SOCIOECONOMIC-STATUS AND PSYCHIATRIC-DISORDERS - THE CAUSATION-SELECTION ISSUE
SOCIOECONOMIC-STATUS AND PSYCHIATRIC-DISORDERS - THE CAUSATION-SELECTION ISSUE
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DOI：
10.1126/science.1546291
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发表时间：
1992-02-21
期刊：
影响因子：
56.9
通讯作者：
STUEVE, A
中科院分区：
文献类型：
--
作者：
DOHRENWEND, BP;LEVAV, I;STUEVE, A
精神疾病和社会经济地位之间的反向关系更多是由于社会因果关系（逆境和压力）还是社会选择（遗传倾向的向下流动）？这一经典的流行病学问题通过关注与社会经济地位有关的种族地位来检验。种族地位不可能是失调的影响，因为它在出生时就存在，而社会经济地位取决于教育和职业成就。出生队列样本4914年轻，以色列出生的欧洲和北非背景的成年人，从该国的人口登记，筛选，并由精神科医生诊断。结果表明，社会选择可能是更重要的精神分裂症和社会因果关系可能是更重要的抑郁症的女性和反社会人格和物质使用障碍的男性。
Are inverse relations between psychiatric disorders and socioeconomic status due more to social causation (adversity and stress) or social selection (downward mobility of genetically predisposed)? This classical epidemiological issue is tested by focusing on ethnic status in relation to socioeconomic status. Ethnic status cannot be an effect of disorder because it is present at birth whereas socioeconomic status depends on educational and occupational attainment. A birth cohort sample of 4914 young, Israel-born adults of European and North African background was selected from the country's population register, screened, and diagnosed by psychiatrists. Results indicate that social selection may be more important for schizophrenia and that social causation may be more important for depression in women and for antisocial personality and substance use disorders in men.