How are immigrant background and gender associated with the utilisation of psychiatric care among adolescents?
How are immigrant background and gender associated with the utilisation of psychiatric care among adolescents?
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DOI：
10.1007/s00127-012-0589-3
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发表时间：
2013-05-01
影响因子：
4.4
通讯作者：
Levander, Marie Torstensson
中科院分区：
文献类型：
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作者：
Ivert, Anna-Karin;Merlo, Juan;Levander, Marie Torstensson
为了调查父母出生国和个人性别对青少年精神科护理利用率的影响，基于斯堪尼亚数据库中纵向多水平分析的数据，本文采用Logistic回归分析方法，分析了2005年瑞典南部斯堪尼亚郡13-18岁(n=92203)青少年的精神科门诊护理利用率。父母出生在中低收入国家的青少年精神科门诊护理利用率低于父母在瑞典南部斯堪尼亚郡的青少年。最初，没有发现精神科住院护理的使用与父母出生国家之间的联系。在对社会人口变量进行调整后，研究发现，父母出生在低收入国家的青少年不太可能使用精神科住院护理。女孩的精神护理利用率较高，但对可能相互作用的控制显示，这主要适用于父母出生在瑞典或其他高收入国家的女孩。在规划和设计青少年精神护理时，以及分配资源时，应该考虑到不同背景青少年之间的不同利用模式。我们的结果可能表明，父母出生在中等或低收入国家的青少年的心理健康问题水平较低，这意味着保护性因素补偿了与心理健康问题有关的其他应激源。另一方面，我们的发现可能表明，由于获得医疗保健的问题，医疗保健需求尚未得到满足。
To investigate how parental country of birth and individual gender affect utilisation of psychiatric care in adolescents.On the basis of data from the Longitudinal Multilevel Analysis in Scania database, the article employs logistic regression to analyse the utilisation of psychiatric care among adolescents aged 13-18 (n = 92203) who were living in the southern Swedish county of Scania in 2005.Adolescents whose parents were born in middle- or low-income countries presented lower levels of psychiatric outpatient care utilisation than those with native parents. Initially, no associations were found between the utilisation of psychiatric inpatient care and parental country of birth. Following adjustment for socio-demographic variables, it was found that adolescents with parents born in low-income countries were less likely to utilise psychiatric inpatient care. Girls presented higher levels of psychiatric care utilisation, but controls for possible interactions revealed that this was true primarily for girls with parents born in Sweden or other high-income countries.The different utilisation patterns found among adolescents with different backgrounds should be taken into consideration when planning and designing psychiatric care for adolescents, and when allocating resources. Our results may indicate lower levels of mental health problems among adolescents with parents born in middle- or low-income countries implying that protective factors compensate other stressors implicated in mental health problems. On the other hand, our findings may indicate an unmet health-care need as a result of problems accessing care.