Các yếu tố rủi ro cấp cộng đồng đối với việc nhập viện do trầm cảm

Administration in mental health - Tập 34 - Trang 343-352 - 2007
John Fortney1,2,3, Gerard Rushton4,5, Scott Wood6, Lixun Zhang4,7, Stan Xu8, Fran Dong9, Kathryn Rost10
1Health Services Research and Development, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, USA
2Division of Health Services Research, Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, USA
3Department of Health Policy and Management, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, USA
4Department of Geography, University of Iowa, Iowa City, USA
5Department of Health Policy and Management, College of Public Health, University of Iowa, Iowa City, USA
6Division of Educational Measurement and Statistics, University of Iowa, Iowa City, USA
7Department of Biostatistics, University of Iowa, Iowa City, USA
8Clinical Research Unit, Kaiser Permanente Colorado, Denver, USA
9Western Interstate Commission for Higher Education, Boulder, USA
10Department of Medical Humanities and Social Sciences, College of Medicine, Florida State University, Tallahassee, USA

Tóm tắt

Nghiên cứu này đã đo lường sự biến đổi địa lý trong việc nhập viện do trầm cảm và xác định các yếu tố rủi ro cấp cộng đồng. Việc nhập viện do trầm cảm được xác định từ Cơ sở dữ liệu Nhập viện Quốc gia. Biến phụ thuộc được chỉ định là tỷ lệ nhập viện đã chuẩn hóa gián tiếp. Dữ liệu cấp quận của 14 bang được thu thập từ các cơ quan liên bang. Mô hình hồi quy không gian Bayesian bao gồm các đặc điểm về xã hội-dân cư, kinh tế và đặc điểm hệ thống y tế như là các biến độc lập. Có 8,5 trường hợp nhập viện do trầm cảm trên 1.000 cư dân. 8,8% các quận có tỷ lệ nhập viện cao hơn 33% so với tỷ lệ đã chuẩn hóa. Các yếu tố rủi ro đáng kể bao gồm thất nghiệp, nghèo đói, nguồn cung bác sĩ, và nguồn cung giường bệnh. Các yếu tố bảo vệ đáng kể bao gồm mức độ nông thôn, phụ thuộc kinh tế, và căng thẳng về nhà ở.

Từ khóa

#trầm cảm #nhập viện #yếu tố rủi ro #mô hình hồi quy không gian #biến thể địa lý

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