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The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study

Psychiatric disorders and substance abuse are barriers that limit access to timely treatment and can lead to Potentially Preventable Hospitalizations (PPH). The aim of this study is to identify the role played by gender in the association between mental health and PPH. Hospital discharge records (HD...

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Autores principales: Cedrone, Fabrizio, Catalini, Alessandro, Stacchini, Lorenzo, Berselli, Nausicaa, Caminiti, Marta, Mazza, Clara, Cosma, Claudia, Minutolo, Giuseppa, Di Martino, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690620/
https://www.ncbi.nlm.nih.gov/pubmed/36429414
http://dx.doi.org/10.3390/ijerph192214691
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author Cedrone, Fabrizio
Catalini, Alessandro
Stacchini, Lorenzo
Berselli, Nausicaa
Caminiti, Marta
Mazza, Clara
Cosma, Claudia
Minutolo, Giuseppa
Di Martino, Giuseppe
author_facet Cedrone, Fabrizio
Catalini, Alessandro
Stacchini, Lorenzo
Berselli, Nausicaa
Caminiti, Marta
Mazza, Clara
Cosma, Claudia
Minutolo, Giuseppa
Di Martino, Giuseppe
author_sort Cedrone, Fabrizio
collection PubMed
description Psychiatric disorders and substance abuse are barriers that limit access to timely treatment and can lead to Potentially Preventable Hospitalizations (PPH). The aim of this study is to identify the role played by gender in the association between mental health and PPH. Hospital discharge records (HDRs) from the Local Health Authority of Pescara (Italy) from 2015 to 2021 were examined and PPH were measured according to Prevention Quality Indicators (PQIs) provided by the Agency for Healthcare Research and Quality. In total, 119,730 HDRs were eligible for the study and 21,217 patients fell into the PQI categories. Mental health disorders and addictions were extracted from the HDRs through the Elixhauser Enhanced ICD-9-CM algorithm. The association between PQI hospitalization and some predictors considered was evaluated with multivariate logistic regression models. In males and females, alcohol abuse showed a protective role towards preventable admissions for PQI-90 (all types of conditions) and PQI-92 (chronic conditions). In contrast, there is a gender gap in accessibility to primary health care, especially for acute conditions leading to PPH. Indeed, in males, PQI-91 admissions for acute conditions were found to be positively associated with drug abuse, psychosis, and depression, whereas this was not the case for females.
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spelling pubmed-96906202022-11-25 The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study Cedrone, Fabrizio Catalini, Alessandro Stacchini, Lorenzo Berselli, Nausicaa Caminiti, Marta Mazza, Clara Cosma, Claudia Minutolo, Giuseppa Di Martino, Giuseppe Int J Environ Res Public Health Article Psychiatric disorders and substance abuse are barriers that limit access to timely treatment and can lead to Potentially Preventable Hospitalizations (PPH). The aim of this study is to identify the role played by gender in the association between mental health and PPH. Hospital discharge records (HDRs) from the Local Health Authority of Pescara (Italy) from 2015 to 2021 were examined and PPH were measured according to Prevention Quality Indicators (PQIs) provided by the Agency for Healthcare Research and Quality. In total, 119,730 HDRs were eligible for the study and 21,217 patients fell into the PQI categories. Mental health disorders and addictions were extracted from the HDRs through the Elixhauser Enhanced ICD-9-CM algorithm. The association between PQI hospitalization and some predictors considered was evaluated with multivariate logistic regression models. In males and females, alcohol abuse showed a protective role towards preventable admissions for PQI-90 (all types of conditions) and PQI-92 (chronic conditions). In contrast, there is a gender gap in accessibility to primary health care, especially for acute conditions leading to PPH. Indeed, in males, PQI-91 admissions for acute conditions were found to be positively associated with drug abuse, psychosis, and depression, whereas this was not the case for females. MDPI 2022-11-09 /pmc/articles/PMC9690620/ /pubmed/36429414 http://dx.doi.org/10.3390/ijerph192214691 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cedrone, Fabrizio
Catalini, Alessandro
Stacchini, Lorenzo
Berselli, Nausicaa
Caminiti, Marta
Mazza, Clara
Cosma, Claudia
Minutolo, Giuseppa
Di Martino, Giuseppe
The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title_full The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title_fullStr The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title_full_unstemmed The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title_short The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study
title_sort role of gender in the association between mental health and potentially preventable hospitalizations: a single-center retrospective observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690620/
https://www.ncbi.nlm.nih.gov/pubmed/36429414
http://dx.doi.org/10.3390/ijerph192214691
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