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Psychol Med. 2000 Mar;30(2):269-80.

Urban-rural mental health differences in great Britain: findings from the national morbidity survey.

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  • 1Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital.

Abstract

BACKGROUND:

Studies of urban-rural differences in prevalence of non-psychotic mental disorder have not given consistent findings. Such differences have received relatively little study in Great Britain.

METHODS:

Data from 9777 subjects in the Household Survey of the National Morbidity Survey of Great Britain were analysed for differences between urban, semi-rural and rural areas. Psychiatric morbidity was assessed by scores on the Revised Clinical Interview Schedule (CIS-R), together with alcohol dependence, drug dependence, receipt of treatment from general practitioners. Associations with other characteristics were examined by logistic regression.

RESULTS:

Urban subjects had higher rates than rural of CIS-R morbidity, alcohol dependence and drug dependence, with semi-rural subjects intermediate. Urban subjects also tended to be members of more deprived social groups, with more adverse living circumstances and greater life stress, factors themselves associated with disorder. Urban-rural differences in alcohol and drug dependence were no longer significant after adjustment for these factors by logistic regression, and differences on CIS-R morbidity were considerably reduced. There were no differences in treatment.

CONCLUSIONS:

There are considerable British urban rural differences in mental health, which may largely be attributable to more adverse urban social environments.

PMID:
10824648
[PubMed - indexed for MEDLINE]
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