Residential mobility of individuals with diagnosed schizophrenia: a comparison of single and multiple movers

Lix, Lisa, Deverteuil, Geoffrey, Hinds, Aynslie, Robinson, J., Walker, John and Roos, Leslie (2007) Residential mobility of individuals with diagnosed schizophrenia: a comparison of single and multiple movers. Social Psychiatry and Psychiatric Epidemiology, 42, (3), 221-228. (doi:10.1007/s00127-006-0150-3).


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Several studies have compared
the residential mobility of individuals with
schizophrenia to mobility of individuals with other
mental disorders or with no mental disorders. Little
research has been undertaken to describe differences
between single (i.e., infrequent) and multiple (i.e.,
frequent) movers with schizophrenia, and the association
between frequency of mobility and health and
health service use. Methods The data source is population-
based administrative records from the province
of Manitoba, Canada. Hospital separations and
physicians claims are linked to health registration files
to identify a cohort with diagnosed schizophrenia and
track changes in residential postal code over time.
Single movers (N = 736), who had only one postal
code change in a 2.5-year observation period, are
compared to multiple movers (N = 252), who had two
or more postal code changes. Differences in demographic,
socioeconomic, and geographic characteristics,
measures of health service use, and the
prevalence of several chronic diseases were examined
using v2 tests, logistic regression, and generalized
linear regression. Results Multiple movers were significantly
more likely to be young, live in socioeconomically
disadvantaged neighborhoods, and reside
in the urban core. The prevalence of a co-occurring
substance use disorder and arthritis was higher for
multiple than single movers. Use of acute and
ambulatory care for schizophrenia, other mental disorders,
as well as physical disorders was generally
higher for multiple than single movers. Conclusions
Frequency of mobility should be considered in
the development of needs-based funding plans and
service delivery interventions. Other opportunities to
use record-linkage techniques to examine residential
mobility are considered.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1007/s00127-006-0150-3
ISSNs: 0933-7954 (print)
Related URLs:
Keywords: residential mobility, record linkage, geography, health services, severe mental illness
Subjects: G Geography. Anthropology. Recreation > G Geography (General)
R Medicine > R Medicine (General)
G Geography. Anthropology. Recreation > GF Human ecology. Anthropogeography
H Social Sciences > HN Social history and conditions. Social problems. Social reform
H Social Sciences > H Social Sciences (General)
G Geography. Anthropology. Recreation > GN Anthropology
Divisions : University Structure - Pre August 2011 > School of Geography > Economy, Culture, Space
ePrint ID: 55361
Accepted Date and Publication Date:
March 2007Published
Date Deposited: 31 Jul 2008
Last Modified: 31 Mar 2016 12:35

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