PMID: 9540387Apr 16, 1998Paper

Mental health in the north west region of England: associations with deprivation

Social Psychiatry and Psychiatric Epidemiology
J HarrisonF Creed

Abstract

Minor psychiatric morbidity is known to be associated with social disadvantage, but few studies have explored this association at the population level. This study reports data from a postal survey across 19 health districts in one region, with a total sample of 38,000 respondents. The percentage scoring above the General Health Questionnaire (GHQ) threshold for each health district was correlated with measures of deprivation derived from the 1991 census and standardised mortality ratios. Highly significant correlations were seen between the percentage above the GHQ threshold and the Underprivileged Area (UPA) score (r = 0.84), under 65 Standardised Mortality Ratio (SMR; r = 0.80), lack of amenities (r = 0.56), overcrowding (r = 0.54), lone-parent families (r = 0.84), unemployment (r = 0.87), unskilled workers (r = 0.77), ethnic minority composition (r = 0.58) and social mobility (r = 0.85). However, the three most deprived districts had the lowest response rates and when these were excluded from the analysis, only the correlations with under 65 SMR (r = 0.57, P < 0.05), UPA score (r = 0.52, P < 0.05) and unskilled workers (r = 0.60, P < 0.05) remained significant. There may be a threshold effect for the impact of social disadva...Continue Reading

Citations

Nov 26, 2008·Pharmacoepidemiology and Drug Safety·A G SmithR A Cartwright
Mar 10, 2007·Journal of Immigrant and Minority Health·Taryn N TangBrenda B Toner
Sep 11, 2002·Social Science & Medicine·Richard ThomasBrian Robson
Feb 19, 2004·Epidemiologia e psichiatria sociale·Juan Eduardo Tello, Paola Bonizzato
Feb 3, 2005·BMC Health Services Research·Robert G NewcombeJoanne Patterson
May 21, 2015·The Spanish Journal of Psychology·Kátia B RochaCarme Borrell
Sep 12, 2006·Public Health·Carolyn Lester, Mark Temple
Feb 5, 2011·Social Psychiatry and Psychiatric Epidemiology·Roshni Mangalore, Martin Knapp

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