Social deprivation and rates of treated mental disorder. Developing statistical models to predict psychiatric service utilisation

Br J Psychiatry. 1991 Apr:158:475-84. doi: 10.1192/bjp.158.4.475.

Abstract

A review of the literature shows that there are strong associations of treated prevalence rates of psychiatric disorder with social class, sex, marital status, ethnic group and living alone; and moderate associations with living in inner-city areas and a high degree of residential mobility. The Jarman-8 index of social deprivation correlates with psychiatric admission rates for patients aged less than 65 years (R2 = 0.38). Individual census variables can themselves account for up to 0.71 of the variance in the admission rates, while combined in a stepwise multiple regression the census variables will account for over 0.95 of this variation. Multiple regression models using individual census variables and derived indices should be applied next on a wider geographical basis, and to narrower age, sex and diagnosis-specific psychiatric morbidity rates.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Community Mental Health Services / statistics & numerical data*
  • Cross-Sectional Studies
  • Crowding / psychology
  • Female
  • Health Services Needs and Demand / trends*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Incidence
  • London / epidemiology
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Middle Aged
  • Minority Groups / psychology
  • Minority Groups / statistics & numerical data
  • Poverty Areas*
  • Psychosocial Deprivation*
  • Regression Analysis
  • Risk Factors
  • Social Environment
  • Social Isolation / psychology
  • Socioeconomic Factors
  • Urban Population / statistics & numerical data*