Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012)
Background: The primary goal of this study is to estimate the pattern of hospital discharges throughout Greece due to mental disorders between 1999 and 2012. Methods: Data for discharges were obtained from the Hellenic Statistical Authority. A sex- and age-adjusted proportional hospitalization ratio...
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MDPI AG
2022-03-01
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| Series: | Psych |
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| Online Access: | https://www.mdpi.com/2624-8611/4/2/17 |
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| author | Katerina Dadouli Apostolia Hatziefthimiou Varvara A. Mouchtouri Panagiotis Ntellas Lemonia Anagnostopoulos Michalis Koureas Konstantinos Bonotis Nikolaos Christodoulou Christos Hadjichristodoulou |
| author_facet | Katerina Dadouli Apostolia Hatziefthimiou Varvara A. Mouchtouri Panagiotis Ntellas Lemonia Anagnostopoulos Michalis Koureas Konstantinos Bonotis Nikolaos Christodoulou Christos Hadjichristodoulou |
| author_sort | Katerina Dadouli |
| collection | DOAJ |
| description | Background: The primary goal of this study is to estimate the pattern of hospital discharges throughout Greece due to mental disorders between 1999 and 2012. Methods: Data for discharges were obtained from the Hellenic Statistical Authority. A sex- and age-adjusted proportional hospitalization ratio (PHR) was used to estimate the ratio between the hospitalizations in each prefecture and the overall hospitalizations. Additionally, age-adjusted admission rates and hospitalization days were calculated for each sex. Descriptive and time series analysis were conducted to understand the epidemiological characteristics and to investigate the trend of annual PHR, respectively. Correlation between disorders and sociodemographic characteristics was also tested. Global and local spatial analysis was conducted to assess the spatial homogeneity of disorders and to detect any clusters of similar values. Results: More males (55%) were hospitalized. Schizophrenic and other psychoses were stated as the primary diagnosis of discharges (54.3%) for mental disorders, contributing to the highest annual mean number of hospitalization-days for male (296.9) and female patients (341.0). Most patients were out of the workforce, and most patients with drug dependence (74.5%) and schizophrenia and other psychoses (55.9%) remained unmarried. Higher PHRs were discovered in the north, while schizophrenic and other psychoses (R = 0.492), affective psychoses (R = 0.534), senile and presenile organic psychotic conditions (R = 0.543) were correlated with alcohol consumption (<i>p</i> < 0.001). Conclusions: The study provides evidence of geographical variation of discharges due to mental disorders and a significant association between disorders and alcohol consumption, marriage status and absence of the workforce. |
| first_indexed | 2024-03-09T22:39:32Z |
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| language | English |
| last_indexed | 2024-03-09T22:39:32Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Psych |
| spelling | doaj.art-47ecf0fd775345c2a0c3d0a657d4764e2023-11-23T18:42:58ZengMDPI AGPsych2624-86112022-03-014220021410.3390/psych4020017Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012)Katerina Dadouli0Apostolia Hatziefthimiou1Varvara A. Mouchtouri2Panagiotis Ntellas3Lemonia Anagnostopoulos4Michalis Koureas5Konstantinos Bonotis6Nikolaos Christodoulou7Christos Hadjichristodoulou8Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, GreeceLaboratory of Physiology, Faculty of Medicine, University of Thessaly, 41500 Larissa, GreeceLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, GreeceDepartment of Medical Oncology, University Hospital of Ioannina, 45500 Ioannina, GreeceLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, GreeceLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, GreeceDepartment of Psychiatry, Faculty of Medicine, University of Thessaly, 41100 Larissa, GreeceDepartment of Psychiatry, Faculty of Medicine, University of Thessaly, 41100 Larissa, GreeceLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, GreeceBackground: The primary goal of this study is to estimate the pattern of hospital discharges throughout Greece due to mental disorders between 1999 and 2012. Methods: Data for discharges were obtained from the Hellenic Statistical Authority. A sex- and age-adjusted proportional hospitalization ratio (PHR) was used to estimate the ratio between the hospitalizations in each prefecture and the overall hospitalizations. Additionally, age-adjusted admission rates and hospitalization days were calculated for each sex. Descriptive and time series analysis were conducted to understand the epidemiological characteristics and to investigate the trend of annual PHR, respectively. Correlation between disorders and sociodemographic characteristics was also tested. Global and local spatial analysis was conducted to assess the spatial homogeneity of disorders and to detect any clusters of similar values. Results: More males (55%) were hospitalized. Schizophrenic and other psychoses were stated as the primary diagnosis of discharges (54.3%) for mental disorders, contributing to the highest annual mean number of hospitalization-days for male (296.9) and female patients (341.0). Most patients were out of the workforce, and most patients with drug dependence (74.5%) and schizophrenia and other psychoses (55.9%) remained unmarried. Higher PHRs were discovered in the north, while schizophrenic and other psychoses (R = 0.492), affective psychoses (R = 0.534), senile and presenile organic psychotic conditions (R = 0.543) were correlated with alcohol consumption (<i>p</i> < 0.001). Conclusions: The study provides evidence of geographical variation of discharges due to mental disorders and a significant association between disorders and alcohol consumption, marriage status and absence of the workforce.https://www.mdpi.com/2624-8611/4/2/17mental disordershospital dischargeshospitalizationGreeceepidemiologyspatial analysis |
| spellingShingle | Katerina Dadouli Apostolia Hatziefthimiou Varvara A. Mouchtouri Panagiotis Ntellas Lemonia Anagnostopoulos Michalis Koureas Konstantinos Bonotis Nikolaos Christodoulou Christos Hadjichristodoulou Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) Psych mental disorders hospital discharges hospitalization Greece epidemiology spatial analysis |
| title | Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) |
| title_full | Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) |
| title_fullStr | Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) |
| title_full_unstemmed | Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) |
| title_short | Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012) |
| title_sort | geographical variation in mental hospital discharges in greece a nationwide study 1999 2012 |
| topic | mental disorders hospital discharges hospitalization Greece epidemiology spatial analysis |
| url | https://www.mdpi.com/2624-8611/4/2/17 |
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