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

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

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Acknowledgments

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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Authors and Affiliations

  1. Centre de réadaptation en dépendance de Montréal, Institut Universitaire, Montreal, Canada

    André Ngamini Ngui & Marie-Josée Fleury

  2. Centre de Recherche-Hôpital Charles-Le Moyne (CR-HCLM), Longueuil, Canada

    André Ngamini Ngui

  3. Spatial Analysis and Regional Economics Laboratory, Centre Urbanisation Culture Société, Institut National de la Recherche Scientifique, Université du Québec, 385 rue Sherbrooke est, Montreal, QC, H2X 1E3, Canada

    Philippe Apparicio

  4. Faculté de Pharmacie and Chair on Adherence to Treatments, Université Laval and Centre de Recherche du CHU de Québec, Laval, QC, Canada

    Jean-Pierre Grégoire & Jocelyne Moisan

  5. Centre de Recherche Fernand-Seguin, Institut Universitaire en Santé Mentale de Montréal, Montreal, QC, Canada

    Alain Lesage

  6. Groupe PRIMUS, Centre de Recherche Étienne-Lebel, Université de Sherbrooke, Sherbrooke, Canada

    Alain Vanasse

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  1. André Ngamini Ngui
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  2. Philippe Apparicio
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  3. Marie-Josée Fleury
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  4. Jean-Pierre Grégoire
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  7. Alain Vanasse
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Correspondence to André Ngamini Ngui.

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Ngamini Ngui, A., Apparicio, P., Fleury, MJ. et al. Disentangling the influence of neighborhood and individual characteristics on early residential mobility among newly diagnosed patients with schizophrenia: a multilevel analysis. Soc Psychiatry Psychiatr Epidemiol 49, 1569–1578 (2014). https://doi.org/10.1007/s00127-014-0883-3

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