TY - JOUR
T1 - Employment outcome for people with schizophrenia in rural v. urban China
T2 - Population-based study{
AU - Yang, Lawrence H.
AU - Phillips, Michael R.
AU - Li, Xianyun
AU - Yu, Gary
AU - Zhang, Jingxuan
AU - Shi, Qichang
AU - Song, Zhiqiang
AU - Ding, Zhijie
AU - Pang, Shutao
AU - Susser, Ezra
PY - 2013/10
Y1 - 2013/10
N2 - Background Although outcomes among people with schizophrenia differ by social context, this has rarely been examined across rural v. urban settings. For individuals with schizophrenia, employment is widely recognised as a critical ingredient of social integration. Aims To compare employment for people with schizophrenia in rural v. urban settings in China. Method In a large community-based study in four provinces representing 12% of China's population, we identified 393 people with schizophrenia (112 never treated). We used adjusted Poisson regression models to compare employment for those living in rural (n = 297) v. urban (n = 96) settings. Results Although rural and urban residents had similar impairments due to symptoms, rural residents were three times more likely to be employed (adjusted relative risk 3.27, 95% CI 2.11-5.07, P50.001). Conclusions People with schizophrenia have greater opportunities to use their capacities for productive work in rural than urban settings in China. Contextual mechanisms that may explain this result offer a useful focus for future research.
AB - Background Although outcomes among people with schizophrenia differ by social context, this has rarely been examined across rural v. urban settings. For individuals with schizophrenia, employment is widely recognised as a critical ingredient of social integration. Aims To compare employment for people with schizophrenia in rural v. urban settings in China. Method In a large community-based study in four provinces representing 12% of China's population, we identified 393 people with schizophrenia (112 never treated). We used adjusted Poisson regression models to compare employment for those living in rural (n = 297) v. urban (n = 96) settings. Results Although rural and urban residents had similar impairments due to symptoms, rural residents were three times more likely to be employed (adjusted relative risk 3.27, 95% CI 2.11-5.07, P50.001). Conclusions People with schizophrenia have greater opportunities to use their capacities for productive work in rural than urban settings in China. Contextual mechanisms that may explain this result offer a useful focus for future research.
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U2 - 10.1192/bjp.bp.112.118927
DO - 10.1192/bjp.bp.112.118927
M3 - Article
C2 - 23258768
AN - SCOPUS:84885393525
SN - 0007-1250
VL - 203
SP - 272
EP - 279
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
IS - 4
ER -