Influence of socio-economic deprivation on the prevalence and outcome of depression in primary care: The Hampshire Depression Project

Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied. To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of dep...

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Bibliographic Details
Published in:British journal of psychiatry 2001-01, Vol.178 (1), p.12-17
Main Authors: OSTLER, K, THOMPSON, C, KINMONTH, A.-L. K, PEVELER, R. C, STEVENS, L, STEVENS, A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Distribution
Aged
Aged, 80 and over
Anxiety
Censuses
Clinical assessment
Community health care
Depressive Disorder - economics
Depressive Disorder - epidemiology
Economic deprivation
Employment
Employment status
England - epidemiology
Female
Gender
General practice
Health care
Health disparities
Hospitals
Households
Humans
Illnesses
Locality
Male
Medical research
Medical screening
Mental depression
Middle Aged
Odds Ratio
Population
Population studies
Poverty
Prevalence
Primary care
Psychiatry
Public health
Questionnaires
R&D
Research & development
Socioeconomic Factors
Symptoms
Unemployment
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Summary:Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied. To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of depressive symptoms in general practice patients. 18 414 patients attending 55 representative practices completed the Hospital Anxiety and Depression Scale and a questionnaire for employment status. Outcome of those screening positive was assessed at 6 weeks and 6 months. The UPA score accounted for 48.3% of the variance between practices in prevalence of depressive symptoms. Attending a high UPA score practice predicted persistence of depressive symptoms to 6 months. The socio-economic deprivation of a practice locality is a powerful predictor of the prevalence and persistence of depressive symptoms.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.178.1.12