Background
Methods
This study aimed to investigate the prevalence and correlates of major psychiatric disorders in metropolitan, urban, and rural Georgia populations
Data source
Household screening telephone interview
Individual detailed telephone interview
Clinical evaluation
Sampling weights
Statistical analyses
Results
Clinic participant characteristics
na
| Weighted % | |
---|---|---|
Urbanicity
| ||
Metropolitan | 132 | 76.2 |
Urban | 267 | 11.1 |
Rural | 383 | 12.8 |
Sex
| ||
Female | 597 | 58.1 |
Male | 185 | 42.0 |
Race
| ||
White | 550 | 51.6 |
Black | 197 | 35.0 |
All Other | 35 | 13.5 |
Ethnicity
| ||
Hispanic | 20 | 2.3 |
Non-Hispanic | 762 | 97.7 |
Age
| ||
18-29 | 94 | 28.2 |
30-39 | 146 | 18.0 |
40-49 | 283 | 27.1 |
50-59 | 259 | 26.8 |
Education
| ||
< High School | 205 | 14.3 |
High School +/−College | 318 | 31.8 |
> College | 257 | 53.9 |
Income
| ||
< $20,000 | 176 | 24.8 |
$20,000-$40,000 | 127 | 22.7 |
>$41,000 | 450 | 52.6 |
Poverty
| ||
<$20,000 | 176 | 24.8 |
>$20,000 | 577 | 75.2 |
Overall occurrence of psychiatric conditions
Specific psychiatric conditions
Current DSM-IV Conditions | Lifetime DSM-IV Conditions | ||||||||
---|---|---|---|---|---|---|---|---|---|
n | Weighted percent | Lower CI | Upper CI | n | Weighted percent | Lower CI | Upper CI | ||
Anxiety Disorders
| 287 | 19.4 | 12.7 | 26.2 |
Anxiety Disorders
| 374 | 31.7 | 19.8 | 43.5 |
Anxiety NOS | 77 | 7.1 | 3.2 | 11.0 | Anxiety NOS | 86 | 14.5 | 2.9 | 26.0 |
PTSD | 115 | 6.6 | 3.8 | 9.3 | PTSD | 216 | 9.9 | 6.3 | 13.5 |
GAD | 98 | 5.8 | 2.5 | 9.1 | |||||
Specific Phobia | 67 | 4.0 | 1.8 | 6.2 | Specific Phobia | 90 | 6.6 | 2.9 | 10.3 |
Social Phobia | 35 | 1.2 | 0.5 | 2.0 | Social Phobia | 51 | 2.5 | 1.0 | 4.0 |
OCD | 28 | 1.2 | 0.1 | 2.3 | OCD | 41 | 2.3 | 0.8 | 3.8 |
Panic | 26 | 1.0 | 0.3 | 1.8 | Panic | 66 | |||
Agoraphobia | 12 | 0.8 | 0.00 | 1.6 | Agoraphobia | 21 | 1.5 | 0.3 | 2.6 |
Mood Disorders
| 139 | 18.5 | 5.4 | 31.7 |
Mood Disorders
| 424 | 45.8 | 32.0 | 59.6 |
Depression NOS | 22 | 10.0 | 0.0 | 23.6 | Depression NOS | 72 | 21.8 | 6.0 | 37.6 |
Major Depressive Disorder | 101 | 7.3 | 3.2 | 11.5 | Major Depressive Disorder | 350 | 25.2 | 16.9 | 33.5 |
Dysthymia | 16 | 1.3 | 0.01 | 2.6 | |||||
Adjustment Disorders
| 39 | 3.2 | 1.0 | 5.3 |
Multiple conditions
One DSM-IV Condition | Weighted % | Two DSM-IV Conditions | Weighted % | Three DSM-IV Conditions | Weighted % | Four DSM-IV Conditions | Weighted % | ≥Four DSM-IV Conditions | Weighted % |
---|---|---|---|---|---|---|---|---|---|
Anxiety NOS | 27.4 | PTSD | 44.4 | PTSD | 62.5 | MDD | 66.7 | PTSD | 92.9 |
PTSD | 14.9 | GAD | 42.0 | GAD | 59.2 | Specific Phobia | 61.9 | Specific Phobia | 92.3 |
MDD | 14.3 | MDD | 38.3 | MDD | 53.1 | PTSD | 61.9 | GAD | 64.3 |
GAD | 12.1 | Specific Phobia | 18.8 | Social Phobia | 22.9 | Social Phobia | 52.4 | Hypochondriasis | 64.3 |
Specific Phobia | 11.4 | Anxiety NOS | 18.5 | Specific Phobia | 20.4 | GAD | 33.3 | MDD | 57.1 |
Depression NOS | 5.8 | Depression NOS | 8.6 | Anxiety NOS | 18.4 | Panic | 28.6 | Panic | 50.0 |
Dysthymia | 4.7 | OCD | 7.4 | OCD | 16.7 | Anxiety NOS | 28.6 | Social Phobia | 50.0 |
OCD | 3.4 | Social Phobia | 6.2 | Panic | 14.3 | OCD | 25.0 | OCD | 21.4 |
Panic | 1.7 | Agoraphobia | 4.9 | Dysthymia | 8.5 | Hypochondriasis | 19.1 | Anxiety NOS | 21.4 |
Hypochondriasis | 1.7 | Panic | 3.7 | Agoraphobia | 8.2 | Dysthymia | 10.0 | Dysthymia | 14.3 |
Social Phobia | 1.7 | Mood – GMC | 2.5 | Depression NOS | 6.1 | Agoraphobia | 9.5 | Depression NOS | 14.3 |
Mood – GMC | 0.6 | Dysthymia | 1.3 | Mood – GMC | 6.1 | Depression NOS | 4.8 | Agoraphobia | 14.3 |
Agoraphobia | 0.6 | Mood–Substance | 1.2 | Hypochondriasis | 4.1 | ||||
Anxiety-GMC | 1.2 | Anxiety–Substance | 2.0 | ||||||
Anxiety–Substance | 1.2 |
Current Condition | Sample Category for Clinic Participation | ||||||
---|---|---|---|---|---|---|---|
Somatic Syndrome
| Wtd % |
Other Unwell
| Wtd % |
Well
| Wtd % | Waldχ2 Statistics | |
Any of Anxiety Disorders | 26.4 | ||||||
No | 136 | 45.8% | 170 | 82.0% | 180 | 88.8% | |
Yes | 156 | 54.2% | 98 | 18.0% | 42 | 11.2% | |
Any of Mood Disorders | 24.5 | ||||||
No | 195 | 61.9% | 229 | 79.4% | 213 | 95.9% | |
Yes | 97 | 38.1% | 39 | 20.6% | 9 | 4.1% |
Anxiety and mood disorders
Prevalence
Metro | Urban | Rural | ||||
---|---|---|---|---|---|---|
Wtd %
|
95% CI
|
Wtd %
|
95% CI
|
Wtd %
|
95% CI
| |
Overall
| 9.9 | 4.3-15.51 | 28.7 | 19.2-38.1 | 26.9 | 19.8-34.0 |
Sex
| ||||||
Female | 19.8 | 10.4-29.1 | 42.6 | 31.4-53.8 | 43.4 | 33.7-53.1 |
Male | 7.5 | 0-17.7 | 26.5 | 9.9-43.1 | 22.2 | 11.6-32.8 |
Race
| ||||||
Other | 6.4 | 0-17.7 | 34.0 | 0-78.2 | 45.9 | 11.9-79.9 |
Black | 17.9 | 6.6-29.2 | 35.0 | 20.5-49.4 | 37.8 | 19.4-56.2 |
White | 15.3 | 3.0-27.6 | 36.2 | 22.9-49.4 | 31.3 | 23.3-39.3 |
Ethnicity
| ||||||
Hispanic | 23.7 | 0-60.7 | 35.1 | 0-85.9 | 50.1 | 6.6-93.5 |
Non-Hispanic | 14.5 | 6.8-22.2 | 35.7 | 25.8-45.5 | 33.0 | 25.4-40.5 |
Age
| ||||||
18-29 | 5.4 | 0-12.0 | 40.3 | 16.4-64.1 | 43.8 | 21.4-66.2 |
30-39 | 10.9 | 0.8-20.9 | 39.9 | 22.1-57.8 | 49.6 | 31.8-67.4 |
40-49 | 23.4 | 3.6-43.3 | 25.8 | 14.6-36.9 | 20.4 | 11.8-29.1 |
50-59 | 19.7 | 3.0-36.3 | 39.0 | 16.2-61.8 | 29.3 | 17.6-41.0 |
Education
| ||||||
< HS | 38.6 | 2.6-74.7 | 37.8 | 21.3-54.3 | 35.3 | 20.3-50.3 |
HS-College | 11.6 | 0.6-22.7 | 41.5 | 25.1-57.9 | 35.4 | 24.1-46.7 |
> College | 12.3 | 3.7-20.9 | 24.5 | 11.2-37.7 | 25.8 | 15.1-36.5 |
Income
| ||||||
< $20,000 | 19.4 | 1.3-37.6 | 38.5 | 21.5-55.5 | 28.0 | 12.4-43.6 |
$20-$40 K | 8.7 | 0-24.4 | 55.9 | 35.8-76.0 | 49.2 | 27.2-71.2 |
>$41,000 | 14.3 | 4.7-23.8 | 26.1 | 12.6-39.6 | 29.0 | 20.4-37.6 |
Poverty
| ||||||
>$20,000 | 12.5 | 4.3-20.8 | 35.0 | 23.4-46.7 | 33.4 | 24.8-42.0 |
<$20,000 | 19.4 | 1.3-37.6 | 38.5 | 21.5-55.5 | 28.0 | 12.4-43.6 |
Metro | Urban | Rural | ||||
---|---|---|---|---|---|---|
Wtd %
|
95% CI
|
Wtd %
|
95% CI
|
Wtd %
|
95% CI
| |
Overall
| 20.6 | 3.6-37.7 | 14.3 | 8.6-19.7 | 9.5 | 5.5-13.6 |
Sex
| ||||||
Female | 13.6 | 5.7-21.6 | 18.3 | 10.5-26.0 | 13.3 | 6.7-19.8 |
Male | 30.8 | 0-68.4 | 9.0 | 1.2-16.9 | 5.4 | 1.3-9.5 |
Race
| ||||||
Other | 63.6 | 14.9-100.0 | 0 | 0-0 | 7.8 | 0-16.9 |
Black | 10.5 | 2.8-18.3 | 16.7 | 6.8-26.7 | 16.8 | 4.6-29.0 |
White | 13.2 | 1.9-24.5 | 13.7 | 6.4-21.0 | 7.0 | 3.4-10.7 |
Ethnicity
| ||||||
Hispanic | 39.7 | 0-90.1 | 0.0 | 0-0 | 2.2 | 0-6.9 |
Non-Hispanic | 20.2 | 2.74-37.6 | 14.7 | 8.8-20.5 | 9.6 | 5.5-13.7 |
Age
| ||||||
18-29 | 32.4 | 0-77.9 | 13.5 | 0-27.4 | 13.4 | 0-28.1 |
30-39 | 12.6 | 0.01-25.2 | 17.7 | 4.7-30.7 | 17.1 | 5.5-28.7 |
40-49 | 23.6 | 3.5-43.7 | 14.4 | 5.4-23.3 | 4.0 | 1.5-6.6 |
50-59 | 9.0 | 0.6-17.5 | 11.6 | 1.6-21.6 | 7.7 | 2.2-13.3 |
Education
| ||||||
< HS | 19.7 | 0-49.8 | 25.8 | 11.7-39.9 | 11.6 | 3.9-19.3 |
HS-College | 44.8 | 3.5-86.1 | 10.7 | 3.5-18.0 | 10.0 | 3.6-16.4 |
> College | 10.3 | 2.6-17.9 | 8.8 | 0-18.1 | 5.7 | 0.1-11.3 |
Income
| ||||||
< $20,000 | 13.7 | 0-29.2 | 27.9 | 12.1-43.8 | 7.7 | 2.2-13.3 |
$20-$40 K | 54.9 | 11.7-98.2 | 18.2 | 4.5-32.1 | 16.9 | 4.2-29.5 |
>$41,000 | 9.1 | 2.4-15.9 | 6.7 | 1.5-11.8 | 7.5 | 2.1-12.9 |
Poverty
| ||||||
<$20,000 | 13.7 | 0-29.2 | 27.9 | 12.1-43.8 | 7.7 | 2.2-13.3 |
>$20,000 | 23.6 | 1.1-46.1 | 10.1 | 4.5-15.7 | 9.6 | 4.6-14.6 |