Sundquist Kristina, Frank Gölin, Sundquist Jan
Family Medicine, Karolinska Institutet, Stockholm, Sweden.
Br J Psychiatry. 2004 Apr;184:293-8. doi: 10.1192/bjp.184.4.293.
Previous studies of differences in mental health between urban and rural populations are inconsistent.
To examine whether a high level of urbanisation is associated with increased incidence rates of psychosis and depression, after adjustment for age, marital status, education and immigrant status.
Follow-up study of the total Swedish population aged 25-64 years with respect to first hospital admission for psychosis or depression. Level of urbanisation was defined by population density and divided into quintiles.
With increasing levels of urbanisation the incidence rates of psychosis and depression rose. In the full models, those living in the most densely populated areas (quintile 5) had 68-77% more risk of developing psychosis and 12-20% more risk of developing depression than the reference group (quintile 1).
A high level of urbanisation is associated with increased risk of psychosis and depression for both women and men.
先前关于城乡人口心理健康差异的研究结果并不一致。
在对年龄、婚姻状况、教育程度和移民身份进行调整之后，研究高度城市化是否与精神病和抑郁症发病率的增加有关。
对瑞典25至64岁的全体人口进行随访研究，记录首次因精神病或抑郁症住院的情况。城市化水平由人口密度定义，并分为五个五分位数。
随着城市化水平的提高，精神病和抑郁症的发病率上升。在完整模型中，居住在人口最密集地区（五分位数5）的人群患精神病的风险比参照组（五分位数1）高68 - 77%，患抑郁症的风险高12 - 20%。
高度城市化与男性和女性患精神病和抑郁症的风险增加有关。
