Social predictors of out-patient mental health contact in schizophrenia patients |
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Authors: | Berta Moreno Beatriz Arroyo Francisco Torres-González Juan de Dios Luna Jorge Cervilla |
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Affiliation: | (1) Depto. de Medicina Legal, Toxicología y Psiquiatría, Facultad de Medicina, Universidad de Granada, Granada, Spain;(2) Fundación IMABIS, Malaga, Spain;(3) Avda Principal del Candado, no. 1, 50 C-1, 29018 Malaga, Spain;(4) Depto. de Bioestadística, Universidad de Granada, Granada, Spain |
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Abstract: | Introduction Since community-based health care was introduced, the use of mental health services by patients with serious mental disorders
has been an issue of much interest. However, our knowledge of intervening factors is both scarce and partial.
Objective To study socio-demographic variables which may predict time-lapse (in days) between each out-patient contact among a cohort
of schizophrenia patients.
Method Data comes from the South Granada Schizophrenia Case Register. We used Cox’s regression analysis to study the influence of
the socio-demographic variables in the time lapsed between out-patient contacts.
Results After adjusting for all other socio-demographic variables included, we found that to live in a rural area and being younger
independently predicted a longer time-lapse between out-patient contacts while being retired predicted a shorter interval
between such contacts. Other variables such as sex, educational level and marital status did not determine such length between
out-patients contacts.
Conclusion Socio-demographic variables, and not only psychopathological ones, determine mental health out-patient service use. |
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Keywords: | service utilisation community mental health services sociodemographics factors severe mental disorder |
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