title: [Health inequities in mood disorders based on material and social deprivation in dwelling sectors ].
abstract: OBJECTIVE
  To compare mood disorder (MD) prevalence in Quebec in 2006, and compare health services and medication use, mortality and morbidity in patients with MD based on sex and the dwelling sector level of material and social deprivation. The objective was also to identify subgroups of individuals using health services in a larger proportion and having a higher risk of morbidity and mortality.
  
  
  METHODS
  We conducted a secondary analysis of the Régie de l’assurance maladie du Québec medico-administrative data. The cohort is composed of adults diagnosed with MD and living in Quebec in 2006. Variables include: physician consultation, medication demand, consultation for substance or alcohol abuse, emergency visit, hospitalization for a mental disorder, and death. Dwelling sector types are defined by crossing Pampalon material and social deprivation quintiles.
  
  
  RESULTS
  MD prevalence in 2006 was 3.06% (177 850 patients), with prevalence in women 1.7-fold with respect to men. Findings show a higher MD prevalence as well as a higher mortality and morbidity rate in materially and socially deprived dwelling sectors. Young men also represent a specifically vulnerable subgroup for many study variables.
  
  
  CONCLUSIONS
  Public policies aimed at improving material conditions (income, education, employment) and breaking out social isolation would have an important impact on the population mental health. Public health program development should pay close attention to young men population.
authors.affiliation: Département de médecine de famille, Université de Sherbrooke, Sherbrooke, Canada.
authors.forename: Alain
authors.initials: A
authors.lastname: Vanasse
authors.forename: Josiane
authors.initials: J
authors.lastname: Courteau
authors.forename: Alain
authors.initials: A
authors.lastname: Lesage
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Fleury
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Grégoire
authors.forename: Jocelyne
authors.initials: J
authors.lastname: Moisan
authors.forename: Sophie
authors.initials: S
authors.lastname: Lauzier
authors.forename: Claude
authors.initials: C
authors.lastname: Bergeron
mesh_terms: D000328:Adult; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D019964:Mood Disorders / Q000188:drug therapy / Q000453:epidemiology*; D011203:Poverty / Q000523:psychology / Q000706:statistics & numerical data; D055553:Prescription Drugs / Q000627:therapeutic use; D011792:Quebec / Q000453:epidemiology; D012934:Social Isolation / Q000523:psychology; D062487:Social Marginalization / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology
chemical_list: D055553:Prescription Drugs