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Urbanisation as a risk indicator for psychiatric admission
1Mentrum Mental Health Amsterdam, Section Research & Development, Klaprozenweg 111, PO Box 75848, 1070 AV Amsterdam, The Netherlands. jaap.peen@mentrum.nl
Social Psychiatry and Psychiatric Epidemiology
|September 25, 2003
Summary
Urbanisation increases psychiatric hospital admission risk, especially for unmarried individuals. This study highlights social factors beyond demographics in mental health admissions.
Area of Science:
- Psychiatry and Mental Health
- Sociology
- Public Health
Background:
- Urbanisation is a growing global phenomenon.
- Understanding its impact on mental health is crucial for public health planning.
- Previous research has explored various factors influencing psychiatric admissions.
Purpose of the Study:
- To investigate the independent effect of urbanisation on psychiatric hospital admission risk.
- To differentiate the impact of urbanisation from demographic factors like age, sex, and marital status.
- To analyze admission risks across different diagnostic groups.
Main Methods:
- Logit analysis was employed for statistical modeling.
- Data comprised all first admissions to Dutch psychiatric hospitals and clinics in 1991.
- The study controlled for age, sex, and marital status.
Main Results:
- Higher urbanisation levels correlated with increased admission risk across all analyzed diagnostic groups.
- Unmarried individuals exhibited a significantly higher risk of admission.
- Individuals over 45 years old showed increased risk for affective and organic psychoses.
- Women had a higher risk for affective psychosis.
Conclusions:
- High urbanisation is a significant risk factor for psychiatric admissions in the studied diagnostic categories.
- Being unmarried emerged as a stronger predictor of psychiatric admission risk than urbanisation.
- These findings underscore the importance of social determinants in mental health care planning.