Evidence map›Paper›PMID 30679299›Full record

ArticleBMJ open2019

Spatial distribution and temporal trends in social fragmentation in England, 2001-2011: a national study.

Christos Grigoroglou, Luke Munford, Roger T Webb, Nav Kapur, Darren M Ashcroft, Evangelos Kontopantelis

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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 2 institutions in 3 countries.

Christos GrigoroglouNIHR School for Primary Care Research, Centre for Primary Care, Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.ORCID 0000-0003-1621-8648
Luke MunfordManchester Academic Health Sciences Centre [MAHSC], Manchester, UK.
Roger T WebbManchester Academic Health Sciences Centre [MAHSC], Manchester, UK.
Nav KapurManchester Academic Health Sciences Centre [MAHSC], Manchester, UK.
Darren M AshcroftManchester Academic Health Sciences Centre [MAHSC], Manchester, UK.
Evangelos KontopantelisNIHR School for Primary Care Research, Centre for Primary Care, Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.ORCID 0000-0001-6450-5815
Manchester Academic Health Science Centre · GBGreater Manchester Mental Health NHS Foundation Trust · GB

Funding

Medical Research Council MR/N015126/1
6 · The paper itself

Abstract

objectiveSocial fragmentation is commonly examined in epidemiological studies of mental illness as high levels of social fragmentation are often found in areas with high prevalence of mental illness. In this study, we examine spatial and temporal patterns of social fragmentation and its underlying indicators in England over time.

settingData for social fragmentation and its underlying indicators were analysed over the decennial Censuses (2001-2011) at a small area geographical level (mean of 1500 people). Degrees of social fragmentation and temporal changes were spatially visualised for the whole of England and its 10 administrative regions. Spatial clustering was quantified using Moran's I; changes in correlations over time were quantified using Spearman's ranking correlation.

resultsBetween 2001 and 2011, we observed a strong persistence for social fragmentation nationally (Spearman's r=0.93). At the regional level, modest changes were observed over time, but marked increases were observed for two of the four social fragmentation underlying indicators, namely single people and those in private renting. Results supported our hypothesis of increasing spatial clustering over time. Moderate regional variability was observed in social fragmentation, its underlying indicators and their clustering over time.

conclusionPatterns of social fragmentation and its underlying indicators persisted in England which seem to be driven by the large increases in single people and those in private renting. Policies to improve social cohesion may have an impact on the lives of persons who experience mental illness. The spatial aspect of social fragmentation can inform the targeting of health and social care interventions, particularly in areas with strong social fragmentation clustering.

Indexed as

Psychiatric Status Rating ScalesSocial SupportAdolescentAdultAgedAged, 80 and overCensusesEnglandFemaleHumansMaleMental HealthMiddle AgedResidence CharacteristicsSmall-Area AnalysisSocial Isolationepidemiologymental healthorganisation of health servicessocial medicine

Identifiers

PMID30679299
PMCPMC6347895
OpenAlexW2902820343

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.