Evidence map›Paper›PMID 28473351›Full record

ArticleBMJ open2017

Sex differences in the association between area deprivation and generalised anxiety disorder: British population study.

Olivia Remes, Nick Wainwright, Paul Surtees, Louise Lafortune, Kay-Tee Khaw, Carol Brayne

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
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  4. Connecting to Community: A Social Identity Approach to Neighborhood Mental Health.Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc · 2024
    Review
  5. Review
  6. Article
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  8. Review
  9. Leptin polymorphism rs3828942: risk for anxiety disorders?European archives of psychiatry and clinical neuroscience · 2021
    Article
  10. Article
  11. Trends in generalised anxiety disorders and symptoms in primary care: UK population-based cohort study.The British journal of psychiatry : the journal of mental science · 2021
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Olivia RemesDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Nick WainwrightDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Paul SurteesDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Louise LafortuneDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Kay-Tee KhawDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Carol BrayneDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
University of Cambridge · GB

Funding

Cancer Research UK SP2024-0201Cancer Research UK SP2024-0204Medical Research Council G0401527Medical Research Council G1000143Medical Research Council G9502233Medical Research Council MR/N003284/1
6 · The paper itself

Abstract

objectiveStudies have shown that area-level deprivation measured by factors, such as non-home ownership, non-car ownership and household overcrowding, can increase the risk for mental disorders over and above individual-level circumstances, such as education and social class. Whether area-level deprivation is associated with generalised anxiety disorder (GAD) independent of personal circumstances, and whether this association is different between British women and men is unknown.

designLarge, population study.

settingUK population-based cohort.

participants30 445 people from the general population aged 40 years and older and living in England consented to participate at study baseline, and of these, 21 921 participants completed a structured health and lifestyle questionnaire used to capture GAD. Area deprivation was measured in 1991 using Census data, and GAD was assessed in 1996-2000. 10 275 women and 8219 men had complete data on all covariates.

main outcome measurePast-year GAD defined according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV).

resultsIn this study, 2.5% (261/10 275) of women and 1.8% (145/8219) of men had GAD. Women living in the most deprived areas were over 60% more likely to develop anxiety than those living in areas that were not deprived (OR=1.63, 95% CI 1.21 to 2.21; p=0.001), but this association between deprivation and GAD was not apparent in men (OR=1.13, 95% CI 0.72 to 1.77; p=0.598).

conclusionsThe absolute numbers of people living in deprived conditions are large worldwide. This, combined with a growing mental health burden, means that the findings obtained in this study remain highly relevant. The WHO has emphasised the need to reduce social and health inequalities. Our findings provide a strong evidence base to this call, showing that the environment needs to be taken into account when developing mental health policy; gender is important when it comes to assessing the influence of the environment on our mental health.

Indexed as

Poverty AreasAdultAgedAnxiety DisordersEnglandFemaleHealth Status DisparitiesHealth SurveysHumansMaleMiddle AgedPopulation SurveillancePrevalenceRisk FactorsSex FactorsSocioeconomic FactorsEPIDEMIOLOGYMENTAL HEALTHPUBLIC HEALTH

Identifiers

PMID28473351
PMCPMC5777465
OpenAlexW2610279372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.