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Ruralon-rural differences in rates of common mental disorders in Britain

机译：英国常见精神障碍发生率的农村/非农村差异

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Background Some UK studies have reported an urban excess in the prevalence of the most common mental disorders of anxiety and depression. Aims To investigate ruralon-rural differences in the onset and maintenance of episodes of common mental disorders, after adjusting for the characteristics of respondents and their households. Method A12-month cohort study of 7659 adults aged 16-74 years living in 4338 private households, nested within 626 electoral wards in England, Wales and Scotland. Common mental disorders were assessed using the General Health Questionnaire (GHQ).Electoral wards were characterised by Office for National Statistics classification and by population density. Data were analysed using multilevel statistical modelling. Results Rural residents had slightly better mental health than non-rural counterparts. The effects of geographical location on the mental health of participants were neither significantly confounded nor modified by socio-economic status, employment status or household income. Conclusions There are small but statistically significant differences in rates of common mental disorders between urban and rural residents. Quantifying between-place differences using population density alone risks missing important contextual effects on mental health.
机译：背景技术英国的一些研究报告说，焦虑和抑郁最常见的精神障碍患病率在城市中过高。目的在对受访者及其家庭的特征进行调整后，调查农村地区/非农村地区常见精神障碍发作和维持的差异。方法A12个月的队列研究对7659名16-74岁的成年人进行了研究，他们居住在4338个私人家庭中，嵌套在英格兰，威尔士和苏格兰的626个选举区中。普通精神疾病的评估采用《一般健康状况调查表》（GHQ）。选举病房以国家统计局分类和人口密度为特征。使用多级统计建模分析数据。结果农村居民的心理健康状况比非农村居民略好。地理位置对参与者心理健康的影响既没有显着混淆，也没有因社会经济地位，就业状况或家庭收入而改变。结论城乡居民之间常见精神障碍的发生率差异很小，但有统计学意义。仅使用人口密度来量化不同地点之间的差异可能会丢失对心理健康的重要背景影响。

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