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  1. Disability and psychiatric disorders in an urban community : measurement, prevalence and outcomes.

    Article - En anglais


    The purpose of this analysis was to examine :

    • (1) the prevalence of psychiatric disorders among disabled people, using seven different measures of disability ;

    • (2) variation in disability between and within psychiatric diagnostic categories ;

    • and (3) relationship of diagnosis and disability to health service utilization.


    Data were drawn from Phase I and Phase II of the Eastern Baltimore Mental Health Survey, part of the Epidemiologic Catchment Area Program (ECA) conducted in 1980-1 to survey mental morbidity within the adult population.

    A total of 810 individuals received both a household interview and a standardized clinical psychiatric evaluation.

    Estimated prevalence rates were computed using appropriate survey sampling weights.


    Prevalence of disability ranged from 2.5 to 19.5%, varying with specific disability measure.

    Among those classified as disabled by any of the measures examined, 56 to 92% had a psychiatric disorder and serious chronic medical conditions were present in the majority of these cases (54 to 78%). Disability was expressed differently among the various diagnostic groups.

    Diagnostic category and disability were significant independent predictors of medical service utilization and receipt of disability payments. (...)

    Mots-clés Pascal : Trouble psychiatrique, Association morbide, Déficit fonctionnel, Handicap physique, Prévalence, Epidémiologie, Santé mentale, Milieu urbain, Environnement social, Homme

    Mots-clés Pascal anglais : Mental disorder, Concomitant disease, Functional deficit, Physical handicap, Prevalence, Epidemiology, Mental health, Urban environment, Social environment, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0349258

    Code Inist : 002B18C14. Création : 27/11/1998.