A census-based socio-economic status (SES) index as a tool to examine the relationship between mental health services use and deprivation

This paper discusses the development and application of a socio-economic status (SES) index, created to explore the relationship between socio-economic variables and psychiatric service use. The study was conducted in a community-based mental health service (CMHS) in Verona, Northern Italy, utilisin...

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Veröffentlicht in:Social science & medicine (1982) 2005-11, Vol.61 (10), p.2096-2105
Hauptverfasser: Tello, Juan Eduardo, Jones, Julia, Bonizzato, Paola, Mazzi, Mariangela, Amaddeo, Francesco, Tansella, Michele
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container_end_page 2105
container_issue 10
container_start_page 2096
container_title Social science & medicine (1982)
container_volume 61
creator Tello, Juan Eduardo
Jones, Julia
Bonizzato, Paola
Mazzi, Mariangela
Amaddeo, Francesco
Tansella, Michele
description This paper discusses the development and application of a socio-economic status (SES) index, created to explore the relationship between socio-economic variables and psychiatric service use. The study was conducted in a community-based mental health service (CMHS) in Verona, Northern Italy, utilising service use data from 1996. An ecological SES index was constructed through a factor analysis from 1991 Census data, at census block level. Three factors reflected the following domains: the educational-employment sector (with four components), the relational network (with three components) and the material conditions (with three components). All service users were assigned a SES value, according to their place of residence in 1996. When these data were explored spatially, using ArcView 8.3, an association was observed between socio-economic deprivation and psychiatric service use. The SES index was then successfully validated using occupational status at the individual level. This study confirms the usefulness of developing and validating an ecological census-based SES index, for service planning and resource allocation in an area with a community-based system of mental health care.
doi_str_mv 10.1016/j.socscimed.2005.04.018
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subjects Biological and medical sciences
Census-based socio-economic status (SES) index
Censuses
Community
Community based programmes
Community Mental Health
Community mental health services
Community Mental Health Services - utilization
Community-based mental health services
Community-based mental health services Census-based socio-economic status (SES) index Geography of Mental Health
Deprivation
Geography
Geography of Mental Health, Italy
Health Care Utilization
Health services
Health Services Accessibility - statistics & numerical data
Health services utilization
Humans
Indexes (Measures)
Italy
Medical geography
Medical sciences
Medicine
Mental health
Mental health services
Miscellaneous
Poverty - statistics & numerical data
Psychiatric services
Public health. Hygiene
Public health. Hygiene-occupational medicine
Residence
Social sciences
Sociodemographic Factors
Socioeconomic Factors
Socioeconomic Status
title A census-based socio-economic status (SES) index as a tool to examine the relationship between mental health services use and deprivation
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