Social Psychiatry and Psychiatric Epidemiology

, Volume 49, Issue 10, pp 1569–1578 | Cite as

Disentangling the influence of neighborhood and individual characteristics on early residential mobility among newly diagnosed patients with schizophrenia: a multilevel analysis

  • André Ngamini NguiEmail author
  • Philippe Apparicio
  • Marie-Josée Fleury
  • Jean-Pierre Grégoire
  • Jocelyne Moisan
  • Alain Lesage
  • Alain Vanasse
Original Paper



Early residential mobility of schizophrenic patients may relate to discontinuity of treatment and adverse outcome. However, factors influencing early residential mobility of these patients are still poorly examined. The aim of this study was to disentangle the influence of individual and neighborhood characteristics on early residential mobility of schizophrenic patients.


The study used administrative data of 13, 400 individuals newly diagnosed with schizophrenia in Quebec between 2001 and 2002. These individuals were nested in 163 different health territories. Multilevel analyses were used to assess the contribution of individual and neighborhood characteristics on early residential mobility.


The final model indicates that at the individual level, being men, wonder patients and physical comorbidity increased the likelihood of early residential mobility whereas older patients were less likely to migrate earlier. The health territory level explains about 7 % of the variation of early residential mobility and variables influencing residential mobility at this level are the fourth and the third quartiles of the population density.


Factors influencing early residential mobility of schizophrenic patients are located at both individual and neighborhood levels. This suggests that policies targeting only one-level factors are unlikely to significantly delays early residential mobility.


Early residential mobility Multilevel analysis Neighborhood and health Schizophrenia Public health 



This project was sponsored by AstraZeneca Canada Inc. through its “Prends soin de toi” program. None of the authors received salaries, consultation fees or any reimbursement from this company, nor held any shares in this organization.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

The study and material was approved by the ethic committee of the Université de Sherbrooke.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • André Ngamini Ngui
    • 1
    • 2
    Email author
  • Philippe Apparicio
    • 3
  • Marie-Josée Fleury
    • 1
  • Jean-Pierre Grégoire
    • 4
  • Jocelyne Moisan
    • 4
  • Alain Lesage
    • 5
  • Alain Vanasse
    • 6
  1. 1.Centre de réadaptation en dépendance de MontréalInstitut UniversitaireMontrealCanada
  2. 2.Centre de Recherche-Hôpital Charles-Le Moyne (CR-HCLM)LongueuilCanada
  3. 3.Spatial Analysis and Regional Economics Laboratory, Centre Urbanisation Culture Société, Institut National de la Recherche ScientifiqueUniversité du QuébecMontrealCanada
  4. 4.Faculté de Pharmacie and Chair on Adherence to TreatmentsUniversité Laval and Centre de Recherche du CHU de QuébecLavalCanada
  5. 5.Centre de Recherche Fernand-SeguinInstitut Universitaire en Santé Mentale de MontréalMontrealCanada
  6. 6.Groupe PRIMUS, Centre de Recherche Étienne-LebelUniversité de SherbrookeSherbrookeCanada

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