Utilization of mental health services by women in a male-dominated environment: the VA experience.
Utilization of mental health services by women in a male-dominated environment: the VA experience.
复制标题
女性在男性主导的环境中利用心理健康服务：退伍军人管理局的经验。
DOI：
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复制
发表时间：
1997
影响因子：
3.8
通讯作者：
Robert A. Rosenheck
中科院分区：
文献类型：
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作者：
Rani A. Hoff;Robert A. Rosenheck
目的
这项研究调查了退伍军人事务系统中的妇女使用心理健康服务的比率是否低于男子，因为该系统是为治疗主要是男性人口而设计的。
方法
在1991财政年度的两周期间，在VA利用专业精神卫生服务的患者的国家队列中获得数据（N = 70，979）。分析包括比较接受治疗的退伍军人中妇女的比例与所有退伍军人中经年龄调整的妇女比例，比较1991年使用任何一般精神病服务或药物滥用护理的可能性，比较1991年使用的服务强度。（住院日和门诊接触），并比较两年后接受护理的可能性和接受精神卫生服务的强度。
结果
总体而言，使用VA心理健康专业服务的退伍军人中有3.95%是女性;所有退伍军人中有4.02%是女性。在使用普通精神病服务方面，无论是在使用的可能性还是使用服务的强度方面，都没有发现性别之间的显著差异。然而，妇女接受药物滥用护理的可能性要小得多（妇女为16.3%，男子为71.2%）;一旦接受护理，她们使用类似强度的药物滥用服务。
结论
作为一名妇女似乎没有实质性的影响，整体获得退伍军人事务部精神卫生服务或使用一般精神病服务;但是，妇女使用退伍军人事务部药物滥用治疗服务的比率低于男子。
OBJECTIVE
The study examined whether women in the Veterans Affairs system use mental health services at a lower rate than men because the system is geared to treat a mostly male population.
METHODS
Data were obtained on a national cohort of patients utilizing specialty mental health services in the VA during a two-week period in fiscal year 1991 (N = 70,979). Analyses included comparison of the proportion of women among treated veterans with the age-adjusted proportion of women among all veterans, comparison across gender of the likelihood of use of any general psychiatric services or substance abuse care in 1991, comparison of the intensity of services used (inpatient days and outpatient contacts) by service users in 1991, and comparison of the likelihood of receiving care and the intensity of mental health services received two years later.
RESULTS
Overall, 3.95 percent of veterans who used VA mental health specialty services were women; 4.02 percent of all veterans were women. No significant differences between genders were found in use of general psychiatric services, either in the likelihood of any use or the intensity of services used. However, women were significantly less likely to receive substance abuse care (16.3 percent of women versus 71.2 percent of men); once receiving care, they used a similar intensity of substance abuse services.
CONCLUSIONS
Being a woman does not appear to have a substantial effect on overall access to VA mental health services or use of general psychiatric services; however, women use VA substance abuse treatment services at a lower rate than men.