Psychiatric disorders. A rural/urban comparison.

Journal Article (Journal Article)

We studied rural/urban differences in the prevalence of nine psychiatric disorders from a community survey (part of the Epidemiologic Catchment Area Program) of 3,921 adults living in the Piedmont of North Carolina. Crude comparisons disclosed that major depressive episodes and drug abuse and/or dependence were more common in the urban area, whereas alcohol abuse/dependence was more common in the rural area. When prevalence for these disorders was stratified for age, sex, race, and education (factors that may confound urban/rural comparisons), a number of significant differences were identified, such as higher prevalence of major depression in female and white subjects and higher prevalence of alcohol abuse/dependence in the less educated subjects. A logistic-regression analysis was used to determine if significant urban/rural differences persisted when these potential confounders were controlled. Major depressive disorders were found to be twice as frequent in the urban area in this controlled analysis.

Full Text

Duke Authors

Cited Authors

  • Blazer, D; George, LK; Landerman, R; Pennybacker, M; Melville, ML; Woodbury, M; Manton, KG; Jordan, K; Locke, B

Published Date

  • July 1985

Published In

Volume / Issue

  • 42 / 7

Start / End Page

  • 651 - 656

PubMed ID

  • 4015306

International Standard Serial Number (ISSN)

  • 0003-990X

Digital Object Identifier (DOI)

  • 10.1001/archpsyc.1985.01790300013002


  • eng

Conference Location

  • United States