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Gender Differences in Service Use in a Sample of People with Schizophrenia and Other Psychoses

机译:精神分裂症和其他精神病患者的服务使用中的性别差异

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Objective. The main objective is to analyze the use of mental health services in a sample of people with schizophrenia and other psychoses according to gender.Method. The sample of this observational and retrospective study (n=7483) consisted of all the persons who visited any mental health service of the Parc Sanitari Sant Joan de Déu from 2001 to 2007 with a diagnosis of schizophrenia and other psychoses. The main measures analyzed regarding gender were the frequency of patients for each diagnosis, their risk of being admitted into hospital, and the number and length of hospitalizations for the subsample of inpatient people during the study period.Results. Men are more frequent in the total sample (58.1%). For diagnosis of schizoaffective or delusional disorder, women have a higher frequency than men. Women with diagnosis of schizophrenia have a lower risk of being admitted to the hospital (RR=0.84, 95% CI (0.72, 0.97)). We found a higher risk of longer stays for men with schizophrenia of the disorganized type (RR=0.49, 95% CI (0.30, 0.81)), undifferentiated (RR=0.41, 95% CI (0.27, 0.61)), or delusional disorder (RR=0.65, 95% CI (0.49, 0.87)).Conclusion. Gender of patients is a relevant variable in mental health service use by patients with schizophrenia and other psychoses.
机译:目的。主要目的是根据性别分析精神分裂症和其他精神病患者的心理健康服务使用情况。这项观察性和回顾性研究的样本(n = 7483)由2001年至2007年访问Sanitari Sant Joan deDéu医院任何精神卫生服务并诊断为精神分裂症和其他精神病的所有患者组成。在研究期间,关于性别的主要分析指标是患者的每次诊断频率,入院风险以及住院患者子样本的住院次数和住院时间。男性在总样本中更为频繁(58.1%)。为了诊断精神分裂症或妄想症,女性的发病率高于男性。诊断为精神分裂症的妇女入院的风险较低(RR = 0.84,95%CI(0.72,0.97))。我们发现患有杂乱型精神分裂症(RR = 0.49,95%CI(0.30,0.81)),未分化(RR = 0.41、95%CI(0.27,0.61))或妄想障碍的男性有更长的逗留更长的风险(RR = 0.65,95%CI(0.49,0.87))。结论。患者的性别是精神分裂症和其他精神病患者在心理健康服务使用中的一个相关变量。

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