Background The prevalence of schizophrenia is known to be greater in urban than in rural areas.
Less studied are differences between the patients themselves and, more specifically their use of psychiatric services.
Method The prevalence of schizophrenia was determined in rural Nithsdale in Scotland and urban Nunhead and Norwood in South London.
Information about patients'psychiatric history, use of services during the study year and global assessment offunctioning were obtained from case records and staff Results There were no significant differences in prevalence rates between Nithsdale patients, all White (2.78 per 1000 general population), Nunhead (3.46 per 1000) and Norwood (2.24 per 1000) Whites ; rates were significantly higher among the non-Whites in Nunhead (736 per 1000) and Norwood (5.53 per 1000), who were mainly Black Caribbeans.
Nithsdale patients were at a higher level of functioning and made substantially more use of psychiatric services.
During the study year, 42% of Nithsdale patients used more than one ofthree principal community services, namely day out-patient and community psychiatric nursing care.
Conclusions The prevalence of schizophrenia is no different in rural Nithsdale and inner-city Nunhead and Norwood, when only White patients are considered.
Nithsdale patients were at a higher level of functioning and made more use of available psychiatric services.
Mots-clés Pascal : Schizophrénie, Psychose, Prévalence, Epidémiologie, Royaume Uni, Europe, Etude comparative, Milieu urbain, Milieu rural, Utilisation, Service santé, Homme
Mots-clés Pascal anglais : Schizophrenia, Psychosis, Prevalence, Epidemiology, United Kingdom, Europe, Comparative study, Urban environment, Rural environment, Use, Health service, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0165179
Code Inist : 002B18C06A. Création : 21/05/1997.