Utilisation and costs of mental health-related service use among adolescents.
Utilisation and costs of mental health-related service use among adolescents.
复制标题
青少年中与心理健康相关的服务使用的利用率和成本。
DOI：
10.1371/journal.pone.0273628
复制
发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
患有心理健康问题的青少年的高水平护理需求对公共部门构成了挑战，特别是在低收入和中等收入国家。我们估计了巴西青少年与精神疾病相关的健康，教育，刑事司法和社会护理服务使用的公共钱包的成本;并研究了精神病理学的轨迹及其对日常生活的影响，以及父母对精神疾病的污名，是否与服务利用率和成本相关。从一个前瞻性的社区队列（n = 1，400）的青少年报告的服务使用数据与巴西的单位成本相结合。Logistic回归和广义线性模型分别用于检查与服务使用和相关成本相关的因素。22%的精神疾病患者在过去12个月内使用过某种类型的心理健康服务。更高的服务使用率与被诊断为精神障碍有关（偶发性[OR = 2.49，95%CI = 1.44-4.30，p = 0.001]、缓解性[OR = 2.16，95%CI = 1.27-3.69，p = 0.005]或持续性[OR = 3.01，95%CI = 1.69-5.36，症状对青少年生活的影响更大（OR = 1.32，95%CI = 1.19-1.47，p<0.001），父母对精神疾病的耻辱感更低（OR = 1.12，95%CI = 1.05-1.20，p = 0.001）。服务使用的平均年成本为527.14美元（标准差）。= 908.10）。较高的费用与较高的疾病影响（β = 0.25，95%CI = 0.12-0.39，p<0.001）、较低的父母耻辱感（β = 0.12，95%CI = 0.02-0.23，p = 0.020）和白色种族（β = 0.55，95%CI = 0.04-1.07，p = 0.036）相关。心理健康问题对青少年日常生活的影响和父母对精神疾病的污名化态度是服务使用和费用的主要预测因素。
The high level of care needs for adolescents with mental health conditions represents a challenge to the public sector, especially in low and middle-income countries. We estimated the costs to the public purse of health, education, criminal justice and social care service use associated with psychiatric conditions among adolescents in Brazil; and examined whether the trajectory of psychopathology and its impact on daily life, and parental stigma towards mental illness, was associated with service utilisation and costs. Data on reported service use among adolescents from a prospective community cohort (n = 1,400) were combined with Brazilian unit costs. Logistic regression and generalised linear models were used to examine factors associated with service use and associated costs, respectively. Twenty-two percent of those who presented with a psychiatric disorder used some type of service for their mental health in the previous twelve months. Higher odds of service use were associated with having a diagnosed mental disorder (either incident, [OR = 2.49, 95%CI = 1.44–4.30, p = 0.001], remittent [OR = 2.16, 95%CI = 1.27–3.69, p = 0.005] or persistent [OR = 3.01, 95%CI = 1.69–5.36, p<0.001]), higher impact of symptoms on adolescent’s life (OR = 1.32, 95%CI = 1.19–1.47, p<0.001) and lower parental stigma toward mental illness (OR = 1.12, 95%CI = 1.05–1.20, p = 0.001). Average annual cost of service use was 527.14 USD (s.d. = 908.10). Higher cost was associated with higher disorder impact (β = 0.25, 95%CI = 0.12–0.39, p<0.001), lower parental stigma (β = 0.12, 95%CI = 0.02–0.23, p = 0.020) and white ethnicity (β = 0.55, 95%CI = 0.04–1.07, p = 0.036). The impact of mental health problems on adolescents’ daily lives and parental stigmatising attitudes toward mental illness were the main predictors of both service use and costs.
登录
查看更多内容
DOI：
10.1097/01.chi.0000120021.14101.ca
发表时间：
2004-06-01
影响因子：
13.3
作者：
Fleitlich-Bilyk, B;Goodman, R
通讯作者：
Goodman, R
影响因子：
6.4
作者：
Beecham, Jennifer K.;Green, Jonathan;Dunn, Graham
通讯作者：
Dunn, Graham
影响因子：
3.3
作者：
Fatori, Daniel;Salum, Giovanni;Graeff-Martins, Ana Soledade
通讯作者：
Graeff-Martins, Ana Soledade
影响因子：
8.1
作者：
Evans-Lacko, S.;Rose, D.;Thornicroft, G.
通讯作者：
Thornicroft, G.
DOI：
10.1007/s11414-010-9225-8
发表时间：
2011-07-01
影响因子：
1.9
作者：
Evans-Lacko, Sara E.;dosReis, Susan;Riley, Anne W.
通讯作者：
Riley, Anne W.