Scott Weich1, Liz Twigg, Glyn Lewis, Kelvyn Jones. 1. Division of Health in the Community, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK. s.weich@warwick.ac.uk
Abstract
BACKGROUND: There is little geographical variation in the prevalence of the common mental disorders. However, there is little longitudinal research. AIMS: To estimate variance in rates of common mental disorders at individual, household and electoral ward levels prospectively. METHOD: A 12-month cohort study of 7659 adults aged 16-74 years in 4338 private households, in 626 electoral wards. Data were collected as part of the British Household Panel Survey. Common mental disorders were assessed using the 12-item General Health Questionnaire (GHQ). Ward-level socio-economic deprivation was measured using the Carstairs index. RESULTS: Less than 1% of total variance, in onset and maintenance of common mental disorders and change in GHQ score between waves, occurred at ward level. However, 12% of variance, which is a statistically significant difference, was found at household level (a much smaller geographical unit) and this difference remained after further analyses. CONCLUSIONS: Ward level socio-economic deprivation does not influence the onset and maintenance of common mental disorders in Britain but local factors at the household level do. Reasons for this remain unclear.
BACKGROUND: There is little geographical variation in the prevalence of the common mental disorders. However, there is little longitudinal research. AIMS: To estimate variance in rates of common mental disorders at individual, household and electoral ward levels prospectively. METHOD: A 12-month cohort study of 7659 adults aged 16-74 years in 4338 private households, in 626 electoral wards. Data were collected as part of the British Household Panel Survey. Common mental disorders were assessed using the 12-item General Health Questionnaire (GHQ). Ward-level socio-economic deprivation was measured using the Carstairs index. RESULTS: Less than 1% of total variance, in onset and maintenance of common mental disorders and change in GHQ score between waves, occurred at ward level. However, 12% of variance, which is a statistically significant difference, was found at household level (a much smaller geographical unit) and this difference remained after further analyses. CONCLUSIONS: Ward level socio-economic deprivation does not influence the onset and maintenance of common mental disorders in Britain but local factors at the household level do. Reasons for this remain unclear.
Authors: Brian J Kelly; Terry J Lewin; Helen J Stain; Clare Coleman; Michael Fitzgerald; David Perkins; Vaughan J Carr; Lyn Fragar; Jeffrey Fuller; David Lyle; John R Beard Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2010-11-03 Impact factor: 4.328
Authors: Jan Sundquist; Xinjun Li; Henrik Ohlsson; Maria Råstam; Marilyn Winkleby; Kristina Sundquist; Kenneth S Kendler; Casey Crump Journal: J Psychiatr Res Date: 2015-04-25 Impact factor: 4.791
Authors: Mario Schootman; Elena M Andresen; Fredric D Wolinsky; Theodore K Malmstrom; J Philip Miller; Douglas K Miller Journal: J Epidemiol Community Health Date: 2007-06 Impact factor: 3.710
Authors: Christina Mair; Ana V Diez Roux; Mingwu Shen; Steven Shea; Theresa Seeman; Sandra Echeverria; Ellen S O'Meara Journal: Ann Epidemiol Date: 2009-01 Impact factor: 3.797