Lix Lisa M, Hinds Aynslie, DeVerteuil Geoffrey, Robinson J Renee, Walker John, Roos Leslie L
Department of Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Canada, R3E 3P5.
Adm Policy Ment Health. 2006 Mar;33(2):160-71. doi: 10.1007/s10488-006-0035-5.
This research uses population-based administrative data linking health service use to longitudinal postal code information to describe the residential mobility of individuals with a severe mental illness (SMI), schizophrenia. This group is compared to two cohorts, one with no mental illness, and one with a severe physical illness of inflammatory bowel disease. The percentage of individuals with one or more changes in postal code in a 3-year period is examined, along with measures of rural-to-rural regional migration and rural-to-urban migration. Demographic, socioeconomic, and health service use characteristics are examined as determinants of mobility. The odds of moving were twice as high for the SMI cohort as for either of the other two cohorts. There were no statistically significant differences in rural-to-rural or rural-to-urban migration among the cohorts. Marital status, income quintile, and use of physicians are consistent determinants of mobility. The results are discussed from the perspectives of health services planning and access to housing.
本研究利用基于人群的行政数据，将卫生服务利用情况与纵向邮政编码信息相联系，以描述患有严重精神疾病（SMI）即精神分裂症患者的居住流动性。将该组与两个队列进行比较，一个队列无精神疾病，另一个队列患有炎症性肠病这种严重躯体疾病。研究了在3年期间邮政编码发生一次或多次变化的个体百分比，以及农村到农村的区域迁移和农村到城市迁移的指标。将人口统计学、社会经济和卫生服务利用特征作为流动性的决定因素进行研究。患有严重精神疾病的队列迁移几率是其他两个队列中任何一个的两倍。各队列在农村到农村或农村到城市的迁移方面没有统计学上的显著差异。婚姻状况、收入五分位数和医生使用情况是流动性的一致决定因素。从卫生服务规划和住房可及性的角度对结果进行了讨论。
