis, Jane & Yip, Paul Siu Fai, 2012. "Spatial analysis of suicide mortality in Australia: Investigation of metropolitan-rural-remote differentials of suicide risk across states/territories," Social Science & Medicine, Elsevier, vol. 75(8), pages 1460-1468.

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