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大衰退之前及期间心理健康护理使用方面的性别和种族/民族差异

Gender and Race/Ethnicity Differences in Mental Health Care Use before and during the Great Recession.

作者信息

Chen Jie, Dagher Rada

机构信息

Department of Health Services Administration, School of Public Health, University of Maryland, 3310A School of Public Health Building, College Park, MD, 20742-2611, USA.

Department of Health Services Administration, School of Public Health, University of Maryland, 3310B School of Public Health Building, College Park, MD, 20742-2611, USA.

出版信息

J Behav Health Serv Res. 2016 Apr;43(2):187-99. doi: 10.1007/s11414-014-9403-1.

Abstract

This study examines the changes in health care utilization for mental health disorders among patients who were diagnosed with depressive and/or anxiety disorders during the Great Recession 2007-2009 in the USA. Negative binomial regressions are used to estimate the association of the economic recession and mental health care use for females and males separately. Results show that prescription drug utilization (e.g., antidepressants, psychotropic medications) increased significantly during the economic recession 2007-2009 for both females and males. Physician visits for mental health disorders decreased during the same period. Results show that racial disparities in mental health care might have increased, while ethnic disparities persisted during the Great Recession. Future research should separately examine mental health care utilization by gender and race/ethnicity.

摘要

本研究考察了2007 - 2009年美国大衰退期间被诊断患有抑郁症和/或焦虑症的患者在心理健康障碍方面的医疗保健利用情况变化。使用负二项回归分别估计经济衰退与女性和男性心理健康护理使用之间的关联。结果显示,在2007 - 2009年经济衰退期间,女性和男性的处方药使用量(如抗抑郁药、精神药物)均显著增加。同期因心理健康障碍而进行的医生问诊次数减少。结果表明,在大衰退期间,心理健康护理方面的种族差异可能有所增加,而族裔差异依然存在。未来的研究应分别按性别和种族/族裔来考察心理健康护理的利用情况。

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