Influence of socio-economic deprivation on the prevalence and outcome of depression in primary care: the Hampshire Depression Project


Ostler, K., Thompson, C., Kinmonth, A.-L.K., Peveler, R.C., Stevens, L. and Stevens, A. (2001) Influence of socio-economic deprivation on the prevalence and outcome of depression in primary care: the Hampshire Depression Project. British Journal of Psychiatry, 178, (1), 12-17.

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Description/Abstract

Declaration of interest: The study was funded by the Medical Research Council. No conflict of interest known.

Background: Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied.

Aims: To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of depressive symptoms in general practice patients.

Method: 18 414 patients attending 55 representative practices completed the Hospital Anxiety and Depression Scale and a questionnaire for employment status. Outcome of those screening positive was assessed at 6 weeks and 6 months.

Results: The UPA score accounted for 48.3% of the variance between practices in prevalence of depressive symptoms. Attending a high UPA score practice predicted persistence of depressive symptoms to 6 months.

Conclusions: The socio-economic deprivation of a practice locality is a powerful predictor of the prevalence and persistence of depressive symptoms.

Item Type: Article
Related URLs:
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
B Philosophy. Psychology. Religion > BF Psychology
Divisions: University Structure - Pre August 2011 > School of Medicine > Clinical Neurosciences
ePrint ID: 27680
Date Deposited: 25 Apr 2006
Last Modified: 27 Mar 2014 18:16
URI: http://eprints.soton.ac.uk/id/eprint/27680

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