Aro S, Aro H, Salinto M, Keskimäki I
National Research & Development Centre for Welfare & Health, Health Services Research Unit, Helsinki, Finland.
Acta Psychiatr Scand. 1995 May;91(5):305-12. doi: 10.1111/j.1600-0447.1995.tb09787.x.
This population-based study presents socioeconomic differences in psychiatric inpatient care by diagnosis. Inpatient care among the Finnish population aged 25-64 years was studied using data from the Finnish National Hospital Discharge Register. All major mental disorders in the ICD-9 were included in the study. The socioeconomic status of individual patients was defined by years of education in the population census. Discharge rates, first-time admission rates and hospitalization risk were usually 2- to 4-fold higher in the low educational group compared with the highly educated population. The socioeconomic gradient was steepest for schizophrenia. No gradient was observed for major affective disorders. However, bipolar disorder was most common in the highest educational category. For most conditions, the socioeconomic gradient among women was lower than among men. In Finland hospitalization was more common among low than high socioeconomic groups for most mental disorders and most indicators of inpatient care. Most of these differences are fairly consistent with previous data on socioeconomic gradients in the prevalence of mental disorders.
这项基于人群的研究呈现了按诊断划分的精神科住院治疗中的社会经济差异。利用芬兰国家医院出院登记册的数据，对25至64岁芬兰人群的住院治疗情况进行了研究。国际疾病分类第九版（ICD - 9）中的所有主要精神障碍均纳入本研究。个体患者的社会经济地位通过人口普查中的受教育年限来界定。与高学历人群相比，低学历组的出院率、首次入院率和住院风险通常高出2至4倍。精神分裂症的社会经济梯度最为陡峭。对于重性情感障碍未观察到梯度差异。然而，双相情感障碍在最高学历类别中最为常见。对于大多数情况，女性的社会经济梯度低于男性。在芬兰，对于大多数精神障碍以及大多数住院治疗指标而言，社会经济地位低的群体比高的群体住院更为常见。这些差异大多与先前关于精神障碍患病率社会经济梯度的数据相当一致。
