The Effects of Sociodemographic Factors on Psychiatric Diagnosis
Psychiatry Investigation
; : 199-208, 2012.
Article
en En
| WPRIM
| ID: wpr-119429
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE:
Several studies have reported that ethnic differences influence psychiatric diagnoses. Some previous studies reported that African Americans and Hispanics are diagnosed with schizophrenia spectrum disorders more frequently than Caucasians, and that Caucasians are more likely to be diagnosed with affective disorders than other ethnic groups. We sought to identify associations between sociodemographic factors and psychiatric diagnosis.METHODS:
We retrospectively examined the medical records of all psychiatric inpatients (ages over 18 years) treated at Kern county mental hospital (n=2,051) between July 2003 and March 2007 for demographic, clinical information, and discharge diagnoses.RESULTS:
African American and Hispanic males were more frequently diagnosed with schizophrenia spectrum disorders than Caucasians, whereas Caucasian females were more frequently diagnosed with affective disorders than females in the other ethnic groups, suggesting that patient ethnicity and gender may influence clinical diagnoses. Demographic variables, that is, a lower education, failure of marriage, homelessness, and low quality insurance, were found to be significantly associated with a diagnosis of schizophrenia spectrum disorders after adjusting for clinical variables. And, the presence of a family psychiatric history, failure of marriage, not-homelessness, and quality insurance were found to be associated with a diagnosis of affective disorders.CONCLUSION:
Our results show that these demographic factors, including ethnicity, have effects on diagnoses in psychiatric inpatients. Furthermore, these variables may help prediction of psychiatric diagnoses.Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Esquizofrenia
/
Negro o Afroamericano
/
Personas con Mala Vivienda
/
Etnicidad
/
Hispánicos o Latinos
/
Matrimonio
/
Demografía
/
Registros Médicos
/
Estudios Retrospectivos
/
Trastornos del Humor
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Psychiatry Investigation
Año:
2012
Tipo del documento:
Article