Research Centre of Gender, Health and Ageing, The University of Newcastle, Callaghan, New South Wales, Australia
The Australian Longitudinal Study on Women's Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Fam Med Community Health. 2022 Jun;10(2). doi: 10.1136/fmch-2021-001481.
Women suffering from mental health problems require varied needs of mental health service utilisation. Transition between general practitioner and mental health services use are available through the Better Access Scheme initiative, for those in need of treatment. The study's aim was to identify trajectories of mental health service utilisation by Australian women.
The Australian Longitudinal Study on Women's Health data linked to the administrative medical claims dataset were used to identify subgroups of women profiled by their mental health service use from 2006 to 2013. Latent growth mixture model is a statistical method to profile subgroups of individuals based on their responses to a set of observed variables allowing for changes over time. Latent class groups were identified, and used to examine predisposing factors associated with patterns of mental health service use change over time.
This study was conducted in Australia.
National representative sample of women of born in 1973-1978, who were aged between 28 and 33 years at the start of our study period.
Six latent class trajectories of women's mental health service use were identified over the period 2006-2013. Approximately, one-quarter of the sample were classified as the most recent users, while approximate equal proportions were identified as either early users, late/low user or late-high users. Additional, subgroups were defined as the consistent-reduced user and the late-high users, over time. Only 7.2% of the sample was classified as consistent high users who potentially used the services each year.
These findings suggest that use of the Better Access Scheme mental health services through primary care was varied over time and may be tailored to each individual's needs for the treatment of depressive symptoms.
患有心理健康问题的女性需要多样化的心理健康服务利用。对于需要治疗的人，可以通过“更好地获得服务计划”在全科医生和精神卫生服务之间进行过渡。本研究的目的是确定澳大利亚女性心理健康服务利用的轨迹。
使用澳大利亚妇女健康纵向研究的数据与行政医疗索赔数据集相关联，以确定从 2006 年至 2013 年按其心理健康服务利用情况对女性进行分类的亚组。潜在增长混合模型是一种根据个体对一组观察变量的反应来对个体进行分类的统计方法，允许随时间变化。确定了潜在类别组，并用于检查与随时间变化的心理健康服务利用模式相关的倾向因素。
本研究在澳大利亚进行。
在我们研究期间，出生于 1973-1978 年的具有代表性的女性样本，在研究开始时年龄在 28 至 33 岁之间。
在 2006-2013 年期间，确定了六种女性心理健康服务利用的潜在类别轨迹。大约四分之一的样本被归类为最近使用者，而大致相等的比例被归类为早期使用者、晚期/低使用者或晚期/高使用者。此外，随着时间的推移，还定义了亚组为持续减少使用者和晚期/高使用者。只有 7.2%的样本被归类为持续高使用者，他们可能每年都使用这些服务。
这些发现表明，通过初级保健利用“更好地获得服务计划”精神卫生服务的情况随时间而变化，并且可以根据每个人治疗抑郁症状的需求进行调整。
