Kovess V, Murphy H B, Tousignant M
J Nerv Ment Dis. 1987 Aug;175(8):457-66. doi: 10.1097/00005053-198708000-00003.
A field survey in French Canada confirmed the familiar finding that rural residents have lower rates of depression than metropolitan residents and showed that this difference remains even after allowing for sex, age, marital status, education, employment, and internal migration. However, no support was obtained for the hypothesis that the metropolitan sample was feeling less communally supported than the rural sample, and the rates in a small county center proved to be lower than in the rural area, not higher as would be predicted on the assumption that its life is urban. Finally, the rural-metropolitan differences proved to be concentrated in two minorities, the unemployed men and the unpartnered women, rather than spread widely. It is suggested for these reasons that the traditional urban-rural dichotomy may now be inappropriate for sociopsychiatric research.
在加拿大法语区进行的一项实地调查证实了一个常见的发现，即农村居民的抑郁症发病率低于大城市居民，并且表明即使考虑到性别、年龄、婚姻状况、教育程度、就业情况和内部迁移等因素，这种差异仍然存在。然而，“大城市样本比农村样本感受到的社区支持更少”这一假设并未得到支持，而且一个小县城中心的发病率被证明低于农村地区，而不是像基于其生活具有城市特征的假设所预测的那样更高。最后，农村与大城市的差异被证明集中在两个少数群体，即失业男性和没有伴侣的女性，而不是广泛分布。基于这些原因，有人认为传统的城乡二分法现在可能不适用于社会精神病学研究。
