Abstract
Methods
Multilevel study of 568 Ecuadorian adults in 33 AR randomly selected from civil registries and interviewed at home. Possible
psychiatric case (PPC) was measured by scoring ≥5 in General Health Questionnaire-28. Ecuadorians’ ethnic density was dichotomized
in high and low EED (<6 %). Multilevel logistic regression was used to estimate odds ratios (OR) and 95 % confidence intervals
(CI).
psychiatric case (PPC) was measured by scoring ≥5 in General Health Questionnaire-28. Ecuadorians’ ethnic density was dichotomized
in high and low EED (<6 %). Multilevel logistic regression was used to estimate odds ratios (OR) and 95 % confidence intervals
(CI).
Results
Prevalence of PPC, 24 % (95 %CI 20–28 %), varied by area of residence. Ecuadorians’ ethnic density varied by area of residence
ranging from 0.9 to 19.5 %. PPC prevalence in High Ecuadorians’ ethnic density AR was 29.5 and 20.4 % in low EED AR (p 0.013). Ecuadorians from High EED AR had higher odds of PPC than those from Low EED AR (OR 1.65 95 %CI 1.01–2.72). Adjusting
for individual confounders (largely self-perceived discrimination), OR decreased to 1.48 (95 %CI 0.87–2.55). The final model,
adjusted by area of residence and educational level, yielded an OR 1.37 (95 %CI 0.78–2.40).
ranging from 0.9 to 19.5 %. PPC prevalence in High Ecuadorians’ ethnic density AR was 29.5 and 20.4 % in low EED AR (p 0.013). Ecuadorians from High EED AR had higher odds of PPC than those from Low EED AR (OR 1.65 95 %CI 1.01–2.72). Adjusting
for individual confounders (largely self-perceived discrimination), OR decreased to 1.48 (95 %CI 0.87–2.55). The final model,
adjusted by area of residence and educational level, yielded an OR 1.37 (95 %CI 0.78–2.40).
- Content Type Journal Article
- Category Original Paper
- Pages 1-9
- DOI 10.1007/s00127-012-0523-8
- Authors
- Inma Jarrín, National Center of Epidemiology, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
- Ana García-Fulgueiras, Ciber de Epidemiologia y Salud Pública (CIBERSP), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader 88, 8003 Barcelona, Spain
- Vicente Ibáñez-Rojo, Mental Health Department, CPE “Bola Azul”, Carretera de Ronda 226, 04009 Almeria, Spain
- Débora Alvarez, National Center of Epidemiology, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
- Rocío García-Pina, Ciber de Epidemiologia y Salud Pública (CIBERSP), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader 88, 8003 Barcelona, Spain
- Alberto Fernández-Liria, Mental Health Department, Hospital Universitario Príncipe de Asturias, Carretera Alcalá-Meco s/n. Alcalá de Henares, 28805 Madrid, Spain
- Visitación García-Ortúzar, Ciber de Epidemiologia y Salud Pública (CIBERSP), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader 88, 8003 Barcelona, Spain
- Domingo Díaz, Mental Health Department, CPE “Bola Azul”, Carretera de Ronda 226, 04009 Almeria, Spain
- Maria Ángeles Rodríguez-Arenas, Ciber de Epidemiologia y Salud Pública (CIBERSP), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader 88, 8003 Barcelona, Spain
- Lucía Mazarrasa, National School of Public Health, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
- Maria Victoria Zunzunegui, Département de médecine sociale et préventive, Faculté de médecine, Université de Montréal, Montreal, QC H3C 3J7, Canada
- Alicia Llácer, National Center of Epidemiology, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
- Julia Del Amo, National Center of Epidemiology, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
- Journal Social Psychiatry and Psychiatric Epidemiology
- Online ISSN 1433-9285
- Print ISSN 0933-7954