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American Journal of Epidemiology Vol. 94, No. 2: 118-125
Copyright © 1971 by The Johns Hopkins University School of Hygiene and Public Health

other

SELECTED ASPECTS OF THE EPIDEMIOLOGY OF PSYCHOSES IN CROATIA, YUGOSLAVIA

II. PILOT STUDIES OF COMMUNITIES1

ZIVKO KULCAR2, GUIDO M. CROCETTI3, PAUL V. LEMKAU4 and BRANKO KESIC5

2Department of Chronic Disease, Institute of Public Health of Croatia Zagreb, Yugoslavia
3Union Research Project, the Johns Hopkins University School of Medicine, Baltimore, Maryland 21205. During the study Mr. Crocetti was in the Department of Mental Hygiene, School of Hygiene and Public Health
4Department of Mental Hygiene, the Johns Hopkins University School of Hygiene and Public Health Baltimore, Maryland 21205
5Department of Public Health Administration, Andrija Stampar School of Public Health Zagreb, Yugoslavia

Kulcar, Z., G. M. Crocetti, P. V. Lemkau (Johns Hopkins Univ. School of Hygiene and Public Health, Baltimore, Md. 21205) and B. Kesic. Selected aspects of the epidemiology of psychoses in Croatia, Yugoslavia. II. Pilot studies of communities. Amer J Epidem 94: 118–125, 1971.—The second in a three-part series reports the methodology and results of surveys on the prevalence of psychoses in four Croatian communities in Yugoslavia: Trogir, Sinj, Popovaca-Kutina, and Labin. The first three communities lie in the postulated "control" area while Labin is in the "study" area, hypothesized to have high prevalence rates. The rate in Labin is higher than the rate in Trogir and Sinj to a statistically significant extent. The difference remains significant when age is controlled and is primarily due to the "functional" psychoses (ICD codes 300–303, Vllth revision). Since there is no evidence that Trogir, Sinj, and Popovaca-Kutina are typical of the whole of Croatia, and none that Labin is like the whole of the study area, these data are not represented as supporting the hypothesis of a higher prevalence of psychoses in the study area. A probability sample of Croatia, including both the study and control areas, is proposed as necessary to confirm that Croatia contains an area which has high prevalence rates for psychosis and to define the limits of the high rate area, if proven to exist.

epidemiology; hospitalization; interview, psychological; mental disorders; psychoses; schizophrenia

1This part of the study was supported by Grant #M-6606 (A) from the National Institute of Mental Health, U.S. Department of Health, Education and Welfare. Additional funds and services were supplied by the Andrija Stampar School of Public Health and the Croatian Institute of Public Health, both in Zagreb, and by local public health authorities in Yugoslavia.


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