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Residential Mobility and Severe Mental Illness: A Population-based Analysis

机译:居民流动性和严重精神疾病:基于人口的分析

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This research uses population-based administrative data linking health service use to longitudinal postal code information to describe the residential mobility of individuals with a severe mental illness (SMI), schizophrenia. This group is compared to two cohorts, one with no mental illness, and one with a severe physical illness of inflammatory bowel disease. The percentage of individuals with one or more changes in postal code in a 3-year period is examined, along with measures of rural-to-rural regional migration and rural-to-urban migration. Demographic, socioeconomic, and health service use characteristics are examined as determinants of mobility. The odds of moving were twice as high for the SMI cohort as for either of the other two cohorts. There were no statistically significant differences in rural-to-rural or rural-to-urban migration among the cohorts. Marital status, income quintile, and use of physicians are consistent determinants of mobility. The results are discussed from the perspectives of health services planning and access to housing.
机译:这项研究使用基于人群的行政数据,将医疗服务的使用与纵向邮政编码信息相关联,以描述患有严重精神疾病(SMI),精神分裂症的个体的居住流动性。将该组与两个队列进行比较,一个队列没有精神疾病,而另一个队列则患有严重的炎症性肠病。审查了三年内邮政编码发生一次或多次变化的个人所占的百分比,以及从农村到农村的区域迁移和从农村到城市的迁移的度量。人口,社会经济和医疗服务的使用特征被视为流动性的决定因素。 SMI队列的移动几率是其他两个队列中的任何一个的两倍。队列之间的农村到农村或农村到城市的迁移没有统计学上的显着差异。婚姻状况,收入的五分之一和医生的使用是决定活动能力的关键因素。从卫生服务规划和获得住房的角度讨论了结果。

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