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Gender differences in the use of mental health services in a Barcelona area

机译:巴塞罗那地区在使用心理健康服务方面的性别差异

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Background and Objectives: The exploration of the use of specialised mental health services and the prevalence of mental disorders recorded by these services is important when planning and adapting the various mental health services to real users' needs. The fact of being a woman has repeatedly proved to be a predicting factor for higher service use and this could imply than such needs may vary according to gender. The objectives of our study are: to analyse the attended prevalence in both out-patient and hospital services data as per diagnoses according to gender, and to analyse the use of hospital care services with respect to diagnoses according to gender. Methods: The sample for this observational and retrospective study (n = 65,465) is comprised of everyone who visited any of the Sant Joan de Déu-SSM mental health services between 2002 and 2007. Main measures: total number of consultations, and number and length of hospitalisations. Results: Women presented higher attended prevalence. Men show a higher risk of a first hospitalisation and longer length of admissions. Among the group of admitted patients, the number of women is higher. With regard to diagnosis, gender influences the attended prevalence. Regarding hospitalisation, we find differences in patients with schizophrenia and other mood disorders. Conclusions: The main result is that women have a higher attended prevalence of mental disorders than men. In the total sample, women have a higher number of hospitalisations although men have a higher risk of a first hospitalisation and their stays prove to be longer. When taking diagnosis into account, gender differences are greater in attended prevalence than in number and length of hospitalisations.
机译:背景和目标:在计划和调整各种心理健康服务以满足实际用户的需求时,探索专用心理健康服务的使用以及这些服务记录的精神障碍患病率非常重要。妇女的事实已被反复证明是较高服务水平的预测因素,这可能暗示着这种需求可能会随性别而变化。我们研究的目的是:根据性别对分析的门诊和医院服务数据进行分析,并根据性别对医院护理服务的使用进行分析。方法:这项观察性和回顾性研究的样本(n = 65,465)由2002年至2007年期间访问过任何Sant Joan deDéu-SSM心理健康服务机构的所有人组成。主要指标:咨询总数,数量和期限住院人数。结果:妇女的出席率较高。男性首次住院的风险较高,住院时间更长。在入院患者中,女性人数较高。关于诊断,性别会影响人们的患病率。关于住院,我们发现精神分裂症和其他情绪障碍患者存在差异。结论:主要结果是女性的精神疾病患病率高于男性。在总体样本中,女性的住院次数更高,而男性的首次住院风险更高,而且他们的住院时间更长。考虑到诊断后,就诊患病率的性别差异要比住院次数和住院时间长得多。

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