title: Identifying socio-demographic and socioeconomic determinants of health inequalities in a diverse London community: the South East London Community Health (SELCoH) study.
abstract: BACKGROUND
  Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level.
  
  
  METHODS
  The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidity survey. Trained interviewers conducted face-to-face computer assisted interviews with 1698 adults aged 16 years and over, from 1076 randomly selected private households in two south London boroughs. We compared the prevalence of common mental disorders, hazardous alcohol use, long standing illness and general physical health by demographic and socioeconomic indicators. Unadjusted and models adjusted for demographic and socioeconomic indicators are presented for all logistic regression models.
  
  
  RESULTS
  Of those in the sample, 24.2% reported common mental disorder and 44.9% reported having a long standing illness, with 15.7% reporting hazardous alcohol consumption and 19.2% rating their health as fair or poor. The pattern of indicators identifying health inequalities for common mental disorder, poor general health and having a long term illness is similar; individuals who are socioeconomically disadvantaged have poorer health and physical health worsens as age increases for all groups. The prevalence of poor health outcomes by ethnic group suggests that there are important differences between groups, particularly for common mental disorder and poor general health. Higher socioeconomic status was protective for common mental disorder, fair or poor health and long standing illness, but those with higher socioeconomic status reported higher levels of hazardous alcohol use. The proportion of participants who met the criteria for common mental disorder with co-occurring functional limitations was similar or greater to those with poor physical health.
  
  
  CONCLUSIONS
  Health service providers and policy makers should prioritise high risk, socially defined groups in combating inequalities in individual and co-occurring poor mental and physical problems. In population terms, poor mental health has a similar or greater burden on functional impairment than long term conditions and perceived health.
authors.affiliation: King's College London, Psychological Medicine, Institute of Psychiatry, 10 Cutcombe Road, London SE5 9RJ, UK. stephani.hatch@kcl.ac.uk
authors.forename: Stephani L
authors.initials: SL
authors.lastname: Hatch
authors.forename: Souci
authors.initials: S
authors.lastname: Frissa
authors.forename: Maria
authors.initials: M
authors.lastname: Verdecchia
authors.forename: Robert
authors.initials: R
authors.lastname: Stewart
authors.forename: Nicola T
authors.initials: NT
authors.lastname: Fear
authors.forename: Abraham
authors.initials: A
authors.lastname: Reichenberg
authors.forename: Craig
authors.initials: C
authors.lastname: Morgan
authors.forename: Bwalya
authors.initials: B
authors.lastname: Kankulu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Clark
authors.forename: Billy
authors.initials: B
authors.lastname: Gazard
authors.forename: Robert
authors.initials: R
authors.lastname: Medcalf
authors.forename: Matthew
authors.initials: M
authors.lastname: Hotopf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003710:Demography; D005260:Female; D015438:Health Behavior; D054624:Health Status Disparities; D006305:Health Status Indicators; D006801:Humans; D007407:Interviews as Topic; D008131:London / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012923:Social Class; D055815:Young Adult
references.citation: Int Rev Psychiatry. 2003 Feb-May;15(1-2):65-73
references.pmid: 12745312
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2004 Sep;39(9):730-8
references.pmid: 15672294
references.citation: Am J Epidemiol. 2010 Dec 1;172(11):1306-14
references.pmid: 20843863
references.citation: Drug Alcohol Depend. 2004 Jun 11;74(3):223-34
references.pmid: 15194200
references.citation: Psychol Med. 1999 Sep;29(5):1013-20
references.pmid: 10576294
references.citation: Psychol Med. 1992 May;22(2):465-86
references.pmid: 1615114
references.citation: Lancet. 1998 Apr 4;351(9108):1009-14
references.pmid: 9546506
references.citation: Br J Psychiatry. 2001 Nov;179:432-7
references.pmid: 11689401
references.citation: BMC Public Health. 2008 Jul 08;8:230
references.pmid: 18611263
references.citation: Soc Sci Med. 2010 Nov;71(9):1610-9
references.pmid: 20869798
references.citation: Am J Epidemiol. 2003 Apr 15;157(8):730-7
references.pmid: 12697577
references.citation: J Affect Disord. 2003 Mar;74(1):5-13
references.pmid: 12646294
references.citation: Arch Gen Psychiatry. 1999 Oct;56(10):921-6
references.pmid: 10530634
references.citation: Med Care. 1996 Mar;34(3):220-33
references.pmid: 8628042
references.citation: Int J Epidemiol. 2005 Apr;34(2):295-305
references.pmid: 15563586
references.citation: Soc Sci Med. 2005 Mar;60(5):1017-33
references.pmid: 15589671
references.citation: Addict Behav. 1998 Nov-Dec;23(6):909-18
references.pmid: 9801725
references.citation: Science. 2008 Feb 8;319(5864):766-9
references.pmid: 18258905
references.citation: Psychol Med. 2004 Nov;34(8):1543-51
references.pmid: 15724884
references.citation: Stat Methods Med Res. 1995 Mar;4(1):73-89
references.pmid: 7613639
references.citation: Int Rev Psychiatry. 2003 Feb-May;15(1-2):74-83
references.pmid: 12745313
references.citation: Lancet. 2009 Jun 27;373(9682):2223-33
references.pmid: 19560604
references.citation: Acta Psychiatr Scand. 2010 Feb;121(2):84-93
references.pmid: 19624573
references.citation: Arch Gen Psychiatry. 2005 Jun;62(6):617-27
references.pmid: 15939839
references.citation: Am J Public Health. 2005 Mar;95(3):458-65
references.pmid: 15727977
references.citation: Epidemiol Rev. 2008;30:1-14
references.pmid: 18806255
references.citation: Int J Equity Health. 2004 Jun 13;3(1):4
references.pmid: 15193155
references.citation: Arch Gen Psychiatry. 2005 Jun;62(6):593-602
references.pmid: 15939837
references.citation: Am J Epidemiol. 2010 Dec 1;172(11):1238-49
references.pmid: 20884682
references.citation: Psychol Med. 1997 Jul;27(4):765-74
references.pmid: 9234455
references.citation: Psychol Med. 2006 Jan;36(1):57-68
references.pmid: 16202191
references.citation: J Epidemiol Community Health. 2006 Apr;60(4):364-72
references.pmid: 16537356
references.citation: J Gen Intern Med. 2006 Mar;21(3):267-75
references.pmid: 16336622
references.citation: Epidemiol Rev. 2004;26:36-52
references.pmid: 15234946
references.citation: Int Rev Psychiatry. 2003 Feb-May;15(1-2):188-200
references.pmid: 12745332
references.citation: Br J Psychiatry. 2001 Sep;179:191-3
references.pmid: 11532793
references.citation: Arch Gen Psychiatry. 2007 Jul;64(7):830-42
references.pmid: 17606817