The Geographical Distribution of Mental Disorder in Denmark 1971–1990: A Study of First Admission Rates

Abstract

Geografisk Tidsskrift, Danish Journal of Geography 97: 132–142, 1997.

In the period 1971–90 the first admission rate to Danish psychiatric hospitals and wards decreased by approximately 45%. This might reflect the similar decrease in number of available psychiatric beds. Generally, the decrease of first admission rates was larger in the metropolitan area than in the rest of the country. Consequently, the disparity in admission rates between town and country was reduced. Number of available beds has gained increasing importance as a predictor of variations between counties and municipalities whereas the importance of distance to hospital and degree of urbanization has declined. As regards socio-demographic variables special importance should be attached to variables for social aid and the employment rate in the social and health sector. However, it is generally difficult to determine whether regional variations are due to differences in treatment facilities or morbidity differences. From a disaggregate analysis it will appear that the diagnoses schizophrenia and alcoholism are especially related to low status areas whereas a connection with social status regarding neuroses and manic-depressive psychoses is less obvious.

Keywords:

• Psychiatry
• first admissions
• socio-demographic variables
• bedcapacity
• multivariate analyses