Mood and Anxiety Disorders among Rural, Urban, and Metropolitan Residents in the United States

Chamberlain C. Diala, Carles Muntaner

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: To estimate the correlates of mood and anxiety disorders among rural, urban and metropolitan residents in the United States. Methods: We analyzed the National Co-morbidity Survey (NCS), which yields the distribution and correlates of psychiatric disorders in a probability sample of U.S. population using DSM-III-R for diagnosis. Logistic regressions of mood and anxiety disorders were stratified by geographical area. Results: We found gender differences in mood disorders among urban (O.R. = 1.8, P < 0.0001) and metropolitan (O.R. = 1.6, P < 0.0001) but not among rural residents. Rural (O.R. = 0.2, P < 0.05) and urban (O.R. = 0.5, P < 0.05) African Americans were less likely to report mood disorders compared to rural and urban Whites. Similarly, we found gender differences in anxiety disorders among urban (O.R. = 2.0, P < 0.0001) and metropolitan (O.R. = 1.7, P < 0.0001), but not among rural residents. Conclusion: Rural men reported more mood and anxiety disorders than urban men, thus erasing expected rural gender differences in these disorders. Rural male mood and anxiety disorders may be a function of diminishing resources (steady, high paying jobs) or increasing financial strain particularly among Whites, who comprise a majority of rural residents.

Original languageEnglish
Pages (from-to)239-252
Number of pages14
JournalCommunity Mental Health Journal
Volume39
Issue number3
DOIs
Publication statusPublished - 2003 Jun 1
Externally publishedYes

Fingerprint

Anxiety Disorders
Mood Disorders
mood
resident
anxiety
gender-specific factors
financial strain
Sampling Studies
comorbidity
Diagnostic and Statistical Manual of Mental Disorders
African Americans
Psychiatry
Logistic Models
logistics
Morbidity
regression
resources
Population

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Mood and Anxiety Disorders among Rural, Urban, and Metropolitan Residents in the United States. / Diala, Chamberlain C.; Muntaner, Carles.

In: Community Mental Health Journal, Vol. 39, No. 3, 01.06.2003, p. 239-252.

Research output: Contribution to journalArticle

Diala, Chamberlain C. ; Muntaner, Carles. / Mood and Anxiety Disorders among Rural, Urban, and Metropolitan Residents in the United States. In: Community Mental Health Journal. 2003 ; Vol. 39, No. 3. pp. 239-252.
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