Spatial clustering of mental disorders and associated characteristics of the neighbourhood context in Malmo, Sweden, in 2001.
Chaix, Basile LU ; Leyland, Alastair H ; Sabel, Clive E ; Chauvin, Pierre ; Råstam, Lennart LU ; Kristersson, Hakan and Merlo, Juan LU
(2006)
In Journal of Epidemiology and Community Health
60(5).
p.427-435
- Abstract
- Study objective: Previous research provides preliminary evidence of spatial variations of mental disorders and associations between neighbourhood social context and mental health. This study expands past literature by (1) using spatial techniques, rather than multilevel models, to compare the spatial distributions of two groups of mental disorders (that is, disorders due to psychoactive substance use, and neurotic, stress related, and somatoform disorders); and (2) investigating the independent impact of contextual deprivation and neighbourhood social disorganisation on mental health, while assessing both the magnitude and the spatial scale of these effects. Design: Using different spatial techniques, the study investigated mental... (More)
- Study objective: Previous research provides preliminary evidence of spatial variations of mental disorders and associations between neighbourhood social context and mental health. This study expands past literature by (1) using spatial techniques, rather than multilevel models, to compare the spatial distributions of two groups of mental disorders (that is, disorders due to psychoactive substance use, and neurotic, stress related, and somatoform disorders); and (2) investigating the independent impact of contextual deprivation and neighbourhood social disorganisation on mental health, while assessing both the magnitude and the spatial scale of these effects. Design: Using different spatial techniques, the study investigated mental disorders due to psychoactive substance use, and neurotic disorders. Participants: All 89285 persons aged 40-69 years residing in Malmo, Sweden, in 2001, geolocated to their place of residence. Main results: The spatial scan statistic identified a large cluster of increased prevalence in a similar location for the two mental disorders in the northern part of Malmo. However, hierarchical geostatistical models showed that the two groups of disorders exhibited a different spatial distribution, in terms of both magnitude and spatial scale. Mental disorders due to substance consumption showed larger neighbourhood variations, and varied in space on a larger scale, than neurotic disorders. After adjustment for individual factors, the risk of substance related disorders increased with neighbourhood deprivation and neighbourhood social disorganisation. The risk of neurotic disorders only increased with contextual deprivation. Measuring contextual factors across continuous space, it was found that these associations operated on a local scale. Conclusions: Taking space into account in the analyses permitted deeper insight into the contextual determinants of mental disorders. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/155897
- author
- Chaix, Basile
LU
; Leyland, Alastair H
; Sabel, Clive E
; Chauvin, Pierre
; Råstam, Lennart
LU
; Kristersson, Hakan
and Merlo, Juan
LU
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Epidemiology and Community Health
- volume
- 60
- issue
- 5
- pages
- 427 - 435
- publisher
- BMJ Publishing Group
- external identifiers
-
- wos:000236792400012
- scopus:33646267671
- pmid:16614334
- ISSN
- 1470-2738
- DOI
- 10.1136/jech.2005.040360
- language
- English
- LU publication?
- yes
- id
- a741e9a8-c5f2-47f4-9a39-0df031fd17f6 (old id 155897)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16614334&dopt=Abstract
- date added to LUP
- 2016-04-01 11:44:02
- date last changed
- 2022-03-05 05:41:13
@article{a741e9a8-c5f2-47f4-9a39-0df031fd17f6,
abstract = {{Study objective: Previous research provides preliminary evidence of spatial variations of mental disorders and associations between neighbourhood social context and mental health. This study expands past literature by (1) using spatial techniques, rather than multilevel models, to compare the spatial distributions of two groups of mental disorders (that is, disorders due to psychoactive substance use, and neurotic, stress related, and somatoform disorders); and (2) investigating the independent impact of contextual deprivation and neighbourhood social disorganisation on mental health, while assessing both the magnitude and the spatial scale of these effects. Design: Using different spatial techniques, the study investigated mental disorders due to psychoactive substance use, and neurotic disorders. Participants: All 89285 persons aged 40-69 years residing in Malmo, Sweden, in 2001, geolocated to their place of residence. Main results: The spatial scan statistic identified a large cluster of increased prevalence in a similar location for the two mental disorders in the northern part of Malmo. However, hierarchical geostatistical models showed that the two groups of disorders exhibited a different spatial distribution, in terms of both magnitude and spatial scale. Mental disorders due to substance consumption showed larger neighbourhood variations, and varied in space on a larger scale, than neurotic disorders. After adjustment for individual factors, the risk of substance related disorders increased with neighbourhood deprivation and neighbourhood social disorganisation. The risk of neurotic disorders only increased with contextual deprivation. Measuring contextual factors across continuous space, it was found that these associations operated on a local scale. Conclusions: Taking space into account in the analyses permitted deeper insight into the contextual determinants of mental disorders.}},
author = {{Chaix, Basile and Leyland, Alastair H and Sabel, Clive E and Chauvin, Pierre and Råstam, Lennart and Kristersson, Hakan and Merlo, Juan}},
issn = {{1470-2738}},
language = {{eng}},
number = {{5}},
pages = {{427--435}},
publisher = {{BMJ Publishing Group}},
series = {{Journal of Epidemiology and Community Health}},
title = {{Spatial clustering of mental disorders and associated characteristics of the neighbourhood context in Malmo, Sweden, in 2001.}},
url = {{http://dx.doi.org/10.1136/jech.2005.040360}},
doi = {{10.1136/jech.2005.040360}},
volume = {{60}},
year = {{2006}},
}