Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-02T20:15:07.087Z Has data issue: false hasContentIssue false

Social indicators and psychiatric admission rates: a case-register study in the Netherlands

Published online by Cambridge University Press:  09 July 2009

Sjoerd Sytema*
Affiliation:
Department of Social Psychiatry, State University, Groningen, The Netherlands
*
1Address for correspondence: Dr Sjoerd Sytema, Academisch Ziekenhuis Groningen, Psychiatrische Universiteitskliniek, Afdeling Sociale Psychiatrie, Postbus 30001, 9700RB Groningen, The Netherlands.

Synopsis

Environmental as well as individual socio-demographic and illness characteristics are related to the risk of admission. This paper addresses the problem of the interrelationships of these factors to admission rates. Using the Groningen Psychiatric Case Register, admission rates (during 1986 and 1987) from 34 administrative areas were calculated. Logit models were fitted in order to test the relationship between the relative risk of being admitted and sex, age, marital status, diagnosis, urbanization and distance from facilities. The effect of urbanization remains under the control of the other independent variables. The concept of ‘need for care’, related to ‘true’ and ‘treated’ incidence, is discussed.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Balestrieri, M., Sytema, S., Gavioli, I. & Micciolo, R. (1989). Patterns of psychiatric care in South-Verona and Groningen: a case-register follow-up study. Acta Psychiatrica Scandinavica 80, 437444.Google Scholar
Blazer, D., George, L. K., Landerman, R., Pennybacker, M., Melville, M. L., Woodbury, M., Manton, K. G., Jordan, K. & Locke, B. (1985). Psychiatric disorders. A rural/urban comparison. Archives of General Psychiatry 42, 651656.CrossRefGoogle ScholarPubMed
Cheng, T. A. (1989). Urbanization and minor psychiatric morbidity. A community study in Taiwan. Social Psychiatry and Psychiatric Epidemiology 24, 309316.CrossRefGoogle ScholarPubMed
Davey, S. C. & Giles, G. G. (1979). Spatial factors in mental health care in Tasmania. Social Science and Medicine 13D, 8794.Google Scholar
Faris, R. E. L. & Dunham, H. W. (1939). Mental Disorders in Urban Areas. University of Chicago Press: Chicago.Google Scholar
Fleiss, J. L., Williams, J. B. W. & Dubro, A. F. (1986). The logistic regression analysis of psychiatric data. Journal of Psychiatric Research 20, 195209.Google Scholar
Giggs, J. A. (1983). Schizophrenia and ecological structure in Nottingham. In Geographical Aspects of Health (ed. McGlashan, N. D. and Blunden, J. R.), pp. 197222. Academic Press: London.Google Scholar
Giggs, J. A. & Cooper, J. E. (1987). Ecological structure and the distribution of schizophrenia and affective psychoses in Nottingham. British Journal of Psychiatry 151, 627633.CrossRefGoogle ScholarPubMed
Häfner, H., Reimann, H., Immich, H. & Martini, H. (1969). Inzidenz seelischer Erkrankungen in Mannheim 1965. Social Psychiatry 4, 126134.Google Scholar
Häfner, H., Riecher, A., Maurer, K., Löffler, W., Munk-Jørgensen, P. & Strömgren, E. (1989). How does gender influence age at first hospitalization for schizophrenia? A transnational case register study. Psychological Medicine 19, 903913.CrossRefGoogle ScholarPubMed
Horn, G. H. M. M. ten. (1986). Definitions and classifications: introduction. In Psychiatric Case Registers in Public Health. A Worldwide Inventory 1960–1985 (ed. Horn, G. H. M. H. ten, Giel, R., Gulbinat, W. H. and Henderson, J. H.), pp. 170174. Elsevier: Amsterdam.Google Scholar
Hodiamont, P., Peer, N. & Syben, N. (1987). Epidemiological aspects of psychiatric disorder in a Dutch health area. Psychological Medicine 17, 495505.CrossRefGoogle Scholar
Jarvis, E. (1851). On the supposed increase of insanity. American Journal of Insanity 8, 333364.Google Scholar
Joseph, A. E. & Boeckh, J. L. (1981). Locational variation in mental health care utilization dependent upon diagnosis: a Canadian example. Social Science and Medicine 15D, 395404.Google Scholar
Keatinge, C. (1987). Community factors influencing psychiatric hospital utilization in rural and urban Ireland. Community Mental Health Journal 23, 192203.Google Scholar
Ketting, E. & Jacobs, C. (1988). GGZ in Getallen 1986. NcGv-reeks 119: Utrecht.Google Scholar
Levy, L. & Rowitz, L. (1971). Ecological attributes of high and low rate mental hospital utilization areas in Chicago. Social Psychiatry 6, 2028.Google Scholar
Mueller, D. P. (1981). The current status of urban-rural difference in psychiatric disorder. An emerging trend for depression. Journal of Nervous and Mental Disease 169, 1827.CrossRefGoogle ScholarPubMed
Pollack, E. S. (1977). Mental Health Demographic Profile for Health Service Planning. National Centre for Health Statistics, Statistical Notes for Health Planners No. 4, DHEW (HRA) 771237, Resources Administration: Fishers Lane, Rockville, MD, USA.Google Scholar
Richman, A., Boutilier, C. & Harris, P. (1984). The relevance of socio-demographic and resource factors in the use of acute psychiatric in-patient care in the Atlantic Provinces of Canada. Psychological Medicine 14, 175182.Google Scholar
Shapiro, S, Skinner, E. A., Kessler, L. G., Von Korff, M., German, P. S., Tischler, G. L., Leaf, P. J., Benham, L., Cottler, L. & Regier, D. A. (1984). Utilization of health and mental health services. Three epidemiologic catchment area sites. Archives of General Psychiatry 41, 971978.CrossRefGoogle ScholarPubMed
Sytema, S., Balestrieri, M., Giel, R., Horn, G. H. M. M. ten & Tansella, M. (1989). Use of mental health services in South-Verona and Groningen. Acta Psychiatrica Scandinavica 79, 153162.CrossRefGoogle ScholarPubMed
Vaslamatzis, G., Kontaxakis, V., Markidis, M. & Katsouyanni, K. (1987). Social and resource factors related to the utilization of emergency psychiatric services in the Athens area. Acta Psychiatrica Scandinavica 75, 9598.CrossRefGoogle Scholar
Weyerer, S., Häfner, H., Maylath, E. & Pfeifer-Kurda, M. (1988). Die ökologische Verteilung erstbehandelter Schizophrenien in der Stadt Mannheim. Fundamenta Psychiatrica 3, 197202.Google Scholar