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Evaluating physical urban features in several mental illnesses using electronic health record data
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Mahabadi, Zahra, Mahabadi, Maryam, Velupillai, Sumithra, Roberts, Angus, McGuire, Philip, Ibrahim, Zina and Patel, Rashmi (2022) Evaluating physical urban features in several mental illnesses using electronic health record data. Frontiers in Digital Health, 4 . 874237. doi:10.3389/fdgth.2022.874237 ISSN 2673-253X.
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Official URL: https://doi.org/10.3389/fdgth.2022.874237
Abstract
Objectives:
Understanding the potential impact of physical characteristics of the urban environment on clinical outcomes on several mental illnesses. Materials and
Methods:
Physical features of the urban environment were examined as predictors for affective and non-affective several mental illnesses (SMI), the number and length of psychiatric hospital admissions, and the number of short and long-acting injectable antipsychotic prescriptions. In addition, the urban features with the greatest weight in the predicted model were determined. The data included 28 urban features and 6 clinical variables obtained from 30,210 people with SMI receiving care from the South London and Maudsley NHS Foundation Trust (SLaM) using the Clinical Record Interactive Search (CRIS) tool. Five machine learning regression models were evaluated for the highest prediction accuracy followed by the Self-Organising Map (SOM) to represent the results visually.
Results:
The prevalence of SMI, number and duration of psychiatric hospital admission, and antipsychotic prescribing were greater in urban areas. However, machine learning analysis was unable to accurately predict clinical outcomes using urban environmental data.
Discussion:
The urban environment is associated with an increased prevalence of SMI. However, urban features alone cannot explain the variation observed in psychotic disorder prevalence or clinical outcomes measured through psychiatric hospitalisation or exposure to antipsychotic treatments.
Conclusion:
Urban areas are associated with a greater prevalence of SMI but clinical outcomes are likely to depend on a combination of urban and individual patient-level factors. Future mental healthcare service planning should focus on providing appropriate resources to people with SMI in urban environments.
Item Type: | Journal Article | ||||||||||||||||||||||||||||||||||||||||||||||||
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Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
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Divisions: | Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) | ||||||||||||||||||||||||||||||||||||||||||||||||
SWORD Depositor: | Library Publications Router | ||||||||||||||||||||||||||||||||||||||||||||||||
Library of Congress Subject Headings (LCSH): | Medical records -- Data processing, Mental illness, Cities and towns -- Psychological aspects, Psychoses, Geospatial data | ||||||||||||||||||||||||||||||||||||||||||||||||
Journal or Publication Title: | Frontiers in Digital Health | ||||||||||||||||||||||||||||||||||||||||||||||||
Publisher: | Frontiers Media S.A. | ||||||||||||||||||||||||||||||||||||||||||||||||
ISSN: | 2673-253X | ||||||||||||||||||||||||||||||||||||||||||||||||
Official Date: | 7 September 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||
Dates: |
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Volume: | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||
Article Number: | 874237 | ||||||||||||||||||||||||||||||||||||||||||||||||
DOI: | 10.3389/fdgth.2022.874237 | ||||||||||||||||||||||||||||||||||||||||||||||||
Status: | Peer Reviewed | ||||||||||||||||||||||||||||||||||||||||||||||||
Publication Status: | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||||||||||||||||||||||||||||||||||||||
Date of first compliant deposit: | 24 October 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||
Date of first compliant Open Access: | 24 October 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||
RIOXX Funder/Project Grant: |
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