Importance of Thinking Locally for Mental Health: Data from Cross-Sectional Surveys Representing South East London and England
Open accessAbstract
BACKGROUND: Reliance on national figures may be underestimating the extent of mental ill health in urban communities. This study demonstrates the necessity for local information on common mental disorder (CMD) and substance use by comparing data from the South East London Community Health (SELCoH) study with those from a national study, the 2007 English Adult Psychiatric Morbidity Study (APMS). METHODOLOGY/PRINCIPAL FINDINGS: Data were used from two cross-sectional surveys, 1698 men and women residing in south London and 7403 men and women in England. The main outcome, CMD, was indicated by a score of 12 or above on the Revised Clinical Interview Schedule. Secondary outcomes included hazardous alcohol use and illicit drug use. SELCoH sample prevalence estimates of CMD were nearly twice that of the APMS England sample estimates. There was a four-fold greater proportion of depressive episode in the SELCoH sample than the APMS sample. The prevalence of hazardous alcohol use was higher in the national sample. Illicit drug use in the past year was higher in the SELCoH sample, with cannabis and cocaine the illicit drugs reported most frequently in both samples. In comparisons of the SELCoH sample with the APMS England sample and the APMS sample from the Greater London area in combined datasets, these differences remained after adjusting for socio-demographic and socioeconomic indicators for all outcomes. CONCLUSIONS/SIGNIFICANCE: Local information for estimating the prevalence of CMD and substance use is essential for surveillance and service planning. There were similarities in the demographic and socioeconomic factors related to CMD and substance use across samples.
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The ODIN and SELCoH studies, based in selected samples from Liverpool and south east London, reported higher prevalence estimates for depression varying between 5% and 15%.
“These studies, based in selected samples from Liverpool in the case of the ODIN study (Ayuso-Mateos et al., 2001), and south east London in the case of the SELCoH study (Hatch et al., 2012), have reported higher prevalence estimates for depression, varying between 5% and 15% depending on the specific study.”
From Prevalence and age patterns of depression in the United Kingdom. A population-based study (2021) · cites this paper as Hatch et al., 2012
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- Authors
- Hatch, S. L., Woodhead, C., Frissa, S., Fear, N. T., Verdecchia, M., Stewart, R., Reichenberg, A., Morgan, C., Bebbington, P., McManus, S., Brugha, T., Kankulu, B., Clark, J. L., Gazard, B., Medcalf, R., Hotopf, M., & the SELCoH study team
- Affiliations
- King's College London (GB)
- University College London (GB)
- Leicester General Hospital (GB)
- Corresponding author
- Hatch, Stephani L.
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2012-12-12
- Volume
- 7
- Issue
- 12
- Pages
- e48012
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3520993
- OpenAlex
- W2023331976
- Cited by
- 57
- References
- 35
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 9 · 2015: 5 · 2014: 6 · 2013: 4
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- Figshare (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Leicester Research Archive (University of Leicester) (submittedVersion, cc-by)
- Funders
- South London and Maudsley NHS Foundation Trust
- Maudsley Charity
- National Institute for Health and Care Research
- Guy's and St Thomas' Charity
- King's College London
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- common mental disorders, mental health prevalence, substance use, hazardous drinking, illicit drug use, depressive episodes, urban mental health, South East London, cannabis use, cocaine use, mental health surveillance, service planning
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Cross-Sectional Studies, England, Female, Health Surveys, Humans, London, Male, Mental Health, Middle Aged, Socioeconomic Factors, Prevalence, Substance-Related Disorders
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