Titre :
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Community study of people who live in squalor. (2000)
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Auteurs :
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G. HALLIDAY ;
S. BANERJEE ;
A. MACDONALD ;
M. PHILPOT
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Type de document :
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Article
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Dans :
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Lancet (The) (vol. 355, n° 9207, 2000)
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Pagination :
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882-886
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Langues:
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Anglais
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Mots-clés :
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Royaume Uni
;
Europe
;
Homme
;
Etat santé
;
Evaluation
;
Hygiène
;
Etiologie
;
Epidémiologie
;
Age
;
Association
;
Santé mentale
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Résumé :
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[BDSP. Notice produite par INIST yQ2cjR0x. Diffusion soumise à autorisation]. Background The reasons why people live in squalor have been the subject of much debate but little systematic research other than reports of case series from secondary health-care services. We did a study in the community using standardised instruments to investigate the relation between squalor and mental and physical disorders. Methods We did a cross-sectional study of the clients of a local-authority special cleaning service. Levels of domestic squalor and self neglect were measured with the living conditions rating scale, and diagnoses of mental disorder were made by use of WHO's schedules for clinical assessment in neuropsychiatry (SCAN). Findings 91 individuals were eligible for inclusion ; 81 from 76 households consented and were interviewed (a response rate of 89%). 41 (51%) were younger than 65 years of age. 57 individuals (70%) were diagnosed as having a mental disorder at interview, as defined by the SCAN, and 21 participants (26%) had a physical health problem which contributed significantly to the unclean state of their living environment. Those with a contributory physical disorder had a lower severity of domestic squalor. People older than 65 years were less likely to have a mental disorder than those younger than 65 years, but a contributory physical disorder was not associated with the presence of active mental disorder. Only 30 (53%) of the 57 individuals with active mental disorder had had any contact with mental-health services in the previous year. (...)
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