Turner J T, Wan T T
Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0203.
Community Ment Health J. 1993 Feb;29(1):3-14. doi: 10.1007/BF00760626.
This study examined the impact of community characteristics on rehospitalization of chronically mentally ill (CMI) clients from public psychiatric hospitals in Virginia. The relationship between rehospitalization, often termed recidivism, and community attributes was explained within the theoretical context of community ecology (Hawley 1950). A small area analysis approach that employed path analysis was used to assess the relationship between rehospitalization and selected community variables including: available health care resources, socioeconomic factors, race, presence of psychopathology, and household composition. The path model was estimated and validated using a linear structural relations computer program (LISREL VI). Results reveal female-headed households and socioeconomic status to be significant predictors of rehospitalization. A discussion of implications of the findings for community mental health services delivery and research is provided.
本研究考察了社区特征对弗吉尼亚州公立精神病院慢性精神病患者再次住院的影响。在社区生态学的理论背景下（霍利，1950年）解释了再次住院（常称为累犯）与社区属性之间的关系。采用路径分析的小区域分析方法来评估再次住院与选定社区变量之间的关系，这些变量包括：可用的医疗保健资源、社会经济因素、种族、精神病理学的存在以及家庭构成。使用线性结构关系计算机程序（LISREL VI）对路径模型进行了估计和验证。结果显示，女性当家的家庭和社会经济地位是再次住院的重要预测因素。文中还对研究结果对社区精神卫生服务提供和研究的意义进行了讨论。
