[Geographical mental health map: geographical variation in psychosis and association with environmental factors]

Iruin A, Aldama A, Ramírez M, López A, Latorre A, Etxebeste M, Mosquera F, González-Pinto A, Latorre K, Aizpuru FE
Record ID 32018000510
Spanish
Original Title: Mapa geográfico de salud mental: variación geográfica en psicosis y asociación con factores ambientales
Authors' objectives: 1) Describe the spatial patterns of morbidity from psychotic and mood disorders, taking census tracts as the unit of analysis and using smoothing techniques. 2) Determine the association of the observed variability with several key factors: • Rurality. • Socioeconomic status (deprivation index). 3) Provide high-resolution images showing the spatial distribution of psychiatric diagnoses 295 and 296 (ICD-9).
Authors' results and conclusions: 1. The schizophrenia incidence data for the most recent, and therefore most current period of all those analysed, are 10/100,000 population of the Basque Country, which is low by comparison with global rates. 2. There is an apparent decrease in the incidence of schizophrenia and mood disorders throughout the study period. 3. The studied sociodemographic variables (sex, socioeconomic status, age on contact, marital status, education level, employment status) are consistent with the expected epidemiological pattern. 4. There is significant geographical variability in the incidence of schizophrenia and mood disorders, with a striking difference in diagnoses between Territories. 5. Incidence of both diagnostic groups is higher in urban areas than in rural areas. 6. This variability is of epidemiological interest because it can provide guidance for both research and care services planning.
Authors' methods: Inclusion criteria were: patients over the age of 18 served by the mental health services of the three Territories in the period between 1992 and 2009, whose most recent diagnosis was code 295 (schizophrenic disorders) or code 296 (episodic mood disorders) according to the ICD-9 classification of diseases; or F-20, F-21, F-25, F-30 and F-31 of ICD-10. The variables selected for inclusion in the study, in order to meet the stated objectives, were collected from a database of the entire Basque Country. The definition of each variable was established by consensus between all research team members. The primary unit of analysis was each of the 250 municipalities in the Basque Country. For the variability analysis, however, all municipalities with a total of less than 20 records in the database were aggregated, within each health region or integrated health care organization. This placed the number of units in the final analysis at 87: 79 individual municipalities plus eight groups of municipalities.
Details
Project Status: Completed
Year Published: 2014
URL for published report: https://www.ogasun.ejgv.euskadi.eus/r51-catpub/es/k75aWebPublicacionesWar/k75aObtenerPublicacionDigitalServlet?R01HNoPortal=true&N_LIBR=051602&N_EDIC=0001&C_IDIOM=es&FORMATO=.pdf
English language abstract: An English language summary is available
Publication Type: Other
Country: Spain
MeSH Terms
  • Mental Health
  • Psychotic Disorders
  • Mood Disorders
  • Urban Population
  • Rural Population
  • Risk Factors
  • Schizophrenia
  • Socioeconomic Factors
  • Geography, Medical
  • Environment
Keywords
  • Mental Health
  • Psychotic Disorders
  • Mood Disorders
  • Association
  • Urban Population
  • Rural Population
  • Risk Factors
  • Socioeconomic Factors
  • Social Environment
  • Schizophrenia
  • Esquizofrenia
  • Medio Social
  • Factores Socioeconómicos
  • Factores de Riesgo
  • Población Rural
  • Población Urbana
  • Asociación
  • Trastornos del Humor
  • Trastornos Psicóticos
  • Salud Mental
Contact
Organisation Name: Basque Office for Health Technology Assessment
Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz
Contact Name: Lorea Galnares-Cordero
Contact Email: lgalnares@bioef.eus
Copyright: Osteba (Basque Office for Health Technology Assessment) Health Department of the Basque Government
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.