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Psychiatric Morbidity among Women in Urban and Rural New Zealand: Psycho-social Correlates

Published online by Cambridge University Press:  02 January 2018

Sarah E. Romans-Clarkson ,
Valerie A. Walton ,
G. Peter Herbison  and
Paul E. Mullen
Sarah E. Romans-Clarkson*
Affiliation:
Department of Psychological Medicine, University of Otago, New Zealand
Valerie A. Walton
Affiliation:
Department of Psychological Medicine, University of Otago, New Zealand
G. Peter Herbison
Affiliation:
Department of Preventive and Social Medicine, University of Otago, New Zealand
Paul E. Mullen
Affiliation:
Department of Psychological Medicine, University of Otago, New Zealand
*
∗Correspondence
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Abstract

A random community survey into psychiatric disorder among women in urban and rural New Zealand found urban women to be more often at age extremes, not married, better educated, in more paid employment, and to have better household and child-care facilities. There were no overall urban–rural differences in the GHQ-28 score, total PSE score or PSE case rates. A multiple regression found the same three factors accounted for most of the explained variance in both the urban and the rural total PSE scores: these were the quality of social networks, difficulties with alcohol, and the past experience of childhood sexual abuse. Low socioeconomic status, poor physical health, and adult experiences of sexual and physical abuse were also associated with increased psychiatric morbidity in both samples. Other individual sociodemographic items were correlated with psychiatric morbidity for the urban or rural sample only.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 1 , January 1990 , pp. 84 - 91
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Bash, K. W. & Bash-Liechti, J. (1974) Studies on the epidemiology of neuropsychiatric disorders among the population of the city of Shiraz, Iran. Social Psychiatry, 9, 163–171.CrossRefGoogle Scholar
Bebbington, P., Hurry, J., Tennant, C., et al (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561–579.CrossRefGoogle ScholarPubMed
Blazer, D. G., George, L. K., Landerman, R., et al (1985) Psychiatric disorders: a rural-urban comparison. Archives of General Psychiatry, 42, 651–656.CrossRefGoogle ScholarPubMed
Brown, G. W. & Prudo, R. (1981) Psychiatric disorder in a rural and an urban population; 1. Aetiology of depression. Psychological Medicine, 11, 581–599.CrossRefGoogle Scholar
Brunetti, P. M., Dacher, M. & Sequeira, S. (1978) Prevalence of psychological impairment in city and country samples. Acta Psychiatrica Scandinavica, 58, 369–378.CrossRefGoogle ScholarPubMed
Brunetti, P. M. & Rougemont, T. (1986) Bein-etre psychohique: enquete interculturelle sur echantillons homogenes. Archives Suisses de Neurologie et de Psychiatrie, 137, 57–54.Google Scholar
Burvill, P. W. (1982) The epidemiology of psychiatric illness in industrialised society. Australian and New Zealand Journal of Psychiatry, 16, 144–151.CrossRefGoogle ScholarPubMed
Chetwynd, S. J. & Pearson, V. (1983) Alcohol problems amongst women working in the home: prevalence and predictors. Australian and New Zealand Journal of Psychiatry, 17, 259–264.CrossRefGoogle ScholarPubMed
Comstock, G. W. & Helsing, K. J. (1976) Symptoms of depression in two communities. Psychological Medicine, 6, 551–563.CrossRefGoogle ScholarPubMed
Cooper, J. E., Copeland, J. R., Brown, G. W., et al (1977) Further studies on interviewer training and inter-rater reliability of the Present State Examination. Psychological Medicine, 7, 517–523.CrossRefGoogle ScholarPubMed
Cordes, S. M. (1985) Biopsychosocial imperatives from the rural perspective. Social Science and Medicine, 12, 1373–1379.CrossRefGoogle Scholar
Crowell, B. A., George, L. K., Blazer, D., et al (1986) Psychosocial risk factors and urban/rural differences in the prevalence of major depression. British Journal of Psychiatry, 149, 307–314.CrossRefGoogle Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1969) Social Status and Psychological Disorder: a Causal Inquiry. Wiley: New York.Google Scholar
Eastwood, M. R. & Trevelyan, M. H. (1972) Relationship between physical and psychiatric disorder. Psychological Medicine, 2, 363–372.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Burvill, P. W. (1977) The prevalence of minor psychiatric disorder in the community. Psychological Medicine, 7, 465–489.CrossRefGoogle ScholarPubMed
Freeman, H. (1978) Mental health and the environment. British Journal of Psychiatry, 132, 113–124.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.CrossRefGoogle ScholarPubMed
Henderson, S., Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.Google Scholar
Husaini, B. A., Neff, J. A. & Stone, R. H. (1976) Psychiatric impairment in rural communities. Journal of Community Psychology, 7, 127–146.Google Scholar
Jenkins, R. (1985) Sex differences in minor psychiatric morbidity. Psychological Medicine, Monograph Supplement No. 7. Cambridge: Cambridge University Press.Google Scholar
Johnston, R. (1983) A Revision of Socio-economic Indices for New Zealand. Wellington: New Zealand Council for Educational Research.Google Scholar
Leighton, D. C., Harding, J. S., Macklin, D. B., et al (1963a) Psychiatric findings of the Stirling County Study. American Journal of Psychiatry, 119, 1021–1026.CrossRefGoogle Scholar
Leighton, D. C., Harding, J. S., Macklin, D. B., et al (1963b) The Character of Danger. Volume 111. The Stirling County Study of Psychiatric Disorder and the Sociocultural Environment. New York: Basic Books.Google Scholar
Milgram, S. (1970) The experience of living in cities. Science, 167, 1461–1468.CrossRefGoogle ScholarPubMed
Mueller, D. P. (1981) The current status of urban-rural differences in psychiatric disorder. An emerging trend for depression. Journal of Nervous and Mental Diseases, 169, 18–27.CrossRefGoogle ScholarPubMed
Mullen, P. E., Romans-Clarkson, S. E., Walton, V. A., et al (1988) Impact of sexual and physical abuse on women's mental health. Lancet, i, 841–845.CrossRefGoogle Scholar
Neff, J. A. (1983) Urbanicity and depression reconsidered. The evidence regarding depressive symtomatology. Journal of Nervous and Mental Diseases, 171, 546–552.CrossRefGoogle Scholar
Neff, J. A., Husaini, B. A. & McCorkel, J. (1980) Psychiatric and medical problems in rural communities. Social Science and Medicine, 14a, 331–336.Google ScholarPubMed
Prudo, R., Harris, T. & Brown, G. (1984) Psychiatric disorder in a rural and an urban population: 3. Social integration and the morphology of affective disorder. Psychological Medicine, 14, 327–345.CrossRefGoogle Scholar
Rodgers, B. & Mann, S. A. (1986) The reliability and validity of PSE assessments by lay interviewers: a national population survey. Psychological Medicine, 16, 689–700.CrossRefGoogle ScholarPubMed
Romans-Clarkson, S. E., Walton, V. A., Herbison, G. P., et al (1988a) A study of women who refused to participate in a community survey of psychiatric disorder. Australian and New Zealand Journal of Psychiatry, 22, 19–29.CrossRefGoogle Scholar
Romans-Clarkson, S. E., Walton, V. A., Herbison, G. P., et al (1988b) Marriage, motherhood and psychiatric morbidity. Psychological Medicine, 18, 983–990.CrossRefGoogle ScholarPubMed
Rutter, M. (1981) The city and the child. American Journal of Orthopsychiatry, 51, 610–625.CrossRefGoogle ScholarPubMed
Schwab, J. J., Warheit, G. J. & Holzer, C. E. (1974) Mental health: rural-urban comparisons. Mental Health and Society, 1, 265–274.Google ScholarPubMed
Sturt, E., Bebbington, P., Hurry, J., et al (1981) The Present State Examination used by interviewers from a survey agency: report from the MRC Camberwell Community Survey. Psychological Medicine, 11, 185–192.CrossRefGoogle ScholarPubMed
Vazquez Barquero, J. L., Munoz, P. E. & Madoz Jauregui, V. (1981) The interaction between physical and neurotic morbidity in the community. British Journal of Psychiatry, 139, 328–335.CrossRefGoogle ScholarPubMed
Vazquez Barquero, J. L., Munoz, P. E. & Madoz Jauregui, V. (1982) The influence of the process of urbanization on the prevalence of neurosis, a community study. Acta Psychiatrica Scandinavica, 62, 161–170.CrossRefGoogle Scholar
Webb, S. D. (1984) Rural-urban differences in mental health. In Mental Health and the Environment (ed. H. Freeman), pp. 226–249. Edinburgh: Churchill Livingstone.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A., et al (1977) Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine, 7, 505–516.CrossRefGoogle ScholarPubMed
Wirth, L. (1938) Urbanism as a way of life. American Journal of Psychiatry, 44, 1–24.Google Scholar
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