Gender Differences in the Use of Mental Health-Related Services: A Re-Examination

Objective. To test the gender differences in tenderness, impact of fibromyalgia, health-related quality of life, fatigue, sleep quality, mental health, cognitive performance, pain-cognition, and positive health in Spanish fibromyalgia patients and in age-matched nonfibromyalgia individuals from the same region. To test the optimal cut-off score of the different tender points for women and men.Methods. A total of 405 (384 women) fibromyalgia versus 247 (195 women) nonfibromyalgia control participants from southern Spain (Andalusia) took part in this cross-sectional study. The outcomes studied were assessed by means of several tests.Results. In the fibromyalgia group, men showed better working memory than women (all,P<0.01), whereas sleep latency was lower in women compared to men (P=0.013). In the nonfibromyalgia group, men showed higher pain threshold in all the tender points (all,P<0.01), except in right and left lateral epicondyle. Furthermore, men showed better working memory than women (all,P<0.01), whereas memory performance was better in women compared to men (all,P≤0.01).Conclusion. The results of the present study do not support consistent evidence of gender differences in fibromyalgia-related symptoms. However, it seems that detriment of some symptoms (especially pain) in fibromyalgia men compared with their nonfibromyalgia counterparts is greater than those of fibromyalgia women compared with their nonfibromyalgia peers.

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My use of mental health related services

Advances in Mental Health and Learning Disabilities ◽

10.1108/17530180200700041 ◽

2007 ◽

Vol 1 (4) ◽

pp. 29-32 ◽

Cited By ~ 4

Author(s):

Thomas Madar

Keyword(s):

Mental Health ◽

Related Services ◽

Health Related

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Gender Differences in Youth Suicide and Healthcare Service Use

Crisis ◽

10.1027/0227-5910/a000387 ◽

2016 ◽

Vol 37 (4) ◽

pp. 290-298 ◽

Cited By ~ 4

Author(s):

Samantha Gontijo Guerra ◽

Helen-Maria Vasiliadis

Keyword(s):

Mental Health ◽

Gender Differences ◽

Healthcare Service ◽

Service Use ◽

Healthcare Providers ◽

Healthcare Services ◽

Outpatient Services ◽

Health Related ◽

Healthcare Service Use ◽

Ed Visits

Abstract. Background: Healthcare service use among suicide decedents must be well characterized and understood since a key strategy for preventing suicide is to improve healthcare providers' ability to effectively detect and treat those in need. Aims: To determine gender differences in healthcare service use 12 months prior to suicide. Method: Data for 1,231 young Quebec residents (≤ 25 years) who died by suicide between 2000 and 2007 were collected from public health insurance agency databases and coroner registers. Healthcare visits were categorized according to the setting (emergency department [ED], outpatient, and hospital) and their nature (mental health vs. non-mental health). Results: Girls were more likely than boys (82.5% vs. 74.9%, p = .011) to have used healthcare services in the year prior to death. A higher proportion of girls had used outpatient services (79.0% vs. 69.5%, p = .003), had been hospitalized (25.7% vs. 15.6%, p < .001) and had received a mental health-related diagnosis (46.7% vs. 33.1%, p < .001). However, no gender differences were observed in ED visits (59.5% vs. 54.5%, p = .150). Conclusion: There is an important proportion of suicide decedents who did not receive a mental health diagnosis and healthcare services in the year prior to death. Future studies should focus on examining gender-specific individual and health system barriers among suicide decedents as well as the quality of care offered regarding detection and treatment.

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Association between perceived stress, multimorbidity and primary care health services: a Danish population-based cohort study

BMJ Open ◽

10.1136/bmjopen-2017-018323 ◽

2018 ◽

Vol 8 (2) ◽

pp. e018323 ◽

Cited By ~ 9

Author(s):

Anders Prior ◽

Mogens Vestergaard ◽

Karen Kjær Larsen ◽

Morten Fenger-Grøn

Keyword(s):

Mental Health ◽

Primary Care ◽

Perceived Stress ◽

Chronic Care ◽

Population Based ◽

Related Services ◽

Out Of Hours ◽

Care Services ◽

Health Related ◽

Health Registers

ObjectivesMental stress is common in the general population. Mounting evidence suggests that mental stress is associated with multimorbidity, suboptimal care and increased mortality. Delivering healthcare in a biopsychosocial context is key for general practitioners (GPs), but it remains unclear how persons with high levels of perceived stress are managed in primary care. We aimed to describe the association between perceived stress and primary care services by focusing on mental health-related activities and markers of elective/acute care while accounting for mental–physical multimorbidity.DesignPopulation-based cohort study.SettingPrimary healthcare in Denmark.Participants118 410 participants from the Danish National Health Survey 2010 followed for 1 year. Information on perceived stress and lifestyle was obtained from a survey questionnaire. Information on multimorbidity was obtained from health registers.Outcome measuresGeneral daytime consultations, out-of-hours services, mental health-related services and chronic care services in primary care obtained from health registers.ResultsPerceived stress levels were associated with primary care activity in a dose–response relation when adjusted for underlying conditions, lifestyle and socioeconomic factors. In the highest stress quintile, 6.8% attended GP talk therapy (highest vs lowest quintile, adjusted incidence rate ratios (IRR): 4.96, 95% CI 4.20 to 5.86), 3.3% consulted a psychologist (IRR: 6.49, 95% CI 4.90 to 8.58), 21.5% redeemed an antidepressant prescription (IRR: 4.62, 95% CI 4.03 to 5.31), 23.8% attended annual chronic care consultations (IRR: 1.22, 95% CI 1.16 to 1.29) and 26.1% used out-of-hours services (IRR: 1.47, 95% CI 1.51 to 1.68). For those with multimorbidity, stress was associated with more out-of-hours services, but not with more chronic care services.ConclusionPersons with high stress levels generally had higher use of primary healthcare, 4–6 times higher use of mental health-related services (most often in the form of psychotropic drug prescriptions), but less timely use of chronic care services.

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(Pharmaco)economic evaluations for mental health related services: the PECUNIA project

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.574 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Simon ◽

A Konnopka ◽

V Brodszky ◽

S Evers ◽

L Hakkaart-van Roijen ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Health Services ◽

Resource Use ◽

Mental Health Disorders ◽

Economic Evaluations ◽

Related Services ◽

Health Related ◽

Health Disorders ◽

Societal Impacts

Abstract Background Mental health disorders affect large proportions of the general public resulting in serious cost consequences even beyond the health care sector. The PECUNIA project (EU H2020 grant agreement No 779292) aims to establish standardised costing and outcome assessment measures for optimised healthcare provision in the EU for multi-sectoral, multi-national and multi-person (pharmaco)economic evaluations using selected mental health disorders as illustrative examples. Methods Harmonised Identification, Definition, Measurement and Valuation of service costs in multiple sectors (health care, social care, criminal justice, education, productivity, patient, family). Reviews and surveys of mental health related services and other resource use in six European countries (AT, DE, ES, HU, NL, UK) to develop a new harmonised costing concept and related tools. Results We identified many taxonomical and conceptual discrepancies which currently hinder harmonized costing efforts and comparability of economic evaluations/HTAs across countries and sectors. The 'PECUNIA care atom', a new multi-sectoral costing concept forms the basis of resource item classification and international coding of mental health related services using the DESDE-PECUNIA system. Linked, harmonized tools such as the PECUNIA-European Resource Use Measurement instrument and the PECUNIA-European Reference Unit Costing Templates have been developed and are currently deployed in six countries to establish a PECUNIA-European Unit Cost Compendium alongside pan-European outcome evaluation methods. Conclusions The PECUNIA tools will lead to better understanding of the variations in costs and outcomes of mental health services/interventions within and across countries, and improve the feasibility, quality, comparability and transferability of (pharmaco)economic evaluations and HTAs in Europe. They also allow the harmonized measurement of broader economic and societal impacts of mental health services. Key messages The PECUNIA project developed compatible European multi-sectoral, multi-national and multi-person costing and outcome assessment tools. Methods & tools allow the harmonised measurement of broader economic & societal impacts of mental health related services, and improve the transferability & comparability of economic evaluations/HTAs.

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Use of Mental Health–Related Services Among Immigrant and US-Born Asian Americans: Results From the National Latino and Asian American Study

American Journal of Public Health ◽

10.2105/ajph.2006.098541 ◽

2007 ◽

Vol 97 (1) ◽

pp. 91-98 ◽

Cited By ~ 333

Author(s):

Jennifer Abe-Kim ◽

David T. Takeuchi ◽

Seunghye Hong ◽

Nolan Zane ◽

Stanley Sue ◽

...

Keyword(s):

Mental Health ◽

Asian Americans ◽

Asian American ◽

American Study ◽

Related Services ◽

Health Related

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The Public Cost of Mental Health– and Addiction-Related Services for Youth (Ages 12-17) in Alberta

The Canadian Journal of Psychiatry ◽

10.1177/0706743718795676 ◽

2018 ◽

Vol 64 (5) ◽

pp. 323-328 ◽

Cited By ~ 1

Author(s):

Philip Jacobs ◽

Alain Lesage

Keyword(s):

Mental Health ◽

Public Schools ◽

Mental Health Services ◽

Health Services ◽

Community Mental Health Services ◽

Provincial Government ◽

Hospital Inpatient ◽

Related Services ◽

Health Related ◽

Alberta Health

Objective: To measure the provincial government cost of mental health–related activities for youth ages 12 to 17 in Alberta in 2014 to 2015. Methods: The target population was Alberta youth ages 12 to 17 (the federal justice definition) who received or were funded for mental health–related or complementary services from Alberta Health Services, Alberta Health, Alberta Human Services, Alberta Justice and Solicitor General, and Alberta Education (public schools). Data on services and expenditures were obtained from each source for the target youth population. Results: Costs for mental health–related services for all ministries were $175 million for 27,169 youth who used mental health services as defined by Policy Wise, $6460 per youth. Public school special education supplements for youth with emotional problems was the largest group, amounting to 30% of all costs. Other prominent sources of expenditures were hospital inpatient mental health services (18%), community mental health services (11%), physician mental health services (10%), and secure services with treatment requiring judicial approval (9%). Conclusion: Economists in several countries have developed countrywide measures of mental health expenditures and have used these to generate national benchmarks for mental health spending. We have estimated spending for Alberta provincial mental health and addiction services for a distinct and highly vulnerable group. This measure can be used to develop measures and benchmarks for other provinces, which will be valuable policy indicators.

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