Social fragmentation, deprivation and urbanicity: relation to first-admission rates for psychoses
Social fragmentation, deprivation and urbanicity: relation to first-admission rates for psychoses
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DOI：
10.1192/bjp.187.5.401
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发表时间：
2005-11-01
影响因子：
10.5
通讯作者：
McCreadie, RG
中科院分区：
文献类型：
--
作者：
Allardyce, J;Gilmour, H;McCreadie, RG
社会的混乱、分裂和孤立一直被认为是影响地区精神病发病率的因素。衡量这样的社会结构是困难的。一个基于人口普查的衡量社会分裂的指数已经提出。目的是探讨精神病首次入院率与社会分裂，剥夺和城市/农村指数的地区为基础的措施之间的关联。方法我们使用间接标准化方法和logistic回归模型来检查社会分裂，1989- 1993年5年期间，苏格兰首次入院精神病的贫困和城市/农村类别。精神病的入院率与贫困和城市/农村状况无关。社会分裂类别与精神病首次入院率之间存在密切的反应关系。社会碎片化，剥夺和城市/农村index.Conclusions之间没有统计学上显着的相互作用，首次入院率与社会碎片化的措施，独立的物质匮乏和城市/农村类别。没有。
Background Social disorganisation, fragmentation and isolation have long been posited as influencing the rate of psychoses at area level. Measuring such societal constructs is difficult. A census-based index measuring social fragmentation has been proposed.Aims To investigate the association between first-admission rates for psychosis and area-based measures of social fragmentation, deprivation and urban/rural index.Method We used indirect standardisation methods and logistic regression models to examine associations of social fragmentation, deprivation and urban/rural categories with first admissions for psychoses in Scotland for the 5-year period 1989-1993.Results Areas characterised by high social fragmentation had higher first-ever admission rates for psychosis independent of deprivation and urban/rural status. There was a close-response relationship between social fragmentation category and first-ever admission rates for psychosis. There was no statistically significant interaction between social fragmentation, deprivation and urban/rural index.Conclusions First-admission rates are strongly associated with measures of social fragmentation, independent of material deprivation and urban/rural category.Declaration of interest. None.