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A census-based socio-economic status (SES) index as a tool to examine the relationship between mental health services use and deprivation

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  • Tello, Juan Eduardo
  • Jones, Julia
  • Bonizzato, Paola
  • Mazzi, Mariangela
  • Amaddeo, Francesco
  • Tansella, Michele

Abstract

This paper discusses the development and application of a socio-economic status (SES) index, created to explore the relationship between socio-economic variables and psychiatric service use. The study was conducted in a community-based mental health service (CMHS) in Verona, Northern Italy, utilising service use data from 1996. An ecological SES index was constructed through a factor analysis from 1991 Census data, at census block level. Three factors reflected the following domains: the educational-employment sector (with four components), the relational network (with three components) and the material conditions (with three components). All service users were assigned a SES value, according to their place of residence in 1996. When these data were explored spatially, using ArcView 8.3, an association was observed between socio-economic deprivation and psychiatric service use. The SES index was then successfully validated using occupational status at the individual level. This study confirms the usefulness of developing and validating an ecological census-based SES index, for service planning and resource allocation in an area with a community-based system of mental health care.

Suggested Citation

  • Tello, Juan Eduardo & Jones, Julia & Bonizzato, Paola & Mazzi, Mariangela & Amaddeo, Francesco & Tansella, Michele, 2005. "A census-based socio-economic status (SES) index as a tool to examine the relationship between mental health services use and deprivation," Social Science & Medicine, Elsevier, vol. 61(10), pages 2096-2105, November.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:10:p:2096-2105
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    References listed on IDEAS

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    1. Giggs, John A., 1986. "Mental disorders and ecological structure in Nottingham," Social Science & Medicine, Elsevier, vol. 23(10), pages 945-961, January.
    2. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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    1. Taina Ala-Nikkola & Sami Pirkola & Minna Kaila & Grigori Joffe & Raija Kontio & Olli Oranta & Minna Sadeniemi & Kristian Wahlbeck & Samuli I. Saarni, 2018. "Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable," IJERPH, MDPI, vol. 15(6), pages 1-16, May.
    2. Havard, Sabrina & Deguen, Séverine & Bodin, Julie & Louis, Karine & Laurent, Olivier & Bard, Denis, 2008. "A small-area index of socioeconomic deprivation to capture health inequalities in France," Social Science & Medicine, Elsevier, vol. 67(12), pages 2007-2016, December.
    3. Sericea Stallings-Smith & Pat Goodman & Zubair Kabir & Luke Clancy & Ariana Zeka, 2014. "Socioeconomic Differentials in the Immediate Mortality Effects of the National Irish Smoking Ban," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-11, June.

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