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Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

BACKGROUND: To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level...

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Autores principales: Mitchell, Rebecca J, McMaugh, Anne, Lystad, Reidar P, Cameron, Cate M, Nielssen, Olav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670362/
https://www.ncbi.nlm.nih.gov/pubmed/36384531
http://dx.doi.org/10.1186/s12913-022-08789-3
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author Mitchell, Rebecca J
McMaugh, Anne
Lystad, Reidar P
Cameron, Cate M
Nielssen, Olav
author_facet Mitchell, Rebecca J
McMaugh, Anne
Lystad, Reidar P
Cameron, Cate M
Nielssen, Olav
author_sort Mitchell, Rebecca J
collection PubMed
description BACKGROUND: To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level matched cohort. METHOD: A population-based matched case-comparison retrospective cohort study of young people aged ≤ 18 years hospitalised for a mental disorder during 2005–2018 in New South Wales, Australia was conducted using linked birth, health, and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated for key demographics and mental disorder type by sex. RESULTS: Emergency department visits, hospital admissions and ambulatory mental health service contacts were all higher for males and females with a mental disorder than matched peers. Further hospitalisation risk was over 10-fold higher for males with psychotic (ARR 13.69; 95%CI 8.95–20.94) and anxiety (ARR 11.44; 95%CI 8.70-15.04) disorders, and for both males and females with cognitive and behavioural delays (ARR 10.79; 95%CI 9.30-12.53 and ARR 14.62; 95%CI 11.20-19.08, respectively), intellectual disability (ARR 10.47; 95%CI 8.04–13.64 and ARR 11.35; 95%CI 7.83–16.45, respectively), and mood disorders (ARR 10.23; 95%CI 8.17–12.80 and ARR 10.12; 95%CI 8.58–11.93, respectively) compared to peers. CONCLUSION: The high healthcare utilisation of young people with mental disorder supports the need for the development of community and hospital-based services that both prevent unnecessary hospital admissions in childhood and adolescence that can potentially reduce the burden and loss arising from mental disorders in adult life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08789-3.
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spelling pubmed-96703622022-11-18 Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort Mitchell, Rebecca J McMaugh, Anne Lystad, Reidar P Cameron, Cate M Nielssen, Olav BMC Health Serv Res Research BACKGROUND: To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level matched cohort. METHOD: A population-based matched case-comparison retrospective cohort study of young people aged ≤ 18 years hospitalised for a mental disorder during 2005–2018 in New South Wales, Australia was conducted using linked birth, health, and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated for key demographics and mental disorder type by sex. RESULTS: Emergency department visits, hospital admissions and ambulatory mental health service contacts were all higher for males and females with a mental disorder than matched peers. Further hospitalisation risk was over 10-fold higher for males with psychotic (ARR 13.69; 95%CI 8.95–20.94) and anxiety (ARR 11.44; 95%CI 8.70-15.04) disorders, and for both males and females with cognitive and behavioural delays (ARR 10.79; 95%CI 9.30-12.53 and ARR 14.62; 95%CI 11.20-19.08, respectively), intellectual disability (ARR 10.47; 95%CI 8.04–13.64 and ARR 11.35; 95%CI 7.83–16.45, respectively), and mood disorders (ARR 10.23; 95%CI 8.17–12.80 and ARR 10.12; 95%CI 8.58–11.93, respectively) compared to peers. CONCLUSION: The high healthcare utilisation of young people with mental disorder supports the need for the development of community and hospital-based services that both prevent unnecessary hospital admissions in childhood and adolescence that can potentially reduce the burden and loss arising from mental disorders in adult life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08789-3. BioMed Central 2022-11-16 /pmc/articles/PMC9670362/ /pubmed/36384531 http://dx.doi.org/10.1186/s12913-022-08789-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mitchell, Rebecca J
McMaugh, Anne
Lystad, Reidar P
Cameron, Cate M
Nielssen, Olav
Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title_full Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title_fullStr Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title_full_unstemmed Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title_short Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
title_sort health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670362/
https://www.ncbi.nlm.nih.gov/pubmed/36384531
http://dx.doi.org/10.1186/s12913-022-08789-3
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