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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Supporting LGBTIQA+ communities in small rural settings: a case study of health promotion in a community health service

Dianne Couch A * and Sherene Clow B
+ Author Affiliations
- Author Affiliations

A Castlemaine District Community Health, 103 Roseberry Street, Ascot Vale, Vic. 3032, Australia.

B Dhelkaya Health, PO Box 50, Castlemaine, Vic. 3450, Australia.

* Correspondence to: dcouch@bigblue.net.au

Australian Journal of Primary Health 29(4) 306-311 https://doi.org/10.1071/PY22183
Submitted: 25 August 2022  Accepted: 7 December 2022   Published: 9 January 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

People from LGBTIQA+ communities living in rural areas experience significant disparities across a range of health and wellbeing indicators, high levels of stigma and discrimination, and difficulty accessing inclusive health and support services. This article discusses a targeted health promotion intervention designed to build supportive health and social programs to address these problems. We describe the initial needs assessment undertaken to inform the intervention, the role and activities of the health promotion officer funded through the program, and present evaluation data on program outcomes. The article demonstrates that modest funding for health promotion can make a positive contribution to connecting and supporting individuals in a small regional community, leading to better health and wellbeing outcomes.

Keywords: community connectedness, community health: services, health promotion, health services: accessibility, LGBTIQA+ health, LGBTIQA+ wellbeing, preventive health services, rural health: services.


References

Ceatha N, Mayock P, Campbell J, Noone C, Browne K (2019) The power of recognition: a qualitative study of social connectedness and wellbeing through LGBT sporting, creative and social groups in Ireland. International Journal of Environmental Research and Public Health 16, 3636
The power of recognition: a qualitative study of social connectedness and wellbeing through LGBT sporting, creative and social groups in Ireland.Crossref | GoogleScholarGoogle Scholar |

Equality Australia (2020) LGBTIQ+ communities and COVID 19. A report on the impact of COVID-19 on Australian LGBTIQ+ communities and building a strong response. (Equality Australia: Surry Hills, NSW). Available at https://equalityaustralia.org.au/covid-report/

Gorczynski P, Fasoli F (2022) Loneliness in sexual minority and heterosexual individuals: a comparative meta-analysis. Journal of Gay & Lesbian Mental Health 26, 112–129.
Loneliness in sexual minority and heterosexual individuals: a comparative meta-analysis.Crossref | GoogleScholarGoogle Scholar |

Grant R, Gorman-Murray A, Briohny Walker B (2021) The spatial impacts of COVID-19 restrictions on LGBTIQ wellbeing, visibility, and belonging in Tasmania, Australia. Journal of Homosexuality 68, 647–662.
The spatial impacts of COVID-19 restrictions on LGBTIQ wellbeing, visibility, and belonging in Tasmania, Australia.Crossref | GoogleScholarGoogle Scholar |

Hill AO, Bourne A, McNair R, Carman M, Lyons A (2020) ‘Private lives 3: the health and wellbeing of LGBTIQ people in Australia.’ ARCSHS Monograph Series No. 122. (Australian Research Centre in Sex, Health and Society, La Trobe University: Melbourne, Australia). Available at https://www.latrobe.edu.au/__data/assets/pdf_file/0009/1185885/Private-Lives-3.pdf

McGrail MR, Humphreys JS (2015) Spatial access disparities to primary health care in rural and remote Australia. Geospatial Health 10, 138–143.
Spatial access disparities to primary health care in rural and remote Australia.Crossref | GoogleScholarGoogle Scholar |

National Rural Health Commissioner (2020) Report for the Minister for Regional Health, Regional Communications and Local Government on the improvement of access, quality and distribution of allied health services in regional, rural and remote Australia. (Department of Health: Canberra). Available at https://www.health.gov.au/sites/default/files/documents/2021/04/final-report-improvement-of-access-quality-and-distribution-of-allied-health-services-in-regional-rural-and-remote-australia.pdf

Nic Giolla Espaig B, Reynish TD, Hoang H, Bridgman H, Corvinus-Jones SL, Auckland S (2022) A systematic review of the health and health care of rural sexual and gender minorities in the UK, USA, Canada, Australia and New Zealand. Rural and Remote Health 22, 6999
A systematic review of the health and health care of rural sexual and gender minorities in the UK, USA, Canada, Australia and New Zealand.Crossref | GoogleScholarGoogle Scholar |

Victorian Agency for Health Information (2020) The health and wellbeing of the lesbian, gay, bisexual, transgender, intersex and queer population in Victoria: findings from the Victorian Population Health Survey 2017. (Government of Victoria: Melbourne, Australia). Available at https://www.safercare.vic.gov.au/sites/default/files/2020-09/The-health-and-wellbeing-of-the-LGBTIQ-population-in-Victoria.pdf