Employment outcome for people with schizophrenia in rural v. urban China: population-based study

Although outcomes among people with schizophrenia differ by social context, this has rarely been examined across rural v. urban settings. For individuals with schizophrenia, employment is widely recognised as a critical ingredient of social integration. To compare employment for people with schizoph...

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Bibliographic Details
Published in:British journal of psychiatry 2013-10, Vol.203 (4), p.272-279
Main Authors: Yang, Lawrence H., Phillips, Michael R., Li, Xianyun, Yu, Gary, Zhang, Jingxuan, Shi, Qichang, Song, Zhiqiang, Ding, Zhijie, Pang, Shutao, Susser, Ezra
Format: Article
Language:English
Subjects:
Adult
China
China - epidemiology
Employment
Employment - statistics & numerical data
Female
Health services
High income
Humans
Male
Mental disorders
Mental health
Migration
Population studies
Population-based studies
Provinces
Psychiatry
Psychosis
Questionnaires
Regression Analysis
Relative risks
Risk factors
Rural areas
Rural communities
Rural Health - statistics & numerical data
Rural population
Rural populations
Schizophrenia
Schizophrenia - epidemiology
Schizophrenia - therapy
Social environment
Social integration
Urban Health - statistics & numerical data
Urban population
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Summary:Although outcomes among people with schizophrenia differ by social context, this has rarely been examined across rural v. urban settings. For individuals with schizophrenia, employment is widely recognised as a critical ingredient of social integration. To compare employment for people with schizophrenia in rural v. urban settings in China. In a large community-based study in four provinces representing 12% of China's population, we identified 393 people with schizophrenia (112 never treated). We used adjusted Poisson regression models to compare employment for those living in rural (n = 297) v. urban (n = 96) settings. Although rural and urban residents had similar impairments due to symptoms, rural residents were three times more likely to be employed (adjusted relative risk 3.27, 95% CI 2.11-5.07, P
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.112.118927