Social fragmentation, deprivation and urbanicity: relation to first-admission rates for psychoses

Allardyce, J., Gilmour, H., Atkinson, J.M., Rapson, T., Bishop, J. and McCreadie, R.G. (2005) Social fragmentation, deprivation and urbanicity: relation to first-admission rates for psychoses. British Journal of Psychiatry, 187, pp. 401-406. (doi: 10.1192/bjp.187.5.401)

Abstract

<i>Declaration</i> <i>of</i> <i>interest</i>: None. <i>Background</i>: Social disorganisation, fragmentation and isolation have long been posited as influencing the rate of psychoses at area level. Measuring such societal constructsis difficult. A census-based index measuring social fragmentation has been proposed. <i>Aims</i>: To investigate the association between first-admission rates for psychosis and area-based measures of social fragmentation, deprivation and urban/rural index. <i>Method</i>: We used indirect standardisation methods and logistic regression models to examine associations of social fragmentation, deprivation and urban/rural categories with first admissions for psychoses in Scotland for the 5-year period 1989–1993. <i>Results</i>: Areas characterised by high social fragmentation had higher first-ever admission rates for psychosis independent of deprivation and urban/rural status. There was a dose–response relationship between social fragmentation category and first-ever admission rates for psychosis. There was no statistically significant interaction between social fragmentation, deprivation and urban/rural index. <i>Conclusions</i>: First-admission rates are strongly associated with measures of social fragmentation, independent of material deprivation and urban/rural category.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Atkinson, Professor Jacqueline and McCreadie, Prof Robin
• Authors: Allardyce, J., Gilmour, H., Atkinson, J.M., Rapson, T., Bishop, J., and McCreadie, R.G.
• Subjects: R Medicine > RA Public aspects of medicine; H Social Sciences > HV Social pathology. Social and public welfare; R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
• Journal Name: British Journal of Psychiatry
• Publisher: Royal College of Psychiatrists
• ISSN: 0007-1250
• Copyright Holders: Copyright © 2005 Royal College of Psychiatrists
• First Published: First published in British Journal of Psychiatry 187:401-406
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher.