The current status of urban-rural differences in psychiatric disorders

被引：630
|
作者：
Peen, J. [1 ,2 ]
Schoevers, R. A. [1 ]
Beekman, A. T. [3 ]
Dekker, J. [1 ,2 ]
机构：
[1] Arkin Mental Hlth Inst Amsterdam, Res Dept, NL-1070 AV Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Med Ctr, Dept Psychiat, Amsterdam, Netherlands
来源：
ACTA PSYCHIATRICA SCANDINAVICA | 2010年 / 121卷 / 02期
关键词：
meta-analysis; mental illness; prevalence; rural health; urban health; NATIONAL-COMORBIDITY-SURVEY; MENTAL-HEALTH-SURVEY; DEPRESSIVE-DISORDERS; SCHIZOPHRENIA RISK; MOOD DISORDERS; PREVALENCE; URBANIZATION; POPULATION; DISABILITY; BRITAIN;
D O I：
10.1111/j.1600-0447.2009.01438.x
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Objective: Reviews of urban-rural differences in psychiatric disorders conclude that urban rates may be marginally higher and, specifically, somewhat higher for depression. However, pooled results are not available. Method: A meta-analysis of urban-rural differences in prevalence was conducted on data taken from 20 population survey studies published since 1985. Pooled urban-rural odds ratios (OR) were calculated for the total prevalence of psychiatric disorders, and specifically for mood, anxiety and substance use disorders. Results: Significant pooled urban-rural OR were found for the total prevalence of psychiatric disorders, and for mood disorders and anxiety disorders. No significant association with urbanization was found for substance use disorders. Adjustment for various confounders had a limited impact on the urban-rural OR. Conclusion: Urbanization may be taken into account in the allocation of mental health services.
引用
收藏
页码：84 / 93
页数：10
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