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Tytuł pozycji:

Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study.

Tytuł:
Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study.
Autorzy:
Packness A; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark. .; Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4200, Slagelse, Denmark. .
Wehberg S; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Hastrup LH; Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4200, Slagelse, Denmark.
Simonsen E; Psychiatric Research Unit, Psychiatry Region Zealand, Fælledvej 6, 4200, Slagelse, Denmark.; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Søndergaard J; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Waldorff FB; Section of General Practice and The Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Źródło:
Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2021 Mar; Vol. 56 (3), pp. 449-462. Date of Electronic Publication: 2020 Jul 08.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: [Berlin] : Springer International, [c1988-
MeSH Terms:
Mental Health*
Psychiatry*
Antidepressive Agents/therapeutic use ; Cohort Studies ; Denmark/epidemiology ; Follow-Up Studies ; Humans ; Socioeconomic Factors
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Grant Information:
15-000342 Health Research Foundation of Region Zealand
Contributed Indexing:
Keywords: Access to health care; Antidepressants; Inequality; Mental health services; Socioeconomic factors
Substance Nomenclature:
0 (Antidepressive Agents)
Entry Date(s):
Date Created: 20200710 Date Completed: 20210226 Latest Revision: 20210310
Update Code:
20240105
PubMed Central ID:
PMC7904708
DOI:
10.1007/s00127-020-01908-7
PMID:
32642803
Czasopismo naukowe
Purpose: The purpose was to investigate inequalities in access to care among people with possible depression.
Method: In this nationwide register-based cohort study of 30,593 persons, we observed the association between socioeconomic position (SEP, education/income) and mental health care use (MHCU) four months before the date of first redeemed antidepressant (Index Date/ID) and 12 months afterwards-and time to contact to psychologist/psychiatrist (PP). Logistic, Poisson, and Cox regression models were used, adjusted for sex, age, cohabitation, and psychiatric comorbidity.
Results: Before ID, high SEP was associated with less GP contact (general practitioner), higher odds ratios for GP-Mental Health Counseling (GP-MHC), psychologist contact, and admissions to hospital. This disparity decreased the following 12 months for GP-MHC but increased for contact to psychologist; same pattern was seen for rate of visits. However, the low-income group had more contact to private psychiatrist. For the 25,217 individuals with no MHCU before ID, higher educational level was associated with almost twice the rate of contact to PP the following 12 months; for the high-income group, the rate was 40% higher. 10% had contact to PP within 40 days after ID in the group with higher education; whereas, 10% of those with a short education would reach PP by day 120. High-income group had faster access as well.
Conclusion: Being in high SEP was positively associated with MHCU, before and after ID, and more rapid PP contact, most explicit when measured by education. Co-payment for psychologist may divert care towards private psychiatrist for low-income groups.

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