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Associations between residence at birth and mental health disorders: a spatial analysis of retrospective cohort data

Overview of attention for article published in BMC Public Health, July 2015
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Title
Associations between residence at birth and mental health disorders: a spatial analysis of retrospective cohort data
Published in
BMC Public Health, July 2015
DOI 10.1186/s12889-015-2011-z
Pubmed ID
Authors

Kate Hoffman, Ann Aschengrau, Thomas F. Webster, Scott M. Bartell, Verónica M. Vieira

Abstract

Mental health disorders impact approximately one in four US adults. While their causes are likely multifactorial, prior research has linked the risk of certain mental health disorders to prenatal and early childhood environmental exposures, motivating a spatial analysis to determine whether risk varies by birth location. We investigated the spatial associations between residence at birth and odds of depression, bipolar disorder, and post-traumatic stress disorder (PTSD) in a retrospective cohort (Cape Cod, Massachusetts, 1969-1983) using generalized additive models to simultaneously smooth location and adjust for confounders. Birth location served as a surrogate for prenatal exposure to the combination of social and environmental factors related to the development of mental illness. We predicted crude and adjusted odds ratios (aOR) for each outcome across the study area. The results were mapped to identify areas of increased risk. We observed spatial variation in the crude odds ratios of depression that was still present even after accounting for spatial confounding due to geographic differences in the distribution of known risk factors (aOR range: 0.61-3.07, P = 0.03). Similar geographic patterns were seen for the crude odds of PTSD; however, these patterns were no longer present in the adjusted analysis (aOR range: 0.49-1.36, P = 0.79), with family history of mental illness most notably influencing the geographic patterns. Analyses of the odds of bipolar disorder did not show any meaningful spatial variation (aOR range: 0.58-1.17, P = 0.82). Spatial associations exist between residence at birth and odds of PTSD and depression, but much of this variation can be explained by the geographic distributions of available risk factors. However, these risk factors did not account for all the variation observed with depression, suggesting that other social and environmental factors within our study area need further investigation.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 83 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
France 1 1%
Unknown 82 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 17%
Student > Ph. D. Student 11 13%
Researcher 8 10%
Student > Bachelor 7 8%
Student > Doctoral Student 7 8%
Other 13 16%
Unknown 23 28%
Readers by discipline Count As %
Medicine and Dentistry 14 17%
Nursing and Health Professions 11 13%
Psychology 10 12%
Neuroscience 5 6%
Agricultural and Biological Sciences 4 5%
Other 14 17%
Unknown 25 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 January 2016.
All research outputs
#6,898,570
of 22,817,213 outputs
Outputs from BMC Public Health
#7,268
of 14,865 outputs
Outputs of similar age
#80,531
of 264,073 outputs
Outputs of similar age from BMC Public Health
#134
of 273 outputs
Altmetric has tracked 22,817,213 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 14,865 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one has gotten more attention than average, scoring higher than 50% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,073 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 273 others from the same source and published within six weeks on either side of this one. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.