Social deprivation and rates of treated mental disorder. Developing statistical models to predict psychiatric service utilisation.
A review of the literature shows that there are strong associations of treated prevalence rates of psychiatric disorder with social class, sex, marital status, ethnic group and living alone; and moderate associations with living in inner-city areas and a high degree of residential mobility. The Jarman-8 index of social deprivation correlates with psychiatric admission rates for patients aged less than 65 years (R2 = 0.38). Individual census variables can themselves account for up to 0.71 of the variance in the admission rates, while combined in a stepwise multiple regression the census variables will account for over 0.95 of this variation. Multiple regression models using individual census variables and derived indices should be applied next on a wider geographical basis, and to narrower age, sex and diagnosis-specific psychiatric morbidity rates.
Thornicroft
G
G
MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003441:Crowding / Q000523:psychology; D005260:Female; D006301:Health Services Needs and Demand / Q000639:trends*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008131:London / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D011204:Poverty Areas; D011610:Psychosocial Deprivation; D012044:Regression Analysis; D012307:Risk Factors; D012931:Social Environment; D012934:Social Isolation / Q000523:psychology; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data*