Are mental disorders more common in urban than rural areas of the United States?

Breslau, Joshua; Marshall, Grant N.; Pincus, Harold Alan; Brown, Ryan Andrew

doi:10.1016/j.jpsychires.2014.05.004

Cited by 120 publications

(83 citation statements)

References 20 publications

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“…Despite a history of conflicting results regarding the prevalence of mental health issues among rural versus urban populations (Probst et al, 2006;Peen et al, 2010;Galea et al, 2011), recent research found no significant relationship (Smith et al, 2008;Breslau et al, 2014). There are, however, well-established disparities in access to mental health treatment among rural populations.…”

Section: Population Density Rurality and Isolationmentioning

confidence: 99%

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Thompson

Sugg

Runkle

2018

Social Science & Medicine

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Prior research has demonstrated that a variety of demographic, socioeconomic, and environmental factors can influence the prevalence and severity of mental distress and whether an individual is likely to receive treatment. Behavioral health research has been limited to self-reported survey data, but advances in technology have provided increased opportunities to continuously capture and store data, and to learn about the help-seeking habits of its contributors. In response to the growing prevalence of technologically mediated crisis counseling services, this county-level ecological study evaluated whether these same disparities exist for help-seeking via Crisis Text Line, a free, ubiquitous, technology-based crisis counseling service. Because most suicide attempts are impulsive acts, crisis hotlines are often the only resource available to suicidal or at-risk individuals. It is critical that researchers and practitioners are aware of any population-level disparities limiting the use of these invaluable resources. To date, this is the first study to examine text-based help-seeking behavior among adolescents at a national scale. Results identify several factors associated with increased or reduced help-seeking behavior among adolescents in the U.S. Increased v rates of CTL usage occur in counties with higher mean household incomes, higher divorce rates, and lower residential stability. Rurality was the strongest predictor for low rates of help-seeking, and this finding is particularly concerning in light of elevated rates of suicide among rural counties. Low rates of help-seeking compound ongoing rural-urban disparities in traditional mental health services, and this finding suggests that increased suicide risk in rural areas cannot be explained by mental health professional shortages alone. Rural communities, particularly those with low support-seeking behavior and comparatively high suicide rates, should be the target of future research and outreach.vi

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Section: Population Density Rurality and Isolationmentioning

confidence: 99%

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Thompson

Sugg

Runkle

2018

Social Science & Medicine

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“…We were therefore interested in the findings of a study of the prevalence of mental disorders by Breslau et al (2014) which did not find higher prevalence of mental illnesses in large metropolitan areas compared to rural areas. We were also surprised that the aforementioned literature on urbanicity appears to have been overlooked in the study.…”

Section: Dear Professors Holsboer and Schatzbergmentioning

confidence: 99%

Commentary on a study of the prevalence of mental disorders by Breslau et al.

Bloomfield

Jauhar

Bonoldi

et al. 2015

Journal of Psychiatric Research

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“…Indeed, these results were consistent to some studies, which found no significant difference of prevalence of mental disorders between urban and rural areas. 25,26,27 Recently, changes in Thai family structures have compounded this problem. Although many Thai people still live in rural areas, they do have the support of traditional, extended families.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression, and its associated factors among the elderly in Songkhla Province, Thailand: Two-stage cluster sampling study

2017

JCGG

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Background: Depression in elderly usually goes unnoticed in the general population. The aim of this research is to study on the prevalence, and associated factors of elderly depression within Songkhla province. This being a major city with a population of one and a half million, situated in the south of Thailand. Methods: This is a two-stage cluster sampling study. We collected data from members of the elderly population (65-99 years of age) in Songkhla Province from 1st of September -30th of November 2015. The sample size was calculated by R-program. We used the 15-item Thai Geriatric Depression Scale (TGDS-15) questionnaire to find the prevalence and its association of factors. The associated factors were analyzed by multiple logistic regression using a backward-stepwise method. Results: By using TGDS-15, the prevalence of depression in the elderly population in Songkhla province was 12.0 percent. The association of depression as well as potential, associated factors in this study; sex, age, and residential area, were not found to be significant. We found more prevalence among Muslims, those being alone, and having a lower educational level within this area (p-value < 0.05). Conclusions:The prevalence of depression was quite high among the elderly population of Songkhla province. Many statically, both significant and insignificant, correlations were found. We need an in-depth research, concerning both biological and spiritual aspects to explain the etiology of depression. Then, some policies need to be implemented to intervene those factors, so as to promote better health and quality of life in elderly people.

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Are mental disorders more common in urban than rural areas of the United States?

Cited by 120 publications

References 20 publications

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Commentary on a study of the prevalence of mental disorders by Breslau et al.

Prevalence of depression, and its associated factors among the elderly in Songkhla Province, Thailand: Two-stage cluster sampling study

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