The socio-spatial context as a risk factor for hospitalization due to mental illness in the metropolitan areas of Portugal

This study's aims are: (i) identifying spatial patterns for the risk of hospitalization due to mental illness and for the potential risk resulting from contextual factors with influence on mental health; and (ii) analyzing the spatial association between risk of hospitalization due to mental il...

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Bibliographic Details
Published in:Cadernos de saúde pública 2015-11, Vol.31 Suppl 1 (suppl 1), p.219-231
Main Authors: Loureiro, Adriana, Costa, Cláudia, Almendra, Ricardo, Freitas, Ângela, Santana, Paula
Format: Article
Language:English
Subjects:
Adolescent
Aged
Cross-Sectional Studies
Determinantes Sociales de la Salud
Health Policy & Services
Hospitalization
Humans
Mental Disorders - epidemiology
Mental Health Services
Portugal - epidemiology
Residence Characteristics
Risk Factors
Salud Mental
Salud Urbana
Social Environment
Trastornos Mentales
Urban Health
Urban Population
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Summary:This study's aims are: (i) identifying spatial patterns for the risk of hospitalization due to mental illness and for the potential risk resulting from contextual factors with influence on mental health; and (ii) analyzing the spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual factors in the metropolitan areas of Lisbon and Porto, Portugal. A cross-sectional ecological study was conducted by applying statistical methods for assessing spatial dependency and heterogeneity. Results reveal a spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual factors with a statistical relevance of moderate intensity. 20% of the population under study lives in areas with a simultaneously high potential risk resulting from contextual factors and risk of hospitalization due to mental illness. Porto Metropolitan Area show the highest percentage of population living in parishes with a significantly high risk of hospitalization due to mental health, which puts forward the need for interventions on territory-adjusted contextual factors influencing mental health.
ISSN:0102-311X
1678-4464
1678-4464
0102-311X
DOI:10.1590/0102-311X00090514