BACKGROUND: Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied. AIMS: To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of depressive symptoms in general practice patients. METHOD: 18 414 patients attending 55 representative practices completed the Hospital Anxiety and Depression Scale and a questionnaire for employment status. Outcome of those screening positive was assessed at 6 weeks and 6 months. RESULTS: The UPA score accounted for 48.3% of the variance between practices in prevalence of depressive symptoms. Attending a high UPA score practice predicted persistence of depressive symptoms to 6 months. CONCLUSIONS: The socio-economic deprivation of a practice locality is a powerful predictor of the prevalence and persistence of depressive symptoms.
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BACKGROUND: Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied. AIMS: To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of depressive symptoms in general practice patients. METHOD: 18 414 patients attending 55 representative practices completed the Hospital Anxiety and Depression Scale and a questionnaire for employment status. Outcome of those screening positive was assessed at 6 weeks and 6 months. RESULTS: The UPA score accounted for 48.3% of the variance between practices in prevalence of depressive symptoms. Attending a high UPA score practice predicted persistence of depressive symptoms to 6 months. CONCLUSIONS: The socio-economic deprivation of a practice locality is a powerful predictor of the prevalence and persistence of depressive symptoms.
Authors: M Martin-Carrasco; S Evans-Lacko; G Dom; N G Christodoulou; J Samochowiec; E González-Fraile; P Bienkowski; M Gómez-Beneyto; M J H Dos Santos; D Wasserman Journal: Eur Arch Psychiatry Clin Neurosci Date: 2016-02-13 Impact factor: 5.270
Authors: Wayne Katon; Joan Russo; Susan D Reed; Carmen A Croicu; Evette Ludman; Anna LaRocco; Jennifer L Melville Journal: Am J Psychiatry Date: 2014-10-31 Impact factor: 18.112
Authors: Fabia Cientanni; Kevin Power; Christopher Wright; Fabio Sani; Diane Reilly; Marie-Louise Blake; Kerry Hustings; David Morgan; Stella Clark Journal: Internet Interv Date: 2019-04-27