Spatial distribution and temporal trends in social fragmentation in England, 2001-2011: a national study.

Spatial distribution and temporal trends in social fragmentation in England, 2001-2011: a national study.
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2001-2011 年英国社会分裂的空间分布和时间趋势:一项全国性研究。

DOI:
10.1136/bmjopen-2018-025881
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发表时间:
2019
期刊:
影响因子:
2.9
通讯作者:
Grigoroglou C
Grigoroglou C
中科院分区:
医学3区
文献类型:
--
作者:
Grigoroglou C

文献摘要

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社会分裂通常在精神疾病流行病学研究中进行研究,因为在精神疾病高发地区经常发现高度的社会分裂。在这项研究中,我们研究的空间和时间模式的社会碎片化及其基本指标在英格兰随着时间的推移。SettingData的社会碎片化及其基本指标进行了分析,在十年一次的人口普查(2001-2011年)在一个小区域的地理水平(平均1500人)。社会分裂和时间变化的程度在空间上可视化为整个英格兰及其10个行政区。空间聚类进行了量化使用莫兰的I;随着时间的推移,相关性的变化进行了量化使用斯皮尔曼的排名correlation.ResultsBetween 2001年和2011年,我们观察到一个强大的持久性社会分裂的国家(斯皮尔曼的r=0.93)。在区域一级,随着时间的推移,观察到的变化不大,但在四个社会分裂的基本指标中,有两个指标,即单身者和私人租房者,观察到明显增加。结果支持我们的假设,随着时间的推移,增加空间聚类。温和的区域变化,观察到在社会碎片化,其基本指标和他们的集群随着时间的推移.ConclusionPatterns的社会碎片化和其基本指标持续在英格兰,这似乎是由单身人士和那些在私人租赁的大幅增加。改善社会凝聚力的政策可能会对患有精神疾病的人的生活产生影响。社会分裂的空间方面可以为卫生和社会保健干预措施的目标确定提供信息,特别是在社会分裂集中的地区。
ObjectiveSocial fragmentation is commonly examined in epidemiological studies of mental illness as high levels of social fragmentation are often found in areas with high prevalence of mental illness. In this study, we examine spatial and temporal patterns of social fragmentation and its underlying indicators in England over time.SettingData for social fragmentation and its underlying indicators were analysed over the decennial Censuses (2001–2011) at a small area geographical level (mean of 1500 people). Degrees of social fragmentation and temporal changes were spatially visualised for the whole of England and its 10 administrative regions. Spatial clustering was quantified using Moran’s I; changes in correlations over time were quantified using Spearman’s ranking correlation.ResultsBetween 2001 and 2011, we observed a strong persistence for social fragmentation nationally (Spearman’s r=0.93). At the regional level, modest changes were observed over time, but marked increases were observed for two of the four social fragmentation underlying indicators, namely single people and those in private renting. Results supported our hypothesis of increasing spatial clustering over time. Moderate regional variability was observed in social fragmentation, its underlying indicators and their clustering over time.ConclusionPatterns of social fragmentation and its underlying indicators persisted in England which seem to be driven by the large increases in single people and those in private renting. Policies to improve social cohesion may have an impact on the lives of persons who experience mental illness. The spatial aspect of social fragmentation can inform the targeting of health and social care interventions, particularly in areas with strong social fragmentation clustering.