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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 orcid (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)
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author
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organization
publishing date
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
2021-10-03 04:55:41
@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},
}