Tello J E, Mazzi M, Tansella M, Bonizzato P, Jones J, Amaddeo F
Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy.
Acta Psychiatr Scand. 2005 Sep;112(3):215-23. doi: 10.1111/j.1600-0447.2005.00558.x.
To assess the effect of socioeconomic status (SES) on psychiatric service use in an Italian area with a well-developed community-based psychiatric service.
An index of SES was calculated from nine census variables and grouped into four categories, ranging from SES-I-affluent to SES-IV-deprived, for each of 328 census blocks (CB). Fifteen indicators of psychiatric service use were collected using the psychiatric case register. All patients resident in the catchment area, who had at least one psychiatric contact in 1996 (n=989), were included in the study.
Indicators of in-patient, day-patient, out-patient and community service use showed an inverse association with SES. Only first-ever and long-term psychotic patients were equally distributed in the four SES groups.
The inverse association between SES and most indicators of psychiatric service use suggests that the planning of community-based services and resource allocation should take into account the SES of residents.
在意大利一个拥有完善的社区精神卫生服务的地区，评估社会经济地位（SES）对精神卫生服务利用的影响。
根据九个普查变量计算出SES指数，并将其分为四类，从SES-I-富裕到SES-IV-贫困，对应328个普查街区（CB）中的每一个。使用精神科病例登记册收集了十五项精神卫生服务利用指标。研究纳入了集水区内所有在1996年至少有一次精神科接触的居民患者（n = 989）。
住院、日间住院、门诊和社区服务利用指标与SES呈负相关。只有首次发病和长期精神病患者在四个SES组中分布均匀。
SES与大多数精神卫生服务利用指标之间的负相关表明，社区服务规划和资源分配应考虑居民的SES。
