REGIONAL DIFFERENCES IN MENTAL-HEALTH IN GREAT-BRITAIN
REGIONAL DIFFERENCES IN MENTAL-HEALTH IN GREAT-BRITAIN
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DOI：
10.1136/jech.46.6.608
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发表时间：
1992-12-01
影响因子：
6.3
通讯作者：
BOOTH, M
中科院分区：
文献类型：
--
作者：
LEWIS, G;BOOTH, M
研究目标-目的是研究精神疾病发病率的地区差异的模式和程度，并将这些差异与所有原因死亡率的地区差异进行比较。设计-这项研究是对横断面调查数据的二次分析。主要结果是精神疾病的发病率。这是使用一般健康问卷进行评估的，这是一种自我管理的神经症症状的衡量标准。设置-英格兰、威尔士和苏格兰。参与者-9,003名成年人从选举登记册中挑选出来。主要结果-精神疾病发病率为31%，地区之间有统计学上的差异(p=0.006)。英格兰所有四个北部地区的精神疾病发病率都高于南部四个地区。这些差异在大小上与全死因死亡率的地区差异相当。苏格兰精神疾病发病率低但全因死亡率高，而大伦敦地区精神疾病发病率高但死亡率低。在社会阶层I和II以及生活在城市地区的人群中，精神疾病发病率的地区差异较小。结论-精神疾病发病率很常见，是一个重要的公共卫生问题。精神疾病发病率相对较高的地区并不总是死亡率相对较高。了解这些区域差异的原因可能最终导致采取预防行动，并在分配卫生服务资源时发挥重要作用。
Study objective-The aim was to study the pattern and magnitude of regional differences in psychiatric morbidity and compare these with regional differences in all cause mortality.Design-The study was a secondary analysis of data from a cross sectional survey. The main outcome was the prevalence of psychiatric morbidity. This was assessed using the general health questionnaire, a self administered measure of neurotic symptoms.Setting-England, Wales and Scotland.Participants-9003 adults were selected from the electoral register.Main results-The prevalence of psychiatric morbidity was 31 % with a statistically significant difference between the regions (p=0.006). All four northern regions of England had a higher prevalence of psychiatric morbidity than the four southern regions. These differences were comparable in size to the regional differences in all cause mortality. Scotland had low psychiatric morbidity but high all cause mortality while Greater London had high psychiatric morbidity but low mortality. Regional variation in psychiatric morbidity was less marked within social classes I and II and among those living in urban areas.Conclusions-Psychiatric morbidity is common and is an important public health problem. Regions with relatively high psychiatric morbidity did not always have relatively high mortality. Knowledge of the causes of these regional differences could ultimately lead to preventive action and be important when distributing health service resources.