ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001
Inequalities in treated heart disease and mental illness in England and Wales, 1994-1998.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- EPA guidance on mental health and economic crises in Europe.European archives of psychiatry and clinical neuroscience · 2016Review
- Psychosis, Socioeconomic Disadvantage, and Health Service Use in South Australia: Findings from the Second Australian National Survey of Psychosis.Frontiers in public health · 2015Article
- Predicting long-term recovery from depression in community settings in Western Europe: evidence from ODIN.Social psychiatry and psychiatric epidemiology · 2011Article
- The association of inequality with the incidence of schizophrenia--an ecological study.Social psychiatry and psychiatric epidemiology · 2004Article
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Authors and funding
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Abstract
backgroundCurrent government policy is directed towards reducing inequalities in health. General practice is increasingly the focus for health care provision in the United Kingdom and it is therefore important to understand the relationship between socioeconomic factors and health at the general practice level. A deprivation measure was used for the area in which the practice is located and two key priority areas were focused upon: mental health and heart disease.
aimTo explore the relationship between area deprivation and the prevalence of treated heart disease and mental illness in England and Wales. DESIGN OF STUDY: Analysis of data from medical records from practices contributing to the General Practice Research Database.
settingA total of 211 practices located in England and Wales.
methodThe data from the practices were used to examine deprivation differentials in treated disease prevalence rates.
resultsThere are strong deprivation gradients (highest prevalence in the most deprived category) for treated depression, anxiety, schizophrenia, coronary heart disease and non-insulin-treated diabetes. In general the deprivation differentials are wider in the middle of the age range. Women aged 35 to 64 years in the most deprived areas had rates of treated coronary heart disease two to three times those in the least deprived areas. Men aged 25 to 44 years in the most deprived areas had rates of treated depression 50% higher than those in the least deprived areas.
conclusionsThis study has identified wide deprivation differentials in the prevalence of treated mental illness and heart disease. If all of England and Wales experienced the rates of the least deprived fifth of the population then the number of people being treated for depression, anxiety, and coronary heart disease would fall by 10%, 16%, and 11% respectively.
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11407047PMC1314023What OpenQuestion holds
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