Anti-depressant demand is especially booming in Wales and northern England. Says Easton:
The top seven [districts for anti-depressant prescription] are all Welsh Local Health Boards (LHBs) in a small area in the south of the country. Of the top thirty prescribers, 12 are in Wales and 10 are Primary Care Trusts (PCTs) in the north-east of England.Those two areas have relatively high rates of unemployment. Easton also points out, though, that London, which has lots of poor folks, has some of the lowest rates of anti-depressant use; so a simple correlation to economic factors can't explain away all the trends. Beyond that: is it too trite to say that northern England is just a more depressing place to live than London? There's the bad economy, but there's also the erosion of infrastructure, the past-their-primeness of cities and institutions, and the general sense of malaise of a region whose industrial might peaked during some century other than the one we're in. If, as in my imagined picture of the place (which I have never visited), the actual north ofEngland is like the Michigan or Upstate New York of The UK, I think that maybe no great exegesis is needed to explain the region's higher anti-depressant use.
We even see a local health authority prescribing at a rate greater than one prescription for 10 patients. In Torfaen, the area around Pontypool in south Wales, GPs handed out 104 prescriptions per 1,000 patients during January. This appears to be an astonishing level of anti-depressant use. GPs we have contacted blame a shortage of counselling for the high prescribing levels.
Regarding Wales, though, I don't have any overly simplistic and ignorant opinions to offer. Commenters on Easton's blog variously suggest the availability of free scrips in Wales; decrepit housing; unaffordable housing; oldness of the population; poor whiteness of the population; the social history of the region; the fecklessness of Labour politicians; Thatcher's anti-union policies; and average annual rainfall. I will go out on a limb and say: some or all of those factors may or may not be involved.