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International Journal of Rural Psychology
 Title
  Sense of belonging, stress and depression in rural-urban communities

 Author Details

Suzanne McLaren
Belinda A. Jude
Lisa M. Hopes
Tanya J. Sherritt
School of Behavioural & Social Sciences & HumanitiesUniversity of Ballarat, Australia
 

Acknowledgement
This research was supported by a grant from the School of Behavioural & Social Sciences & Humanities, University of Ballarat.

Correct Reference
McLaren, S.  Jude, B.  Hopes, L.  & Sherritt, T.  (2001), Sense of belonging, stress and depression in rural-urban communities, International Journal Journal of Rural Psychology, Vol. 2, No. 7, URL
http://www.ruralpsych.com/Members/RefereedArticles/RR-McLaren-Jude-Hopes-Sherritt.htm
 
Address for correspondence
Dr Suzanne McLaren
School of Behavioural & Social Sciences & Humanities
University of Ballarat
University Drive
Mt Helen Vic 3353
Australia
Telephone: (03) 53279628
Fax: (03) 53279754
E-mail: s.mclaren@ballarat.edu.au


Abstract
Living in rural areas has been linked to higher incidences of stress, depression and suicide.  One factor predictive of such mental health indices is sense of belonging.  Sense of belonging refers to one’s experience of feeling valued, needed and accepted within one’s environment, and the motivation to be accepted in to that environment.  The current research examined whether rural-urban differences existed in sense of belonging, stress and depression.  A random community sample of Australian residents was divided in to four groups, urban (n = 106), regional city (n = 119), regional town (n = 82), and rural (n = 90).  Residents completed the Sense of Belonging Instrument (Hagerty & Patusky, 1995), the Perceived Stress Scale (Cohen, Kamarck, & Mermelstein, 1983), and the Zung Depression Scale (Zung, 1965).  Females were shown to score higher on sense of belonging than males.  Analyses indicated that sense of belonging was a significant predictor of stress and depression.  Results demonstrated that place of residence made a unique contribution to the prediction of stress and depression, with less populated areas (more rural) reporting less symptomatology.  Despite previous research indicating rural residents experience more mental health problems than urban residents, the current study failed to show differences in the key mental health correlate of sense of belonging.

In recent times, researchers have documented differences in mental health between those who reside in differentially populated areas.   Research suggests that rural residents are likely to experience more mental health problems, including psychiatric illness (Lawrence & Williams, 1990; Mumford, Saeed, Ahmad, Latif, & Mubbashar, 1997; Wagenfeld, 1982), depression (Cheng, Soong, Chong, & Lin, 1995; Hays & Zouari, 1995; Zimbelman, 1987), suicide (Coleman, 1995; Dudley, Waters, Kelk, & Howard, 1992; Lohse, 1992; Pritchard, 1992), stress (Hays & Zouari, 1995; Johnson, 1998; Marsella, 1998) and alcohol dependence and abuse (Lee, Kwok, Yamamoto, Rhee,  Kim, Choi,  & Lee, 1990).

A number of explanations have been offered for the differing levels of mental health in rural and urban populations.  For example, economic hardship ‘on the farm’ has been associated with increased psychological distress and dysfunction (Armstrong & Schulman, 1990; Beeson & Johnson, 1987; Belyea & Lobao, 1990).  The economic changes evidenced in rural areas have lead to a continual population decline and the closure of many agriculture-dependent businesses (Davidson, 1989; O’Hare, 1988).  A significant consequence of this altering population base in rural areas is the loss of traditional formal support systems such as community organisations, schools and hospitals into larger relatively distant regional population centres (Quevillon & Trenerry, 1983; Stewart, McKenry, Rudd, & Gavazzi, 1994; Sullivan, Weinert, & Fulton, 1993).

The substantial economic and demographic changes documented in rural areas have been associated with rural residents reporting reduced satisfaction with their local community.  Specifically, rural residents have reduced satisfaction with community life and lessened feelings of cohesion (Naples, 1994; Oberlander, 1990).  Such perceptions of the local community give rise to the possibility that sense of belonging within the rural community has been reduced.  This proposition has yet to be tested empirically.

Abraham Maslow (1968) identified belonging as a basic human need and an important attainment in the process towards self-actualisation. People's everyday relationships with others, along with the nature and perceptions of these relationships, have become an increasingly important area of interest within psychological research (Anant, 1967, 1969; Hagerty, Lynch-Sauer, Patusky, Bouwsema, & Collier, 1992; Hagerty & Patusky, 1995; Hagerty, Williams, Coyne, & Early, 1996).

Researchers have sought to explain how human interactions can influence physical and mental health and to what degree. Humans are primarily social animals and most need meaningful contact with others. For example, Baumeister and Leary (1995) purported that human beings have an innate, pervasive drive to form and maintain lasting, positive interpersonal relationships. This innate quality in humans would have both survival and reproductive benefits, thus it can be seen to have an evolutionary basis. A lack of human interactions has been found to impact upon an individual's formation of a personal identity and can affect every aspect of their lives from their personal development through to social relationships and mental health (Anant, 1967).

Sense of belonging can be defined as the experience of both personal involvement and integration within a system or environment (Hagerty et al., 1992).  Two important dimensions of sense of belonging exist: a person must feel valued or important within their environment (psychological) and further, a person must have the desire and ability to develop a sense of belonging (antecedent) (Hagerty, et al., 1992).

Sense of belonging has been identified as necessary for psychological well-being (Thompson-Fullilove, 1996).  Research indicates that individuals who report a lesser sense of belonging are more likely to report lower levels of self-esteem, self-worth and self-sufficiency (Lee & Robbins, 1998).  In addition, a deficit in sense of belonging may result in higher levels of anxiety and associated disorders (Herbert, 1997; Lee & Robbins, 1998), loneliness (Lloyd, 1985), depression (Hagerty et al., 1996; Rice, 1999), suicide ideation (Lewinsohn, Rohde, & Seeley, 1993; Rice, 1999) and in general reduced psychological and physiological functioning (Ganster & Victor, 1988; Greenberg, 1984; Schroeder & Costa, 1984; Toates, 1995).

Research has consistently shown that sense of belonging varies as a function of gender (Davidson, Balswick, & Halverson, 1980; Hagerty et al., 1996; Lloyd, 1985). It has been found that the relationships between sense of belonging and indicators of both social and psychological functioning are stronger for women than men (Hagerty et al., 1996).   Other research has shown that female college students low in sense of belonging experienced more stress, anxiety and depression than male students low in sense of belonging (Mallinckrodt & Leong, 1992).

In summary, sense of belonging is a fundamental component of mental health.  Given that individuals who are low in sense of belonging are likely to experience more psychological problems than those high in sense of belonging, and that rural residents are likely to report more psychological problems than urban residents, the current research aimed to investigate if sense of belonging, stress and depression varied as a function of place of residence.  The research also investigated if gender interacted with place of residence to effect levels of sense of belonging.  Further, the research investigated sense of belonging and place of residence as predictors of stress and depression.

Method
Participants
A total of 395 community members from the state of Victoria, Australia, participated in the study (13% response rate).  The sample comprised of 70% females (n = 279) and 30% males (n = 116).  The respondents were divided into four groups by their location of residence: urban (n = 105), regional city (n = 119), regional town (n = 81) and rural (n = 90).  Average age of the sample was 40.93 years (SD = 14.80).  The demographic details for males and females for each of the residential groups can be seen in Table 1.

Table 1

Measures
A questionnaire package was utilised consisting of a covering letter, a reply paid envelope, a demographic page providing general information about each participant, the Sense of Belonging Instrument (SOBI, Hagerty & Patusky, 1995), the Perceived Stress Scale (Cohen, Kamarck, & Mermelstein, 1983), and the Zung Depression Scale (Zung, 1965).  The demographic section of the questionnaire asked participants to report their age, gender, marital status, postcode, highest education level achieved, and occupation.

The Sense of Belonging Instrument (SOBI) is a 33-item, self-report instrument consisting of two separately scored scales, SOBI-P (psychological state) and SOBI-A (antecedents) (Hagerty & Patusky, 1995).  The 18 questions of the psychological subscale were designed to assess an individual’s experience of feeling valued, needed and accepted, and the perception of fit or connectedness within a system or environment (Hagerty & Patusky, 1995).  The 15 questions of the antecedent subscale were designed to assess antecedents or precursors to sense of belonging, such as energy for involvement, potential and desire for meaningful involvement (Hagerty & Patusky, 1995).  Respondents were asked to give ratings on a 4-point Likert scale (1 = strongly disagree; 4 = strongly agree) to questions designed to measure sense of belonging such as “I often wonder if there is any place on earth where I really fit in”; “I generally feel that people accept me” (psychological state) and “It is important to me that I am valued or accepted by others”; “I just don't feel like getting involved with people” (antecedents).   Higher scores indicate a greater sense of belonging.  Research suggests that the SOBI-P is a valid and reliable measure of sense of belonging with an internal consistency co-efficient alpha of .93 and a test-retest reliability correlation of .84 (Hagerty & Patusky, 1995).  The SOBI-A is also a valid and reliable measure of belonging with an internal consistency co-efficient alpha of .72 and a test-retest reliability correlation of  .66 (Hagerty & Patusky, 1995).

The Perceived Stress Scale (PSS) (Cohen et al., 1983) is a 14-item questionnaire designed to measure the degree to which an individual appraises their life as stressful. This scale focuses upon the individual's subjective experience of stress thus resulting in a global measure of perceived stress. Each item requires the participant to indicate how often they have felt or thought a certain way within the last month prior to completing the questionnaire. Participants rated their responses on a 5-point Likert scale (0 = Never; 4 = Very Often). Some examples of questions are; "In the last month how often have you felt nervous or ‘stressed’?" and "In the last month how often have you felt that you were on top of things?".  Higher scores are indicative of higher levels of stress. This scale has well documented test-retest reliability (r = .85) and validity (r = .65) (Cohen et al., 1983).

Depression was measured using the Zung (1965) Depression Scale (ZDS), which is a 20-item self-report instrument requiring the participant to rate their experience of depressive symptoms at the present time on a 5 point Likert scale (1 = a little of the time; 4 = most of the time).  Statements on this scale include “I feel down-hearted and blue” to “I feel hopeful about the future”.  Higher scores indicate higher depression levels.  This scale is psychometrically sound, with a Cronbach internal reliability of .82 (De Jonghe & Baneke, 1989). Validity and the power to discriminate between depressed and nondepressed participants have been found to be acceptable (De Jonghe & Baneke, 1989).

Procedure
Selection of participants followed a stratified random sampling procedure (Shaughnessy & Zechmeister, 1990).  Rather than making just two groups (metropolitan and non-metropolitan), the sample was divided in to four groups based on population (Dwyer, Barton, & Vogel, 1994): urban (the capital city of Melbourne; postcodes 3000-3200); regional cities (Ballarat, Bendigo, and Geelong; population above 50,000); regional towns (population from 7,500 to 50,000); and rural (open country farm and non-farm settings of fewer than 2,500 people).

Randomly selected postcodes for all four strata were generated.  Postcodes were then supplied to the Listbank Company, which generated random mailing lists from Electoral Rolls.  The details of the procedure were as follows.  For the urban group, 30 questionnaire packages were distributed to each of 25 randomly selected ‘urban’ postcodes.  For the regional city group, 250 questionnaire packages were distributed to ‘regional city’ postcodes (Ballarat, Bendigo and Geelong).  For the regional towns, all 20 ‘regional town’ postcodes in the state were included.  Out of the twenty towns, 42 questionnaire packages were distributed to the two most populated towns, and 37 questionnaire packages were delivered to each of the remaining eighteen towns.  For the rural group, one postcode was generated per 6,000 residents per shire, and 15 questionnaire packages were distributed to each of the 50 randomly selected postcodes.  A total of 3,000 questionnaire packs were posted to a random sample of Australians- 750 urban, 750 regional cities, 750 regional towns and 750 rural residents.

Results
A significance level of p < .05 was adopted for all analyses.

Reliability coefficients
Reliability coefficients were calculated for the two subscales of the SOBI, the PSS and the ZDS.  Results indicated satisfactory internal reliability: SOBI-P m = .95, SOBI-A m = .82, PSS m = .88, and ZDS m = .84.

Preliminary analyses
Preliminary analyses were conducted to test for differences between the four residential groups on the variables of age, marital status and education level.  Results indicated that age was significantly different across the groups, F(3, 391) = 3.60.  Post hoc analyses, using Bonferroni corrections for Type 1 error, indicated that the urban residents were significantly younger than the regional town residents.

Chi-square analyses were used to test for differences between the four groups on the categorical demographic data.  It was evident that urban participants were less likely to be married, Pearson c2 (3, N = 398) = 35.24, Cramérs V = .17, whereas rural and regional town residents were more likely to have left formal education earlier than those in the more urban regions (urban and regional city), Pearson c2 (3, N = 398) = 42.47, Cramérs V = .19.
The variables of age, marital status and education were entered as covariates in all subsequent analyses.

Rural-Urban comparisons
The means and standard deviations for each group of residents for the subscales of the SOBI, PSS and ZDS can be seen in Table 2. A two-way analysis of covariance (ANCOVA) demonstrated no differences between the four groups of residents on the SOBI-P, F(3, 384) = 0.86.  There was a distinct trend for females to score higher on the SOBI-P than males, F(1, 384) = 3.84, p = 0.05.  There was no interaction between place of residence and gender, F(3, 384) = 1.15.

A second ANCOVA indicated similar results for the SOBI-A.  Results demonstrated that scores on the SOBI-A did not differ as a function of place of residence, F(3, 384) = 0.45.  Females scored significantly higher than males, F(1, 384) = 5.25.  Again, no interaction was evident between place of residence and gender, F(3, 384) = 0.15.

A third ANCOVA indicated that stress did not vary according to place of residence, F(3 384) = 1.33, nor gender, F(1, 384) = 0.01.  An interaction between place of residence and gender was not evident, F(3, 384) = 0.20.

The final ANCOVA demonstrated that depression also did not differ as a function of place or residence, F(3,384) = 1.78, or gender, F(1, 384) = 0.01.  Again, an interaction between place of residence and gender was not evident, F(3, 384) = 0.36.

Table 2

In light of there being no significant differences between the four groups on each of the dependent measures, the four groups of residents were reduced to two groups: Urban (Urban and Regional City) and Rural (Regional Towns and Rural).  The above analyses were repeated.  The two groups of residents did not differ on the SOBI-P, F(1, 388) = 0.71, the SOBI-A, F(1, 388) = 0.56, or the PSS, F(1, 388) = 3.11.  Urban residents, however, reported significantly more depression than rural residents, F(1, 388) = 4.46.  The above results for gender were replicated, and there were no interactions between place of residence and gender for the dependent variables.

Sense of Belonging and Place of Residence as Predictors of Stress
A Hierarchical Multiple Regression Analysis (HMRA) was performed to assess the adequacy of the two sense of belonging subscales as predictors of stress. HMRA was chosen due to earlier results indicating gender differences in sense of belonging.  Gender was entered first in to the HMRA regression so as to offer statistical control and provide a more pure measure of the effects of sense of belonging on stress (Tabachnick & Fidell, 1996).  The two subscales of the SOBI were entered at the second step.  At the third step, place of residence was entered to assess the unique contribution of this factor as a predictor of stress.  The results of the HMRA are presented in Table 3.

Table 3

As seen in Table 3, gender was not a significant contributor to the prediction of stress, R2Change = .00, F (1, 393) = 1.53.  An examination of the t-values indicated that gender did not add significantly to the predictive power, t (393) = -1.23.

Further, the regression analysis indicated that sense of belonging scores explained a significant 33% of the variance, R2 Change = 0.33, F (2, 391) = 95.62.  An examination of the t-values indicated that only sense of belonging psychological scores added significantly to the predictive power of the equation, t (393) = -13.21.

Results indicated that living in more populated regions was associated with elevated levels of stress.  Examination of partial correlation coefficients (controlling for gender) demonstrated significant negative relationships (SOBI-P; r (393) = -.57; SOBI-A; r (393) = -.17), indicating that as sense of belonging decreased, stress level increased.  It was also evident at step 2 that gender made a significant contribution to the regression equation, t(393) = 2.85.

Results indicated that place of residence made a unique contribution to the prediction of stress, R2 Change = .01, F (1, 390) = 6.02.  At step 3, gender, t(393) = 2.86, and sense of belonging psychological subscale, t(393) = 13.21, continued to make significant contributions to the regression equation.

Sense of Belonging and Place of Residence as Predictors of Depression
A second HMRA was performed to assess the extent to which sense of belonging and place of residence predict depression.  Consistent with the previous HMRA, gender was entered in the first step, sense of belonging was entered second, and place of residence was entered third.  Results of the HMRA can be seen in Table 4.

Table 4

As seen in Table 4, gender was not a significant contributor to the prediction of stress, R2Change = .00, F (1, 393) = 0.65.  An examination of the t-values indicated that gender did not add significantly to the predictive power, t (393) = -0.81.

The regression analysis demonstrated that sense of belonging scores explained a significant 38% of the variance, R2 Change = 0.38, F (2, 391) = 118.93.  The t-values showed that, once again, only sense of belonging psychological scores added significantly to the predictive power of the equation, t (393) = -13.90. Examination of partial correlation coefficients (controlling for gender) demonstrated significant negative relationships (SOBI-P; r (393) = -.61; SOBI-A; r (393) = -.27), indicating that as sense of belonging decreased, depression increased.  At step 2, gender made a significant contribution to the regression equation, t(393) = 2.70.

Further, results indicated that place of residence made a unique contribution to the prediction of depression, explaining 1% of the variance, R2 Change = .01, F (1, 390) = 10.04.  It was evident that living in more populated areas was associated with higher levels of depression.  Both gender t(393) = 2.72, and the psychological subscale of sense of belonging, t(393) = 13.94, made significant contributions to the regression equation at step 3.

Discussion
Previous research has indicated that residents living in rural areas are more likely to experience poor mental health, as indicated by elevated levels of stress (Hays & Zouari, 1995; Johnson, 1998; Marsella, 1998), depression (Cheng et al., 1995; Hays & Zouari, 1995; Zimbelman, 1987), suicide (Coleman, 1995; Dudley et al., 1992; Lohse, 1992; Pritchard, 1992), psychiatric illness (Lawrence & Williams, 1990; Mumford et al., 1997; Wagenfeld, 1982) and alcohol dependence and abuse (Lee et al., 1990).  A separate body of research has identified sense of belonging as a predictor of mental health (Ganster & Victor, 1988; Greenberg, 1984; Hagerty et al., 1996; Herbert, 1997; Lee & Robbins, 1998; Lewinsohn et al., 1993; Lloyd, 1985; Rice, 1999; Schroeder & Costa, 1984; Toates, 1995).  The current study aimed to investigate if rural residents felt a lessened sense of belonging than urban residents, as well as higher levels of stress and depression.  Further, the study aimed to investigate if sense of belonging and place of residence were significant predictors of stress and depression.  Although results did not indicate mean differences in sense of belonging, stress and depression as a function of place of residence when four groups were used, a significant difference was evident for depression when gross measures of “urban” and “rural” were employed.  Further, where one lived was seen to predict stress and depression.  Place of residence was seen to be a unique predictor of stress and depression, indicating that increased rurality was associated with lower scores.  The psychological component of sense of belonging was a significant predictor of stress and depression, such that a lessened sense of belonging was associated with elevated stress and depression.

The results demonstrating sense of belonging as being similar in rural areas compared to more populated environs were not expected.  Evidence suggests that the nature of rural communities has changed substantially, with the economic downturn of the 1980s forcing people to leave rural areas (Davidson, 1989; O’Hare, 1988).  Consequently, those living in rural areas have seen major services close (Quevillon & Trenerry, 1983; Stewart et al., 1994; Sullivan et al., 1993).  In light of the economic and social changes witnessed by rural residents, satisfaction with their local community has decreased.  Research has shown that rural residents report lessened feelings of cohesion in their community, as well as reduced satisfaction with community life (Naples, 1994; Oberlander, 1990).  In light of such perceptions, it was reasonable to expect that rural residents would report a lessened sense of belonging in their community than their urban counterparts.  Results, however, did not support this expectation.

Examination of the demographics of the sample indicated that rural respondents were more likely to be married than urban respondents.  Although marital status was entered as a covariate in analyses, it is important to acknowledge that a body of research indicates that marriage offers benefits to individuals, such as social support, that result in better mental health.  For example, married people are less likely to be admitted as an in-patient to a psychiatric facility (Gutierrez-Lobos, Woelfl, Scherer, Anderer, & Schmidl-Mohl, 2000) and to experience depression (Holicky & Charlifue, 1999) than non-married persons.  Not surprisingly, bereaved persons are more likely to be depressed, and to show significant decline in mental health, morale and social functioning, mainly due to social isolation (Bennett, 1998; Koropeckyj-Cox, 1998; Wells & Stacey, 1998).  Further, married persons, especially men, are less likely to commit suicide (Kposowa, 2000), and are more likely to live longer (Lichtenstein, Gatz, & Berg, 1998; Trovato, 1998).  Therefore, the sense of belonging that one achieves through marriage and/or family may be critical to psychological well-being and when the marriage is disrupted or ended, there may be significant consequences (Pennebaker, 1985).
Examination of gender differences indicated that women reported higher sense of belonging scores than men on both the psychological and antecedent subscales. These findings indicate that women want to feel integrated within their environment (psychological) and have the desire to become involved in their environment (antecedent) to a greater extent than men.  This finding is corroborated by previous research that indicates that sense of belonging is more important to women on both social and psychological levels (Hagerty et al., 1996; Lloyd, 1985; Mallinckrodt & Leong, 1992).  In contrast, the lower level of sense of belonging in men may be the subject of further research.  The distinct gender differences in sense of belonging have important implications for mental health and treatment interventions.  For example, research has shown that interventions aimed at increasing communication between men have facilitated the development of sense of belonging in men with psychiatric disabilities (Clark, Goering, & Tomlinson, 1991).  The literature suggests that by increasing sense of belonging, mental health may also benefit.

Indeed, the results of the current study indicated that the psychological component of sense of belonging was a significant predictor of stress and depression in this community sample.  Previous research has indicated that sense of belonging is related to a range of mental health indices, including depression (Hagerty et al., 1996; Rice, 1999), anxiety and associated disorders (Herbert, 1997; Lee & Robbins, 1998), and suicide ideation (Lewinsohn et al., 1993; Rice, 1999).   These findings reinforce the argument that humans are social animals, and that the need for social contact is vital for mental health.

An important issue raised by the results is that the females in this sample reported higher levels of sense of belonging than males, but reported similar levels of stress and depression.  Previous research has shown women to report higher levels of stress (Rathod et al., 2000; Wilson, Warton, & Louw, 1998) and depression (Compton et al., 2000; Gutierrez et al., 2000; Hill & Hilton, 1999; Roberts, Shema, Kaplan, & Strawbridge, 2000) than men, and that sense of belonging is related to lower levels of stress and depression. There would appear to be a contradiction in such results, as one would expect that females, having a greater sense of belonging, would also report lower levels of stress and depression.  Clearly, other factors are important when considering mental health.

One factor, place of residence, was investigated in this study.  Results indicated that place of residence was a predictor of stress and depression over and above that of sense of belonging.  Results indicated that stress and depression were associated with living in more densely populated areas.  Stress and depression have shown mixed results when analysed according to place of residence.  In regards to stress, some research indicates that rural residents report more symptoms of stress than do city residents (Hays & Zouari, 1995; Walker & Walker, 1988). There is also evidence to show that rural residents report more life events than urban residents (Linn, Husaini, Whitten-Stovall, & Broomes, 1989; Neff & Husaini, 1987).  Other studies, however, suggest there is no difference in the types (Thomas & Groer, 1986) and levels of psychological distress in urban and rural communities (Horwell & McLaren, 2000; Hoyt, Odonnell, & Mack, 1995; McLaren, Hopes, Jude, & Poon, 2000; Zitzow, 1992).

Conflicting results are also evident for depression.  For example, no differences in rates of clinical depression have been reported for children (Larsson & Melin, 1992) and adults (O’Hara, Kohout, & Wallace, 1985) living in rural and urban locations.  Other research however has indicated that those living in urban areas have significantly higher rates of depression than do those living in rural locations (Hauenstein & Boyd, 1994; Kovess, Murphy, & Tousignant, 1987; Ying & Zhang, 1995).  Yet other research has demonstrated depression to be more prevalent in rural areas (Cheng et al., 1995; Hays & Zouari, 1995; Zimbelman, 1987).  It is to be noted, however, that place of residence explained such a small percentage of variance in stress and depression scores, it is clear that other factors are involved in this process.

The results of this study need to be considered in light of certain limitations.  One of the main limitations is in relation to the composition of the sample.  The findings based on a predominately female sample (70%) warrant caution when generalizing to the wider population, particularly men.  The low response rate is also an issue of concern.  It is difficult to know how the response rate may effect results, but it is to be noted that the results in terms of gender differences for sense of belonging, and the relationship between sense of belonging and mental health indices, are consistent with previous research.  One would be particularly cautious with the results for males, as the ANOVAs were conducted using very small numbers.  Limitations associated with self-report measures are also to be noted.

In light of these limitations, one may suggest that rural people appear to be in an adequate position regarding sense of belonging, stress and depression.  Future research should focus on whether sense of belonging is an adequate predictor of other mental health indices in rural and urban populations.  The role of place of residence and other possible predictive factors need to be explored.  Recent Australian research demonstrated that although there were no differences between rural and urban social workers on physical health symptoms and burnout, models of strain differed between the two groups of workers (Dollard, Winefield, & Winefield, 1999).  Consequently, future research should investigate if sense of belonging differentially predicts a range of mental health variables in rural-urban populations.

In summary, the current research has indicated that residents of differentially populated areas report similar levels of sense of belonging in their community, but that increasing levels of population were associated with higher levels of stress and depression.  Such results are in contrast to previous research documenting evidence of poorer mental health in rural residents.  Results also indicated that sense of belonging is a significant predictor of stress and depression.  Those involved in mental health interventions may benefit by taking sense of belonging in to account when addressing mental health issues in the community.
 

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