澳大利亚男性根据就业特征寻求治疗：来自 Ten to Men 研究的纵向研究。
Treatment seeking by employment characteristics among Australian males: a longitudinal study from the Ten to Men study.
机构信息
Centre for Health Equity, The University of Melbourne, Melbourne, 3010, Australia.
Centre for Mental Health, The University of Melbourne, Melbourne, 3010, Australia.
出版信息
Public Health. 2018 Dec;165:34-41. doi: 10.1016/j.puhe.2018.09.004. Epub 2018 Oct 22.
OBJECTIVES
Men are less likely to seek treatment for mental health problems than women; however, the structural employment-related factors influencing this relationship are unknown.
STUDY DESIGN
This is a prospective cohort study.
METHODS
Using the Australian Ten to Men cohort (N = 6447), we examined the relationship between being in a male-dominated occupation and treatment seeking from a mental health professional compared to being in a gender-equal occupation. Models were fit using logistic regression.
RESULTS
There was some evidence of a stepwise gradient between male-dominated occupations and treatment seeking for mental health problems. However, results were only significant for the most male-dominated occupations after adjustment (odds ratio [OR] 0.70, 95% confidence interval [CI] 0.52 to 0.94, P = 0.017). We also found evidence that individuals who more strongly adhered to masculine norms had a lower likelihood of treatment seeking (OR = 0.97, 95% CI 0.95 to 0.99, P = 0.004).
CONCLUSIONS
This supports the idea that occupational-related factors influence male treatment seeking for mental health problems.
目的
男性寻求心理健康问题治疗的可能性低于女性；然而，影响这种关系的结构性与就业相关的因素尚不清楚。
研究设计
这是一项前瞻性队列研究。
方法
使用澳大利亚 10 至男性队列（N=6447），我们研究了处于男性主导职业与寻求心理健康专业人士治疗与处于性别平等职业之间的关系。使用逻辑回归拟合模型。
结果
在男性主导职业和寻求心理健康问题治疗之间存在某种程度的逐步梯度的证据。然而，在调整后，只有最男性主导的职业结果才有统计学意义（比值比 [OR] 0.70，95%置信区间 [CI] 0.52 至 0.94，P=0.017）。我们还发现证据表明，更强烈遵守男性规范的个体寻求治疗的可能性较低（OR=0.97，95%CI 0.95 至 0.99，P=0.004）。
结论
这支持了就业相关因素影响男性寻求心理健康问题治疗的观点。
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