The Distribution of Schizophrenics in Nottingham

Giggs, John A.

doi:10.2307/621712

Cited by 78 publications

(37 citation statements)

References 14 publications

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“…These studies focused upon the relationship between mental illness and the urban environment, with particular attention to the spatial distribution of mental illness in different social areas of these cities. Some consistent findings of these studies have included: a concentration of people with schizophrenia in inner-city areas (Giggs, 1973;Dean & James, 1981); a more random distribution of people with manic depression (Dean & James, 1984;Taylor, 1974); and a correlation of incidence of particular disorders with social factors such as suicide and delinquency (Bagley et al, 1973;Bagley & Jacobson, 1976). These examples of ecological studies of mental illness demonstrate the spatial variability of mental illness, particularly within an individual city.…”

Section: The Geography Of Mental Healthmentioning

confidence: 88%

“…Early geographical studies of the distribution of mental illness have included work by Giggs (1973; conducted in Nottingham, Taylor (1974, cited by Scobie, 1989 in Southampton, and Dean & James (1981;1984) in Plymouth (all cities in England). These studies focused upon the relationship between mental illness and the urban environment, with particular attention to the spatial distribution of mental illness in different social areas of these cities.…”

Section: The Geography Of Mental Healthmentioning

confidence: 99%

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The geography of mental health

Jones¹

2001

Epidemiol Psychiatr Sci

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Section: The Geography Of Mental Healthmentioning

confidence: 88%

Section: The Geography Of Mental Healthmentioning

confidence: 99%

The geography of mental health

Jones¹

2001

Epidemiol Psychiatr Sci

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“…56,57 Both studies were conducted in German cities. Loffler and Hafner 56 reported increased rates of first schizophrenia admission in areas with more unfavourable living conditions and larger proportions of immigrants.…”

Section: Discussionmentioning

confidence: 99%

First- Generation Immigrants and Hospital Admission Rates for Psychosis and Affective Disorders: An Ecological Study in Ontario

et al. 2011

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Objective: The immigrant population in Canada, and particularly in Ontario, is increasing. Our ecological study first assessed if there was an association between areas with proportions of first-generation immigrations and admissions rates for psychotic and affective disorders. Second, this study examined if area-level risks would persist after controlling for area socioeconomic factors in census-derived geographical areas-Forward Sortation Areas (FSAs)-in Ontario.Methods: Ontario's inpatient admission records from 1996 to 2005 and census data from 2001 were analyzed to derive FSA rates of first admissions for psychotic disorders and affective disorders per 100 000 person-years. Negative binomial regression models were adjusted, first, for FSA age and sex and, second, also for FSA population density and average income.Results: Using age-and sex-adjusted models, admission rates for psychotic disorders were higher in areas with greater proportions of immigrants. These areas were associated with lower admission rates for affective disorders. When FSA average income and population density were added to the models, the influence of immigrants was attenuated to nonsignificant levels in models predicting psychotic disorders admission rates. However, greater proportions of immigrants remained significantly protective when predicting rates of affective disorders. Discussion: Our study provides insight about the influence of area-level variables on risk of admission for psychotic and affective disorders in high immigrant areas. There is a dearth of current Canadian research on immigrant admission for psychotic disorders at the individual or area level. Future area-and individual-level studies may better identify groups at risk and possible explanations.Can J Psychiatry. 2011;56(7):418-426. Clinical Implications• Health care administrators may want to consider factors related to the immigrant experience, such as economic deprivation and high population density, when planning culturally sensitive services for affective and psychotic disorders.• There is a need to further investigate immigrant risk for psychotic and affective disorders in Canada, both in clinical and in research settings. Limitations• It is unknown if the observed area-level effects persist at the individual level.• Our study could not disentangle the impact of social and immigration factors on admission risk at the individual level.• Our study does not address pathways to care.

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“…First, there has been the concern with social problems. Geographers have long shown interest in topics connected with deprivation and other social problems, but there has been a distinct growth of research in such fields as immigrant and minority populations (Lee, 1973;Peach, 1975;Poole and Boal, 1973), mental disorders (Giggs, 1973), housing (Johnson, 1974;Kirby, 1976;Robson, 1975), electoral geography (Taylor, 1973) and health (Howe, 1972). These interests feed into what appears to be emerging in a rather incoherent way as 'social' geography, far removed from 'cultural' geography and partly prompted by the search for liberal solutions to current social (and usually urban) problems (Eyles, 1974)2.…”

Section: Relevancementioning

confidence: 98%