‘They'd Rather Go Play Footy’: an Exploratory Study of the Enjoyment and Benefits of the Arts in Western Australia's Remote Murchison Region

The role of the arts in the revitalisation and strengthening of Australia's rural, remote, and Indigenous communities has been of particular interest to Australian State and Federal Governments, as reflected through various policy and positioning documents. In order to understand the relationship between the arts and communities, it is important to explore why people engage in the arts and what might be some of the barriers to that engagement. For the rural, remote and Indigenous communities of the Murchison Region, the arts has been a useful way of reaching and engaging with residents to build a stronger sense of community, provide light relief and entertainment, and facilitate communication among community members, government, and industry. However, there are several barriers that impact on the viability of arts projects. These barriers are amplified in rural and remote areas, and particularly for the three case study communities of the Murchison Region for a number of reasons. These include the transient nature of the population, a lack of resources, isolation and remoteness, and local politics, culture and history. The arts can provide a context in which other non‐arts related outcomes, such as health, capacity building, income generation, and so on, are facilitated and achieved. It is important for policy makers to recognise and address the barriers which hinder activity and serve to lessen the impact of the arts on communities.     

Health Care in Rural Texas

The purpose of this article is to assess the quality of health and health care services available to rural Texans. Specifically, we seek to answer two related questions. First, do people living in rural areas of Texas generally suffer from poorer health than people living in urban Texas? One undoubtedly would think so, given frequent references to the low quality of personal services in general for rural America. Moreover, the persistence of the congressional Rural Health Care Caucus over the past two decades points to a rural health care crisis. Second, to what extent are these differences in health conditions explained by differences in access to health care enjoyed by people living in the two different regions? Access certainly appears to be the problem alluded to above. Rural people apparently lack physician care. In addition to providing answers to these questions, we also examine the difference in the health conditions and access to care enjoyed by minority and non‐minority rural Texans. Is this a part of the rural health care problem given the high incidence of non‐whites in rural Texas? If so this may be minority rather than rural neglect. We briefly conclude the article with some recommendations for improving the problems we identify.     

Financial Exclusion in Rural and Remote New South Wales,Australia: a Geography of Bank Branch Rationalisation, 1981–98

The provision of financial services in rural Australia is a significant public policy issue, reflected in the high level of media and political interest in the recent spate of branch closures. There are, however, many aspects of the current debate regarding the delivery of financial services to rural communities that are, at best, less than ideal and, at worst, erroneous. Using telephone directories for New South Wales, non‐metropolitan bank branch listings for the period 1981 to 1998 were collated. A recategorisation of these data according to the Rural, Remote and Metropolitan Areas classification reveals, amidst a spatial realignment of financial service provision, that rural and remote New South Wales have been disproportionately affected by a relatively recent and concerted withdrawal of services. The research demonstrates that corporate‐level responses to increased competition within the financial system are significantly more important in deciding rural access to banking services than local and regional population trends. Indeed, two‐thirds of rural localities that have lost branches had experienced healthy population growth during the study period. In the wake of the post‐deregulation reconfiguration of the bank branch network, the socio‐economic marginalisation of rural communities is being compounded, a process of ‘financial exclusion’ recognised in other parts of the developed world.     

Caregiving as mobility constraint and opportunity: married daughters providing end of life care in northern Ghana

In the global south where care services are sparse and familial care remains practically and socially important, end of life care often occurs within families. Furthermore, in health care related policy development, care is often assumed to be ensured by ‘traditional’ norms of extended family relationships. In this context, the demands of providing care may require care providers to relocate, as well as reorganize their everyday responsibilities. This article contributes to geographies of care by offering an examination of the mobility constraints experienced by married and externally-resident daughters seeking to provide end of life care to a parent in northern Ghana. Drawing on ethnographic research, I examine how particular familial relationships are embedded with socially constructed labour obligations, leading to conflicting responsibilities at a parent’s end of life. I then consider how a woman as a daughter works to overcome these constraints to provide end of life care. I conclude that understanding the mobility of care providers can contribute to avoiding potentially damaging assumptions of ‘traditional’ norms of care and is an important consideration towards understanding the geographies of care in the rural global south.     

Ageing in remote and cyclone‐prone communities: geography,policy, and disaster relief

Focusing on the experience of independent‐living older adults, this study explored how those in regional Australian coastal communities have coped with repeated natural disasters. Using an exploratory, mixed‐method, and phenomenological approach, an array of non‐probability snowballing techniques was used to seek participation from residents aged 65 years or more, and from emergency services officers, disaster managers, and community health care providers located in regional communities affected by Cyclone Larry (2006) and Cyclone Yasi (2011). The research found that post‐disaster political decisions have had a negative long‐term impact on local economies, causing outmigration by those seeking employment, and resulting in many elderly residents facing a future without family support. As government policies encourage ageing‐in‐place by providing subsidised in situ care, increasingly older adults are remaining in exposed vulnerable locations, reliant on authorities for their survival both day‐to‐day and during an emergency. Findings also uncovered inconsistent disaster management policies between neighbouring local government councils and an unrealistic reliance on in situ care organisations by disaster managers during preparation and recovery stages of a natural hazard. These results highlight the need for those charged with emergency management to reassess both the future natural hazard adaptive capacities of ageing regional communities and policy responses to such challenges.     

Demographic Change,Differential Ageing,and Public Policy in Rural and Regional Australia: A Three‐State Case Study

This paper takes a differential demographic change in six rural settlement categories within rural and regional Australia as the starting point for the measurement of differential ageing using a Relative Ageing Index which compares ageing in sub‐populations with the national norm. The spatial units employed are 412 rural communities, approximated by social catchments each consisting of a country town and its surrounding dispersed population. The study covers the period from 1981 to 2006 and includes the rural areas of New South Wales, Victoria, and South Australia, excluding major cities, peri‐urban areas, and the remote rangelands. It examines demographic change and differential ageing in a selection of the rural settlement categories recommended for further analysis in the report of the ‘Demographic Change and Liveability Panel’, one of three advisory panels established in 2010 by the then Commonwealth Government seeking to develop a sustainable population strategy for Australia. Ageing profiles are produced for the whole study area, for the individual rural settlement categories, and for the urban and rural components within each category separately. Results show that differential ageing is least advanced in the ‘regional cities’, most advanced in the ‘sea change’, but of most concern in the agriculture‐based rural settlement categories where it exacerbates the effects of overall population decline. In all categories, ageing in the dispersed rural population element exceeded that of the urban component. Results emphasise the vital role of the ‘regional cities’ category in future public policy development supported by ameliorative and collaborative measures for their surrounding agriculture‐based communities.     

Growing older and social sustainability: considering the ‘serious leisure’ practices of the over 60s in rural communities

The important role which older people play in rural community development through their various activities has become a substantive area of interest across social science disciplines, including gerontology, sociology, psychology and human geography. Reflecting the demographic shift of an ageing countryside within many parts of the global north, the future of rural social policy initiatives will increasingly depend on a nuanced appreciation of the social and voluntary activities undertaken by the growing older population. We seek to expand this focus to consider the social value of these practices for both the individual and the particular communities of which they are a part, and make a case for ‘serious leisure theory’ (Stebbins 1982) as a potentially rich seam for exploring these relations. This is put into practice through a case study involving the over 60s residents of a village in rural Wales, and through in-depth interviews we draw attention to their role in securing socio-economic sustainability in the locality through voluntary, hobby-based and amateur pursuits. In conclusion, we consider the analytical merits and limitations of serious leisure theory and, more broadly, the implications of the political fashioning of community-engaged older people as exemplar public citizens in the context of ongoing neoliberal welfare reforms.     

Contexts of Monumentalism: regional diversity at the Neolithic transition in north-west France

The origins of funerary monumentalism in north-west France remain inextricably linked to questions surrounding the Neolithic transition in that region. Debate continues over the relative importance of influences from earlier Neolithic communities in north-east or southern France on the Mesolithic communities of western France. An alternative interpretation places these influences within the context of broad processes of change affecting indigenous communities throughout northern and western France during the fifth millennium BC. The evidence from several regions of northern and western France is reviewed in this perspective, with emphasis on the regional character of monument traditions. Though at one level these regional narratives must have been interrelated, the regional diversity of the process must also be underlined. The argument moves us away from simplistic notions of extraneous influences to a more nuanced understanding of change within the context of individual communities at the Mesolithic/Neolithic transition.     

Mining sick: Creatively unsettling normative narratives about industry,environment, extraction,and the health geographies of rural,remote, northern,and Indigenous communities in British Columbia

Rural, remote, northern, and Indigenous communities on Turtle Island are routinely—as Cree Elder Willie Ermine says—pathologized. Social science and health scholarship, including scholarship by geographers, often constructs Indigenous human and physical geographies as unhealthy, diseased, vulnerable, and undergoing extraction. These constructions are not inaccurate: peoples and places beyond urban metropoles on Turtle Island live with higher burdens of poor health; Indigenous peoples face systemic violence and racism in colonial landscapes; rural, remote, northern, and Indigenous geographies are sites of industrial incursions; and many rural and remote geographies remain challenging for diverse Indigenous peoples. What, however, are the consequences of imagining and constructing people and places as “sick”? Constructions of “sick” geographies fulfill and extend settler (often European white) colonial narratives about othered geographies. Rural, remote, northern, and Indigenous geographies are discursively “mined” for narratives of sickness. This mining upholds a sense of health and wellness in southern, urban, Euro‐white‐settler imaginations. Drawing from multi‐year, relationship‐based, cross‐disciplinary qualitative community‐informed experiences, and anchored in feminist, anti‐colonial, and anti‐racist methodologies that guided creative and humanities‐informed stories, this paper concludes with different stories. It unsettles settler‐colonial powers reliant on constructing narratives about sickness in others and consequently reframes conversations about Indigenous well‐being and the environment.     

Changes in the Geography of Rural Settlement in the Old Settled Areas of the Virgin Lands

The present settlement pattern of the long-settled northern part of the virgin lands consists of relatively small population centers. On the basis of field work, the author finds that the concentration of population in larger centers at the expense of subsidiary settlements would provide better services to the rural population without interfering with the efficiency of farm operations.     

‘It’s a very isolating world’: the journey to HIV care for women living with HIV in British Columbia,Canada

HIV health services research conventionally defines place in terms of proximity to care. However, understandings of place must also include the social spaces that women living with HIV (WLWH) occupy which shape their experience of health and access to care. Drawing on focus group data from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study, we explored how 28 WLWH navigate geographic place and social space in attempting to access HIV-related healthcare within and across a range of urban to rural localities in British Columbia (BC), Canada. We describe how existing services, even if physically close, can be socially marginalizing as women confront HIV stigma, racism, and classism, which operate to exclude women from the places and spaces they must access for care. We also emphasize how women enact ‘geographies of resistance’ and succeed in carving out their own safe options for care and support. Finally, we share recommendations identified by women themselves towards developing local and community-driven ‘geographies of change’ that support the health and healing of diverse communities of WLWH. Our findings stress the urgent need to acknowledge and redress socio-spatial barriers to care and to work with WLWH to co-create a therapeutic landscape that reflects women’s diverse identities, localities, emotions, and experiences.     

EQUALITY OF SPATIAL ACCESS TO PRIMARY HEALTH SERVICES FOR SINGAPORE'S BABY BOOMERS

The ageing baby boomers in Singapore, which account for one-third of the total population in 2006, will have a profound impact on the economy, society and environment. The greatest demand is for health care services. Even though Singapore has generally been regarded as a country where primary health services are easily available to all residents, this paper identifies significant spatial variations across the island-state. In particular, accessibility in some areas with high concentration of boomers is relatively lower compared to other residential areas. This paper concludes that understanding the spatial variation in primary health service accessibility is critical to the success of future policies, which may lead to a review of the provision of such services across the island. The methodology developed in this paper is also applicable to the study of service inequalities in other Asian countries with large rural settings.     

Essai de typologie des centres de santé et de services sociaux au Québec

Given the importance of contextual factors—physical, social and institutional environments—for understanding health landscapes, this article examines the situation in the province of Québec and suggests a spatial typology at the scale of the health and social services centres (CSSS). These CSSS provide services for 95 areas which are the finest territorial delineation in terms of health policies since a reform instituted in 2003. While delivery of primary health and social services is defined at this local scale, overall health policy is decided at the provincial scale. The challenge for stakeholders is to supplement their local knowledge with that of the broader context. In this article, we use principal components analysis and hierarchical cluster analysis to identify eight profiles of CSSS. The final results of the cluster analysis demonstrate that two‐thirds of the health and social services centres correspond with two marginally differentiated profiles and the remaining third shows specificities that are highly spatially anchored.     

ON THE INEQUALITY OF RURAL SERVICES PROVISION IN THE USSR

Results of studies of inter- and intra-regional variation of rural services provision (including retail trade, cultural-educational services, and health care) are compared. Highest levels of per capita services provision were found in the Baltic republics and RSFSR, with lower levels in the southern European USSR, Transcaucasia, and Central Asia. The differences are attributed to rural depopulation (northwestern USSR), rural development priorities in areas of severe natural conditions (Siberia), and high rates of natural population increase (Central Asia). A differential approach in services planning is recommended between areas located near oblast urban centers and those which are more remote (translated by Jay K. Mitchell; PlanEcon, Inc.; Washington, DC 20005).     

Unsafe drinking water quality in remote Western Australian Aboriginal communities

Chronic kidney disease (CKD) is important in the fields of public health and health geography because of its heavy burden on the health system and high cost of treatment in its advanced stages. The causes of CKD are associated with diabetes and hypertension, but in some parts of the world, the disease occurs in the absence of these factors. Researchers identify this condition as CKD of “unknown” causes (CKDu). CKDu is a multi‐factored health problem and one suspected causal factor is contaminated drinking water. The disease occurs globally but is found in particularly high concentrations among people of certain ethnic and disadvantaged social groups living in very different locations around the world. CKD has become endemic in Western Australia where hospital admissions for Aboriginal people requiring renal dialysis or treatment for diabetes are much higher than for the general population. The possible proportions of CKDu cases among the CKD patients are unknown. This study examines the drinking water quality among communities such as these. Water chemistry analysis in these areas indicates that the nitrate and uranium content greatly exceed officially recommended levels. Most of these communities rely on raw groundwater to supply their domestic needs, and it is very likely that the people are unwittingly ingesting high levels of nitrates and uranium, probably including uranyl nitrates. Very few such remote communities have access to treated drinking water, and cost‐effective water treatment systems are required to provide potable water at the local scale.     

Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada

In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.     

长春市人口老龄化时空演变及空间类型研究

构造了一个由数量老龄化、结构老龄化和密度老龄化三个指标所组成的综合老龄化指数（CAI）,并建立了一套人口老龄化空间类型划分方案,运用多尺度空间自相关分析对长春市人口老龄化空间的时空演变及空间类型进行研究。结果表明：①长春市近10年出现了老年人口郊区化的趋势,人口老龄化空间的“中心-边缘”分布格局在10年内没有发生显著改变,但空间扩散趋势十分明显,东部和南部近郊区出现了明显的人口老化趋势。②长春市形成了残留老化、集聚老化、自然老化和集聚稀释四种不同的人口老龄化类型区。城市核心区和远郊区形成以非老年人口大量流失为基本特征的残留老化型地区,而近郊区则形成以年轻人口大量涌入为特征的集聚稀释型地区,人口老龄化空间整体上呈现出一种城市中心区和远郊区的老化程度高于近郊区的夹层结构。     

“Why would they care?”: Youth,resource extraction,and climate change in northern British Columbia,Canada

Discussion about local decision making tends to overlook rural and remote youth engagement. Resource extractive industries are, however, fixtures in many rural, remote, northern, and Indigenous communities in settler colonial British Columbia, Canada. These industries shape youths' perceived options for social and economic ventures when they are looking towards their futures. By engaging literature on climate change, settler colonialism, and critical Indigenous studies, and drawing on empirics from workshops conducted with youth from northern British Columbia, this paper explores how rural and remote northern and Indigenous youth engagement and perspectives can transform discussions on climate change and resource extraction. The paper documents how rural and northern youth have been engaged in environmental decision making, particularly in light of resource extraction. The paper also suggests that environmental decision making has at times been extractive itself. The paper concludes that when engaged meaningfully, youth desire to work collectively against social and environmental injustices.     

General practice access in regional and remote Australia for ageing populations

Identifying and removing access barriers to the timely provision of comprehensive health care is increasingly important for the wellbeing of Australia's rapidly ageing and frail populations, particularly those in non‐metropolitan settings. This study has examined if current general practice (GP) locations in non‐metropolitan South Australia (SA) and Western Australia (WA) are geographically accessible to the rapidly growing frail and prefrail populations known to have a high level of health service use and reduced mobility. Geospatial analysis linking 60‐kilometre GP service catchments, 2016 population counts, and 2027 population projections has estimated that the size of the frail and prefrail population that live outside these GP service catchments will double, reaching 7,800 people by 2027. The maldistribution of GP locations was most evident in WA. As regional and remote populations continue to age, the challenge of health service provision, including geographic access to care, must be resolved to ensure that populations in these areas have the best opportunity to age well. Geospatial methods linking service and demographic information, such as the approach used in this analysis, can aid in planning the equitable provision of health care for older Australians.     

Rural Youth Migration Trends in Australia: an Overview of Recent Trends and Two Inland Case Studies

Much of what has been written on the topic of Australian rural youth migration trends and processes has often proceeded from data‐free, or data‐poor grounds. In this context, this paper analyses recent trends in youth (15 to 24 years of age) migration for a temporally‐consistent set of Statistical Divisions (SDs) in inland rural Australia, and for local government areas within the Northern Tablelands and Slopes and Ranges of northern New South Wales and the Western Australian Central Wheatbelt. The paper finds that rates of youth loss from rural regions have increased over the past twenty years. Yet the patterns, processes, causes and impacts of rural youth migration are distributed in a spatially‐uneven fashion. Some remote areas are receiving net migration gains while booming ‘sea change’ coastal regions have experienced heavy losses. While the ‘flight to the bright city lights’ syndrome is evident, relatively high proportions of young people in the Northern SD of NSW move within their immediate region. Nevertheless, some common understandings concerning youth mobility were also confirmed. Gender differentials in migration propensity between women and men are evident even at quite local scales. Young people are also more likely to search out capital cities than the rest of the population. Most inland areas still continue to experience heavy losses of local youth. A more precise understanding of rural youth migration trends is an important stepping stone in the establishment of a reinvigorated research effort into young rural people's perspectives of their changing life chances in their home communities.