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Impact of socioecon...
Impact of socioeconomic position and distance on mental health care utilization : a nationwide Danish follow-up study
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- Packness, Aake (author)
- University of Southern Denmark
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- Waldorff, Frans Boch (author)
- University of Southern Denmark
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- Christensen, René De Pont (author)
- University of Southern Denmark
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- Hastrup, Lene Halling (author)
- Region Zealand
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- Simonsen, Erik B. (author)
- University of Copenhagen
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- Vestergaard, Mogens (author)
- Aarhus University
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- Halling, Anders (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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(creator_code:org_t)
- 2017-08-28
- 2017
- English.
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In: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 52:11, s. 1405-1413
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http://dx.doi.org/10... (free)
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Abstract
Subject headings
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- Purpose: To determine the impact of socioeconomic position (SEP) and distance to provider on outpatient mental health care utilization among incident users of antidepressants. Method: A nationwide register-based cohort study of 50,374 person-years. Results: Persons in low SEP were more likely to have outpatient psychiatrist contacts [odds ratio (OR) 1.25; confidence interval (CI) 1.17–1.34], but less likely to consult a co-payed psychologist (OR 0.49; CI 0.46–0.53) and to get mental health service from a GP (MHS-GP) (OR 0.81; CI 0.77–0.86) compared to persons in high SEP after adjusting for socio-demographics, comorbidity and car ownership. Furthermore, persons in low SEP who had contact to any of these therapists tended to have lower rates of visits compared to those in high SEP. When distance to services increased by 5 km, the rate of visits to outpatient psychiatrist tended to decrease by 5% in the lowest income group (IRR 0.95; CI 0.94–0.95) and 1% in the highest (IRR 0.99; CI 0.99–1.00). Likewise, contact to psychologists decreased by 11% in the lowest income group (IRR 0.89; CI 0.85–0.94), whereas rate of visits did not interact. Conclusion: Patients in low SEP have relatively lower utilization of mental health services even when services are free at delivery; co-payment and distance to provider aggravate the disparities in utilization between patients in high SEP and patients in low SEP.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Access to health care
- Antidepressants
- Geographic information system
- Mental health services
- Socioeconomic factors
Publication and Content Type
- art (subject category)
- ref (subject category)
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