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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 12/2012

01.12.2012 | Original Paper

US regional differences in death rates from depression

verfasst von: Anthony P. Polednak

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2012

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Abstract

Background

Studies in a few countries (including the US) have reported that mortality rates in the population from psychiatric disorders are much higher when they are based on all causes of death (“multiple causes” or “mentions”) coded on death certificates versus only the underlying cause. Studies appear to be lacking on geographic variation within the US in mortality rates from psychiatric disorders based on multiple causes of death.

Method

The present study examined the US age-standardized rate (ASR) for death with depression using multiple causes versus underlying cause alone in each of the Census Bureau’s four regions and nine divisions. ASRs for schizophrenia were also examined for comparison.

Results

For the entire US, the ratio of the ASR based on multiple causes to the ASR based on underlying cause was 20.9 for depression and 9.2 for schizophrenia; in analyses by region and division, these ratios showed limited variation. The most consistent finding for both depression and schizophrenia was that ASRs, whether based on multiple causes or only on underlying cause, were highest in the Midwest region (especially the East North Central division) and lowest in the South (and in each of its three divisions). For ASRs (using multiple causes of death) from depression, these regional differences were evident within each of several levels of urbanization. For deaths with depression coded as other than the underlying cause, ASRs for each of the three most common underlying causes (cardiovascular diseases, intentional injuries, and neoplasms) were highest in the Midwest and lowest in the South.

Conclusion

Studies are needed to determine if these regional differences in mortality from depression are due to regional differences in: certifier practices (i.e., in assigning causes of death among persons with psychiatric conditions); the prevalence (among persons with psychiatric disorders) of lifestyle-related factors (e.g., tobacco use and obesity) that mediate mortality risks; and/or in unmet need for psychiatric treatment and medical care for other chronic diseases in persons with psychiatric conditions. Similar studies are needed of regional variation within other countries.
Literatur
1.
Zurück zum Zitat Goldacre MJ, Duncan ME, Griffith M, Cool-Mozzaffari P (2006) Psychiatric disorders certified on death certificates in an English population. Soc Psychiatry Psychiatr Epidemiol 41:409–414PubMedCrossRef Goldacre MJ, Duncan ME, Griffith M, Cool-Mozzaffari P (2006) Psychiatric disorders certified on death certificates in an English population. Soc Psychiatry Psychiatr Epidemiol 41:409–414PubMedCrossRef
2.
Zurück zum Zitat Lu TH, Lin JJ (2010) Using multiple-cause-of-death data as a complement of underlying-cause-of-death in examining mortality differences in psychiatric disorders between countries. Soc Psychiatry Psychiatr Epidemiol 45:837–842PubMedCrossRef Lu TH, Lin JJ (2010) Using multiple-cause-of-death data as a complement of underlying-cause-of-death in examining mortality differences in psychiatric disorders between countries. Soc Psychiatry Psychiatr Epidemiol 45:837–842PubMedCrossRef
3.
Zurück zum Zitat Centers for Disease Control and Prevention. National Center for Health Statistics. Multiple cause of death file 2005–2006. CDC WONDER on-line database, compiled from multiple cause of death file 2005–2006 Series 20 No. 2L, 2009. http://wonder.cdc.gov/mcd-icd10.html Centers for Disease Control and Prevention. National Center for Health Statistics. Multiple cause of death file 2005–2006. CDC WONDER on-line database, compiled from multiple cause of death file 2005–2006 Series 20 No. 2L, 2009. http://​wonder.​cdc.​gov/​mcd-icd10.​html
7.
Zurück zum Zitat Muntaner C, Eaton WW, Miech R, O’Campo P (2004) Socioeconomic position and major mental disorders. Epidemiol Rev 26:53–62PubMedCrossRef Muntaner C, Eaton WW, Miech R, O’Campo P (2004) Socioeconomic position and major mental disorders. Epidemiol Rev 26:53–62PubMedCrossRef
8.
Zurück zum Zitat March D, Hatch SL, Morgan C, Kirkbride JB, Bresnahan M, Fearon P, Susser E (2008) Psychosis and place. Epidemiol Rev 30:84–100PubMedCrossRef March D, Hatch SL, Morgan C, Kirkbride JB, Bresnahan M, Fearon P, Susser E (2008) Psychosis and place. Epidemiol Rev 30:84–100PubMedCrossRef
9.
Zurück zum Zitat Romans S, Cohen M, Forte T (2011) Rates of depression in urban and rural Canada. Soc Psychiatry Psychiatr Epidemiol 46:567–575PubMedCrossRef Romans S, Cohen M, Forte T (2011) Rates of depression in urban and rural Canada. Soc Psychiatry Psychiatr Epidemiol 46:567–575PubMedCrossRef
10.
Zurück zum Zitat Ziedonis D, Hitsman B, Beckham JC et al (2008) Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health Report. Nicotine Tob Res 10:1691–1715PubMedCrossRef Ziedonis D, Hitsman B, Beckham JC et al (2008) Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health Report. Nicotine Tob Res 10:1691–1715PubMedCrossRef
11.
Zurück zum Zitat Lawrence D, Kisely S, Pais J (2010) The epidemiology of excess mortality in people with mental illness. Can J Psychiatry 55:753–760 Lawrence D, Kisely S, Pais J (2010) The epidemiology of excess mortality in people with mental illness. Can J Psychiatry 55:753–760
12.
Zurück zum Zitat Centers for Disease Control and Prevention (2011) Vital signs: cigarette smoking among adults aged ≥18 years—United States, 2005–2010. Morb Mortal Weekly Rep 60:1207–1212 Centers for Disease Control and Prevention (2011) Vital signs: cigarette smoking among adults aged ≥18 years—United States, 2005–2010. Morb Mortal Weekly Rep 60:1207–1212
13.
Zurück zum Zitat Centers for Disease Control and Prevention (2010) Vital signs: State-specific obesity prevalence among adults—United States, 2009. Morb Mortal Weekly Rep 59:951–955 Centers for Disease Control and Prevention (2010) Vital signs: State-specific obesity prevalence among adults—United States, 2009. Morb Mortal Weekly Rep 59:951–955
14.
Zurück zum Zitat Pinquart M, Duberstein PR (2010) Depression and cancer mortality: a meta-analysis. Psychol Med 40:1797–1810PubMedCrossRef Pinquart M, Duberstein PR (2010) Depression and cancer mortality: a meta-analysis. Psychol Med 40:1797–1810PubMedCrossRef
15.
Zurück zum Zitat Cavanagh JT, Carson AJ, Sharpe M, Laurie SM (2003) Psychological autopsy studies of suicide: a systematic review. Psychol Med 33:395–405PubMedCrossRef Cavanagh JT, Carson AJ, Sharpe M, Laurie SM (2003) Psychological autopsy studies of suicide: a systematic review. Psychol Med 33:395–405PubMedCrossRef
16.
Zurück zum Zitat Centers for Disease Control and Prevention (2010) Current depression among adults—United States, 2006 and 2008. Morb Mortality Weekly Rep 59:1235 Centers for Disease Control and Prevention (2010) Current depression among adults—United States, 2006 and 2008. Morb Mortality Weekly Rep 59:1235
17.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2007) Results from the 2006 National Survey on Drug Use and Health. Detailed Tables. Office of Applied Studies. Table 6.33B, Rockville, Sept 2007 Substance Abuse and Mental Health Services Administration (2007) Results from the 2006 National Survey on Drug Use and Health. Detailed Tables. Office of Applied Studies. Table 6.33B, Rockville, Sept 2007
18.
19.
Zurück zum Zitat Hasin DS, Goodwin RD, Stinson FS, Grant BF (2005) Epidemiology of major depressive disorder. Arch Gen Psychiatry 62:1097–1106PubMedCrossRef Hasin DS, Goodwin RD, Stinson FS, Grant BF (2005) Epidemiology of major depressive disorder. Arch Gen Psychiatry 62:1097–1106PubMedCrossRef
20.
Zurück zum Zitat Wang PS, Demier O, Kessler RC (2002) Adequacy of treatment for serious mental illness. Am J Public Health 2002(92):92–98CrossRef Wang PS, Demier O, Kessler RC (2002) Adequacy of treatment for serious mental illness. Am J Public Health 2002(92):92–98CrossRef
21.
Zurück zum Zitat Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Twelve-month use of mental health services in the United States: results from the National Comorbidity Study. Arch Gen Psychiatry 62:629–640PubMedCrossRef Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Twelve-month use of mental health services in the United States: results from the National Comorbidity Study. Arch Gen Psychiatry 62:629–640PubMedCrossRef
22.
Zurück zum Zitat Konrad TR, Ellis AR, Thomas KC, Holzer CE, Morrissey JP (2009) County-level estimates of need for mental health professionals in the United States. Psychiatr Serv 60:1307–1314PubMedCrossRef Konrad TR, Ellis AR, Thomas KC, Holzer CE, Morrissey JP (2009) County-level estimates of need for mental health professionals in the United States. Psychiatr Serv 60:1307–1314PubMedCrossRef
23.
Zurück zum Zitat Thomas KC, Ellis AR, Konrad TR, Holzer CE, Morrissey JP (2009) County-level estimates of mental health professional shortage in the United States. Psychiatr Serv 60:1323–1328PubMedCrossRef Thomas KC, Ellis AR, Konrad TR, Holzer CE, Morrissey JP (2009) County-level estimates of mental health professional shortage in the United States. Psychiatr Serv 60:1323–1328PubMedCrossRef
24.
Zurück zum Zitat Li Y, Cai X, Du H, Glance LG, Lyness JM, Cram P, Mukamel DB (2011) Mentally ill Medicare patients less likely than others to receive certain types of surgery. Health Aff 30:1307–1311CrossRef Li Y, Cai X, Du H, Glance LG, Lyness JM, Cram P, Mukamel DB (2011) Mentally ill Medicare patients less likely than others to receive certain types of surgery. Health Aff 30:1307–1311CrossRef
25.
Zurück zum Zitat Druss BG, Zhao L, Von Esenwein S, Morrato EH, Marcus SC (2011) Understanding excess mortality in persons with mental illness: 17-year follow-up of a nationally representative US survey. Med Care 49:599–604PubMedCrossRef Druss BG, Zhao L, Von Esenwein S, Morrato EH, Marcus SC (2011) Understanding excess mortality in persons with mental illness: 17-year follow-up of a nationally representative US survey. Med Care 49:599–604PubMedCrossRef
26.
Zurück zum Zitat Atlantis E, Shi A, Penninx BJWH, Wittert GA, Taylor A, Almeida OP (2012) Chronic medical conditions mediate the association between depression and cardiovascular disease mortality. Soc Psychiat Psychiatr Epidemiol 47:615–625 Atlantis E, Shi A, Penninx BJWH, Wittert GA, Taylor A, Almeida OP (2012) Chronic medical conditions mediate the association between depression and cardiovascular disease mortality. Soc Psychiat Psychiatr Epidemiol 47:615–625
27.
Zurück zum Zitat Balkau B, Jougla F, Papoz L (1993) European study of the certification and coding of causes of death of six clinical case histories of diabetic patients. Int J Epidemiol 22:116–126PubMedCrossRef Balkau B, Jougla F, Papoz L (1993) European study of the certification and coding of causes of death of six clinical case histories of diabetic patients. Int J Epidemiol 22:116–126PubMedCrossRef
28.
Zurück zum Zitat Bramesfeld A, Grobe T, Schwartz FW (2010) Prevalence of depression diagnosis and prescription of antidepressants in East and West Germany: an analysis of health insurance data. Soc Psychiat Psychiatr Epidemiol 45:329–335CrossRef Bramesfeld A, Grobe T, Schwartz FW (2010) Prevalence of depression diagnosis and prescription of antidepressants in East and West Germany: an analysis of health insurance data. Soc Psychiat Psychiatr Epidemiol 45:329–335CrossRef
29.
Zurück zum Zitat Castagnini AC, Bertelsen A (2011) Mortality and causes of death of acute and transient psychotic disorders. Soc Psychiatry Psychiatr Epidemiol 46:1013–1017PubMedCrossRef Castagnini AC, Bertelsen A (2011) Mortality and causes of death of acute and transient psychotic disorders. Soc Psychiatry Psychiatr Epidemiol 46:1013–1017PubMedCrossRef
30.
Zurück zum Zitat Laursen TM, Munk-Olsen T, Gaase C (2011) Chronic somatic comorbidity and excess mortality due to natural causes in persons with schizophrenia or bipolar affective disorder. PLoS One 6:e24597. doi:10:1371/journalpone.0024597 Laursen TM, Munk-Olsen T, Gaase C (2011) Chronic somatic comorbidity and excess mortality due to natural causes in persons with schizophrenia or bipolar affective disorder. PLoS One 6:e24597. doi:10:​1371/​journalpone.​0024597
31.
Zurück zum Zitat Helweg-Larsen K (2011) The Danish register of causes of death. Scand J Public Health 39(Suppl 7):26–29 Helweg-Larsen K (2011) The Danish register of causes of death. Scand J Public Health 39(Suppl 7):26–29
32.
Zurück zum Zitat Kisely S (2010) Excess mortality from chronic physical disease in psychiatric patients—the forgotten problem. Can J Psychiatry 55:749–751PubMed Kisely S (2010) Excess mortality from chronic physical disease in psychiatric patients—the forgotten problem. Can J Psychiatry 55:749–751PubMed
33.
Zurück zum Zitat Carson N, Katz AM, Gao S, Alegria M (2010) Assessment of physical illness by mental health clinicians during intake visits. Psychiatr Serv 61:32–37PubMedCrossRef Carson N, Katz AM, Gao S, Alegria M (2010) Assessment of physical illness by mental health clinicians during intake visits. Psychiatr Serv 61:32–37PubMedCrossRef
Metadaten
Titel
US regional differences in death rates from depression
verfasst von
Anthony P. Polednak
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0503-z

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