TY - JOUR
T1 - Social fragmentation, deprivation and urbanicity
T2 - Relation to first-admission rates for psychoses
AU - Allardyce, J.
AU - Gilmour, H.
AU - Atkinson, J.
AU - Rapson, T.
AU - Bishop, J.
AU - McCreadie, R. G.
PY - 2005/11
Y1 - 2005/11
N2 - Background: Social disorganisation, fragmentation and isolation have long been posited as influencing the rate of psychoses at area level. Measuring such societal constructs is difficult. A census-based index measuring social fragmentation has been proposed. Aims: To investigate the association between first-admission rates for psychosis and area-based measures of social fragmentation, deprivation and urban/rural index. Method: 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. Results: 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. Conclusions: First-admission rates are strongly associated with measures of social fragmentation, independent of material deprivation and urban/rural category.
AB - Background: Social disorganisation, fragmentation and isolation have long been posited as influencing the rate of psychoses at area level. Measuring such societal constructs is difficult. A census-based index measuring social fragmentation has been proposed. Aims: To investigate the association between first-admission rates for psychosis and area-based measures of social fragmentation, deprivation and urban/rural index. Method: 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. Results: 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. Conclusions: First-admission rates are strongly associated with measures of social fragmentation, independent of material deprivation and urban/rural category.
UR - http://www.scopus.com/inward/record.url?scp=27544478184&partnerID=8YFLogxK
U2 - 10.1192/bjp.187.5.401
DO - 10.1192/bjp.187.5.401
M3 - Article
C2 - 16260813
AN - SCOPUS:27544478184
SN - 0007-1250
VL - 187
SP - 401
EP - 406
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
IS - 5
ER -