Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Comparison of the prevalence of probably postpartum depression before and during the covid-19 pandemic in Turkey: a systematic review and meta-analysis.","authors":"Zekiye Karaçam, Pirozhan Ekin, Hilal Bal Şaraldı","doi":"10.1007/s00127-025-02905-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02905-4","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of probably postpartum depression and the effect of COVID-19 pandemic on the prevalence of probably postpartum depression based on the results of the studies in Turkey.</p><p><strong>Methods: </strong>Systematic review and meta-analysis of cross-sectional studies. The key words postpartum depression or postnatal depression and Turkey were searched in the electronic databases of PubMed, EbscoHost, OVID Journals, Science Direct, Web of Science, ULAKBIM Databases, DergiPARK, TR Dizin, YÖK-Natural Thesis Centre. The systematic review was performed by following PRISMA and COSMOS-E. Data were collected by using a data extraction tool developed by the researchers. The quality of the studies was evaluated by utilizing The Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross Sectional Studies. Obtained data were synthesized with meta-analysis, narrative synthesis, subgroup analysis and meta-regression.</p><p><strong>Results: </strong>The total sample size of 34 studies included in this meta-analysis was 10 236. The cut-off score for the EPDS was considered as ≥ 13 in 30 studies and ≥ 12 in four studies. The pooled probably postpartum depression prevalence was 17.8% (95% CI: 0.153-0.206; 95% Prediction Interval: 0.070-0.383). It was found to be 16.3% before the pandemic (95% CI: 0.065-0.358; 95% Prediction Interval: 0.065-0.358) and increased to 20.2% during the pandemic (95% CI: 0.068-0.468; 95% Prediction Interval: 0.068-0.468), though the difference was not significant (Q = 1.77; df: 1; p = 0.184). The meta-regression analysis showed that the prevalence of probably postpartum depression did not change depending on the geographical region where the studies were performed, the time of data collection and the cut-off point of the EPDS. However, the studies reported many factors related to women, their infants and families that affected the prevalence of probably postpartum depression.</p><p><strong>Outcomes: </strong>This meta-analysis revealed that the prevalence of probably postpartum depression was very high, increased during the pandemic and was affected by many risk factors. It may be recommended that healthcare professionals take protective and improving measures for the mental health of women at high risk during the perinatal period and provide early diagnosis, treatment, monitoring and care services.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the complex needs of homeless youth with early psychosis and comorbid substance use: a naturalistic longitudinal study of 10 years' experience with EQIIP SOL's specialized outreach service.","authors":"Beatrice Todesco, Paula Pires De Oliveira Padilha, Daniel Rabouin, Clairélaine Ouellet-Plamondon, Didier Jutras-Aswad, Amal Abdel-Baki","doi":"10.1007/s00127-025-02875-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02875-7","url":null,"abstract":"<p><strong>Purpose: </strong>Psychosis and substance use disorders (SUDs) are highly prevalent and often co-occurring among homeless youth. EQIIP SOL, a specialized intensive outreach program within an early intervention service, provides 3-year comprehensive care for first-episode psychosis (FEP) homeless youth, targeting psychosis, SUD, and homelessness. This study aims to examine clinical and functional outcomes, along with predictors of housing stability, among youth enrolled in the program since its inception in 2012.</p><p><strong>Methods: </strong>This longitudinal study examined the 3-year outcomes of all youth admitted to EQIIP SOL from 2012 to 2020. The inclusion criteria encompassed youth aged 18-30 years, diagnosed with primary psychosis and SUD and experiencing homelessness. Assessments were conducted at baseline and at 1, 3, 6, 9, 12, 15, 18, 24, and 36 months thereafter to describe housing stability, illness severity, and general functioning evolutions. Alcohol and substance use were evaluated at baseline and annually. A multivariate mixed-effects model investigated baseline predictors of housing stability.</p><p><strong>Results: </strong>Of the 177 enrolled youth, 81.4% achieved housing stability at least once, within a median of six months. Improvements in illness severity and general functioning were observed during the initial nine months, plateauing thereafter. SUDs reduced approximately by one-third; alcohol use disorder decreased by half. Older age (OR = 1.18 (1.07-1.31)), no history of chronic homelessness (OR = 2.16 (1.13-4.13)), stimulant addiction (OR = 0.51 (0.26-0.98)) and being roofless/emergency sheltered at admission (OR = 0.41 (0.19-0.88)) were associated with housing stability.</p><p><strong>Conclusion: </strong>EQIIP SOL's integrated approach yields promising results, warranting replication, robust evaluation of its efficacy, and adaptation in other settings.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State policies and suicidal behavior among sexual and gender minority college students.","authors":"Michelle Flesaker, Even Paglisotti, Christina E Freibott, Jaimie L Gradus, Sarah K Lipson","doi":"10.1007/s00127-025-02903-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02903-6","url":null,"abstract":"<p><strong>Purpose: </strong>While lesbian, gay, bisexual, transgender/nonbinary, and queer/questioning (LGBTQ+) college students are at heightened risk of suicidal ideation and attempt compared to cisgender and heterosexual students, few studies have examined system-level factors to reduce these risks. We investigated associations between state-level policies and suicidal behavior by gender identity (cisgender sexual minority; CSM, and transgender/nonbinary; TNB) among U.S. LGBTQ + young adults attending 135 institutions.</p><p><strong>Methods: </strong>State policy tallies, from the Movement Advancement Project, represent a sum of LGBTQ+-related laws, with indices for protective (positive) and discriminatory (negative) legislation for an overall score (range: -23.5 to 42.5). We linked tallies with student survey data from LGBTQ + young adult participants (18-24 years) in the 2022-2023 Healthy Minds Study (n = 15,861). We used multilevel models to calculate odds ratios (OR) and 95% confidence intervals (CI) for associations between 10-point increases in overall, sexual orientation, and gender identity tallies and suicidal behavior.</p><p><strong>Results: </strong>A 10-point increase in overall policy tally was associated with an 8% reduction in the odds of suicidal ideation in CSM participants (OR = 0.92, 95% CI = 0.87, 0.97) and a 7% reduction in TNB participants (OR = 0.93, 95% CI = 0.87, 1.00). Associations were observed between overall policy tallies and suicide attempt among CSM, but not TNB students. We observed congruent results for sexual orientation- and gender-specific tallies.</p><p><strong>Conclusion: </strong>Protective state policy was associated with lower odds of suicidal ideation among LGBTQ + college students. We build upon evidence demonstrating the importance of system-level protections for LGBTQ + individuals.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined effects of social health and long-term exposure to fine particulate matter on cardiovascular disease in Chinese middle-aged and older adults.","authors":"Wei Li, Yunxiao Yang, Shuai Guo, Jiayi Yi, Chen Li, Geng Shen, Lin Wang, Xiuhuan Chen, Zhaogong Zhi, Hai Gao","doi":"10.1007/s00127-025-02901-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02901-8","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation, loneliness, and fine particulate matter (PM_2.5) exposure are significant social and environmental factors that frequently cooccur in vulnerable populations. The joint effects of these factors on the risk of cardiovascular disease (CVD), however, are not well supported by data. This study aimed to evaluate the independent and combined effects of social isolation, loneliness, and long-term PM_2.5 exposure on CVD risk and to assess the interactions between social isolation or loneliness and PM_2.5 exposure on CVD risk.</p><p><strong>Methods: </strong>We used Cox proportional hazards models to estimate the independent and combined effects of loneliness, social isolation, and long-term PM_2.5 exposure on CVD incidence. We also conducted interaction analyses to investigate whether the effects of social factors on CVD are modified by the level of PM_2.5 exposure.</p><p><strong>Results: </strong>This study included 12,544 participants, with mean age of 58.7 ± 9.4 years. The median follow-up was 7 years, with 1761 CVD events occurred. Individuals with loneliness presented a 29% increased risk of CVD (hazard ratio [HR] = 1.290, 95% confidence intervals [CI]: 1.165-1.428). A 10 µg/m³ increase in PM_2.5 exposure was associated with a 6% increase in CVD risk (HR = 1.060, 95% CI: 1.028-1.092). A significant additive interaction effect was observed between loneliness and PM_2.5 on CVD (P for additive interaction = 0.042).</p><p><strong>Conclusion: </strong>Among Chinese middle and older adults, loneliness and long-term PM_2.5 exposure had combined effects on CVD risk. The public health consequences of high PM_2.5 exposure are more pronounced among individuals who experience feelings of loneliness.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide deaths among reproductive-aged women in the US post-Dobbs: a national time-series analysis.","authors":"Parvati Singh, Alaxandria Crawford, Sarah Crow, Jonathan R Powell, Maria F Gallo","doi":"10.1007/s00127-025-02902-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02902-7","url":null,"abstract":"<p><strong>Purpose: </strong>The United States Supreme Court's Dobbs decision in June 2022 may have worsened mental health among reproductive-aged women nationally. We examined whether the Dobbs decision preceded an increase in suicides among reproductive-aged women using national, monthly data, from January 2018-December 2023.</p><p><strong>Methods: </strong>We retrieved national monthly suicide counts from January 2018 to December 2023 for women and men 15-49 years of age (overall and stratified by two age groups- 15-24 years, 25-49 years) from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death database. We used time series analyses to examine whether residuals of nationally aggregated counts of monthly suicides among women 15-49, 15-24- and 25-49-years of age (outcomes) exhibited higher-than-expected values following the Dobbs decision, controlling for autocorrelation and concomitant monthly series of suicides among men.</p><p><strong>Results: </strong>We observed higher-than-expected residuals of suicides in July and September 2022 among 15-49-year-old women, and in September, October, December 2022 and March 2023 among 15-24-year-old women. No residual outliers were observed among 25-49-year-old women post-Dobbs. Results from time-series analyses indicate an average of 52.5 additional suicides in outlier months among 15-49-year-old women post-Dobbs (95% confidence interval [CI]: 14.85, 90.15). The increase appeared pronounced among younger age (15-24 years) women (coefficient = 19.6, 95% CI: 11.17, 28.03). Results suggest 104 additional suicides among 15-49-year-old women, and 78 excess suicides among 15-24-year-old women, nationally, post-Dobbs.</p><p><strong>Conclusions: </strong>Findings highlight the adverse impact of the Dobbs ruling on mental health among reproductive-aged women.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Night eating syndrome prevalence and its association with sleep quality, eating patterns, and psychopathology in an Israeli community sample.","authors":"Orna Tzischinsky, Yael Latzer","doi":"10.1007/s00127-025-02880-w","DOIUrl":"https://doi.org/10.1007/s00127-025-02880-w","url":null,"abstract":"<p><strong>Introduction: </strong>Night eating syndrome (NES) involves hyperphagia and nocturnal ingestion, causing significant distress and impairment. Despite its impact, NES is poorly understood and underdiagnosed both in clinical and community settings. Prevalence rates vary, highlighting the need for further research in community samples.</p><p><strong>Purpose: </strong>To assess NES prevalence in a community sample and its relationship with sleep disturbances, eating patterns, and psychopathology.</p><p><strong>Method: </strong>A total of 746 participants (ages 21-51), including 377 men (50.5%), were recruited through a large Israeli online platform. Participants completed self-report demographic data and questionnaires assessing NES, sleep disturbances, eating patterns, and psychopathology.</p><p><strong>Results: </strong>The prevalence of NES (night eating questionnaire/NEQ: score > 25, score > 21) was 8.8% and 18.2%, respectively. No significant differences in NES prevalence were found between genders or age groups in most of the variables. There were no significant differences between the NES and non-NES groups in terms of BMI, age, or gender. However, significant differences were found in sleep disturbances (PSQI total), depression, and anxiety. The NES group was significantly associated with higher levels of fat and carbohydrate consumption during the evening and night.</p><p><strong>Conclusion: </strong>The NES prevalence among study participants was relatively higher than among previous community samples worldwide, despite participants having a BMI within the normal range. The higher prevalence, along with the significant associations with lower sleep quality, higher levels of anxiety and depression, and increased fat and carbohydrate consumption, underscore the need for greater emphasis on the diagnosis, treatment, and prevention of NES in the community beyond cultural differences.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring like-attracts-like friendships in diagnosed and self-diagnosed populations: a description of 2 systematic reviews.","authors":"Audric Thakur, Daniyal Vemuri, Maisy Gledhill","doi":"10.1007/s00127-025-02884-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02884-6","url":null,"abstract":"<p><strong>Introduction: </strong>Homophilic selection is the tendency for an individual to affiliate with and befriend peers who initially are similar to themselves on a variety of behavioral and physical characteristics [1]. This paper presents 2 systematic reviews exploring homophilic (friendship) selection: amongst individuals with a diagnosed psychiatric condition, and amongst individuals who self-diagnose. Both reviews aim to identify existing literature on the subject and to argue in support of further research in this area.</p><p><strong>Methods: </strong>The first review, 'Do individuals with a diagnosed psychiatric condition exhibit homophilic friendship selection?', began with a two-wave database search of PsycINFO, Medline, and Embase from December 7th 2023 to August 7th 2024 via Ovid. A citation search of the accepted papers conducted independently by 3 authors produced 17 papers out of 24,546 screened against a detailed eligibility criteria.</p><p><strong>Results and conlusion: </strong>Publications studying depression observed homophilic selection reliably (12,642 participants across 12 papers were recruited to investigate homophilic selection and depression). However, conditions like anxiety were largely exempt from investigation, as was the consideration of ethnic background and age, which is discussed to be an oversight.</p><p><strong>Methods and results: </strong>The second review, 'Do individuals with a self-diagnosed psychiatric condition exhibit homophilic friendship selection?', was conducted via the same method on August 8th 2024 to produce no papers fulfilling the single eligibility criterion 'any friendship behaviour in individuals with a self-diagnosed mental illness'.</p><p><strong>Conclusion: </strong>There is a complete absence of research into the friendship behaviours of the self-diagnosing mental health population. Given the increasing number of individuals across psychiatric conditions who currently self-diagnose, such research has a considerable academic and clinical value, which is discussed.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnicity and involuntary hospitalisation: a study of intersectional effects.","authors":"Rooble Ali, Susan Walker, Patrick Nyikavaranda, Johnny Downs, Rashmi Patel, Mizanur Khondoker, Kamaldeep Bhui, Richard D Hayes, Daniela Fonseca de Freitas","doi":"10.1007/s00127-025-02898-0","DOIUrl":"https://doi.org/10.1007/s00127-025-02898-0","url":null,"abstract":"<p><strong>Purpose: </strong>Studies have found that the Mental Health Act is used disproportionally among minoritised ethnicities. Yet, little research has been conducted to understand how the intersectionality of ethnicity with sociodemographic factors relates to involuntary admission. This study aimed to investigate whether an association between ethnicity and involuntary hospitalisation is altered by variations in service-users' sociodemographic positions.</p><p><strong>Methods: </strong>A retrospective cohort study using records from the South London and Maudsley identified 18,569 service-users with a first episode of hospitalisation in a 13-year period. Logistic regression was used to calculate odds ratios for involuntary hospitalisation across ethnicities while adjusting for sociodemographic (age, gender, area-level deprivation, homelessness, and migration) and clinical factors (psychiatric diagnosis and HoNOS scores). Interaction analysis was conducted to identify intersectional effects between ethnicity and sociodemographic variables, potentially modifying the odds ratios of involuntary admission across ethnic groups.</p><p><strong>Results: </strong>Increased odds of involuntary hospitalisation compared to White British service-users were observed among 10 of the 14 ethnicities, with around, or just under twice the odds observed for Asian Chinese, Black African, and Black Caribbean. Women were found to have increased odds of involuntary admission. Significant interactions were present between ethnicity and age, area-level deprivation, homelessness, and migration in the unadjusted models. These effect modifications were not significant after adjustment for confounders.</p><p><strong>Conclusions: </strong>Ethnic inequalities were observed in involuntary hospitalisation among service-users on first admission. No evidence of intersectional effects was present when adjusting for sociodemographic and clinical factors. Further research needs to identify the mechanisms causing the inequalities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of social isolation and loneliness with incident cardiovascular diseases: results from a nationally prospective cohorts in China.","authors":"Jingru Zha, Mingzhuang Chen","doi":"10.1007/s00127-025-02894-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02894-4","url":null,"abstract":"<p><strong>Aims: </strong>Social isolation and loneliness are associated with increased risk of cardiovascular disease (CVD). Most research examining the effects of social isolation and loneliness on CVD is based in Western countries. This study examined the effects of loneliness and social isolation on cardiovascular disease in China.</p><p><strong>Methods: </strong>Data were derived from the China Health and Retirement Longitudinal Study (CHARLS). Social isolation, loneliness and CVD were measured at baseline. The analytical sample size was 6,860 for the analysis of self-reported CVD. Cox proportional-hazard regression adjusted for confounding factors were used to assess the association between baseline isolation, loneliness, and CVD.</p><p><strong>Results: </strong>Incident CVD was followed-up from 2011 to 2018. During the 7 years of follow-up, we found that loneliness was associated with an increased risk of CVD events (adjusted HR, 1.24; 95% CI, 1.06-1.44). In the moderately isolated group, loneliness was significantly associated with an elevated risk of incident CVD after adjusting for all confounders (adjusted HR, 1.40; 95% CI, 1.13-1.73). Loneliness was significantly associated with an increased risk of incident CVD among female participants (adjusted HR, 1.29; 95% CI, 1.07-1.56).</p><p><strong>Conclusions: </strong>Loneliness significantly increased the risk of incident CVD, while social isolation did not exhibit a similar correlation. Our findings suggest that targeted and practical social interventions could improve the accuracy and efficiency of identifying individuals at high risk.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of community socioeconomic factors and opioid use disorder across an urban-to-rural spectrum in Pennsylvania: an electronic health record-based case-control study.","authors":"Melissa N Poulsen, Cara M Nordberg, Joseph DeWalle, Meghann Reeder, Wade Berrettini, Brian S Schwartz","doi":"10.1007/s00127-025-02897-1","DOIUrl":"https://doi.org/10.1007/s00127-025-02897-1","url":null,"abstract":"<p><strong>Purpose: </strong>To elucidate the role of community socioeconomic conditions in creating opioid-related risk environments, we assessed community-level socioeconomic measures in association with opioid use disorder (OUD) across a diverse geography.</p><p><strong>Methods: </strong>We conducted a case-control study using medical records (2012-2020) from a Pennsylvania health system to identify cases of OUD (n = 14,674) and controls (n = 58,696; frequency-matched on age, sex, year, medical record duration). Residential addresses were used to assign community-level measures: community socioeconomic deprivation (CSD), high proportional housing costs (HPHC), population in service occupations (PSO), and community credit score (CCS). Logistic regression analyzed associations of community type (city census tracts [CCT], boroughs, townships) and community socioeconomic features (stratified by community type) with OUD, adjusting for demographics and individual-level socioeconomic status.</p><p><strong>Results: </strong>CCT or borough (versus township) residence was associated with higher OUD odds. CSD, HPHC, and CCS were associated with OUD across community types; PSO was only associated in CCTs. The highest (versus lowest) level of CSD was associated (odds ratio, 95% CI) with higher OUD odds among individuals in townships (1.18 [1.03, 1.36]), boroughs (1.34 [1.09, 1.63]), and CCTs (1.46 [1.13, 1.88]). \"Good\" (versus \"high fair\") CCS was associated with lower odds in townships (0.78 [0.71, 0.86]), boroughs (0.56 [0.41, 0.77]), and CCTs (0.73 [0.44, 1.22]).</p><p><strong>Conclusion: </strong>Findings indicate poor community socioeconomic conditions are related to higher OUD risk, highlight the value of research regarding opioid-related risk environments, and suggest structural and policy interventions, such as vocational training and rent subsidies, as important for addressing the root causes of OUD.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}