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Deprivation, self-perceived health and anxiodepressive disorders: a study from 12 health examination centers

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Author(s): Royer B | Gusto G | Vol S | D' Hour A | Arondel D | Tichet J | Lantieri O

Journal: Pratiques et Organisation des Soins
ISSN 1952-9201

Volume: 41;
Issue: 4;
Start page: 313;
Date: 2010;
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Keywords: Deprivation | self rated health | anxiety | depression | psychotropic drugs | EPICES | HAD test | Duke health profile | health examination centres

ABSTRACT
Aim: The association between deprivation and degraded health is well documented as well as the links between morbi-mortality and risk behaviours. We examine the associations between deprivation, self- perceived health and anxiodepressive disorders.Methods: The study population is consultants from health examination centers in Central Western France. Each participant completed a self administered questionnaire including three validated scales (EPICES deprivation scale, Duke health profile and Hospital Anxiety and Depression (HAD) scale). All psychoactive drugs were recorded. Results: We have studied 6,211 volunteers. The mean values of all 10 dimensions of the Duke health profile decreased significantly with an increasing level of deprivation. Anxiety and depression, measured with the HAD scale, increased with deprivation level. Psychoactive drugs consumption was highest in the most deprived. The inadequacy of detection and care was seen in the most deprived from the comparison between psychoactive drug consumption and HAD scale results.Conclusion: The deprived are a priority population for health examination centers. Detecting psychological disorders with validated questionnaires is necessary, in order to propose appropriate health care. Prat Organ Soins. 2010;41(4):313-321
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