Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists : a nationwide Danish follow-up study. / Packness, Aake; Wehberg, Sonja; Hastrup, Lene Halling; Simonsen, Erik; Søndergaard, Jens; Waldorff, Frans Boch.

I: Social Psychiatry and Psychiatric Epidemiology, Bind 56, 2021, s. 449–462.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Packness, A, Wehberg, S, Hastrup, LH, Simonsen, E, Søndergaard, J & Waldorff, FB 2021, 'Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study', Social Psychiatry and Psychiatric Epidemiology, bind 56, s. 449–462. https://doi.org/10.1007/s00127-020-01908-7

APA

Packness, A., Wehberg, S., Hastrup, L. H., Simonsen, E., Søndergaard, J., & Waldorff, F. B. (2021). Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study. Social Psychiatry and Psychiatric Epidemiology, 56, 449–462. https://doi.org/10.1007/s00127-020-01908-7

Vancouver

Packness A, Wehberg S, Hastrup LH, Simonsen E, Søndergaard J, Waldorff FB. Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study. Social Psychiatry and Psychiatric Epidemiology. 2021;56:449–462. https://doi.org/10.1007/s00127-020-01908-7

Author

Packness, Aake ; Wehberg, Sonja ; Hastrup, Lene Halling ; Simonsen, Erik ; Søndergaard, Jens ; Waldorff, Frans Boch. / Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists : a nationwide Danish follow-up study. I: Social Psychiatry and Psychiatric Epidemiology. 2021 ; Bind 56. s. 449–462.

Bibtex

@article{0964cd28ab554d11a73456cd2b4e6372,
title = "Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists: a nationwide Danish follow-up study",
abstract = "Purpose The purpose was to investigate inequalities in access to care among people with possible depression. Method In this nationwide register-based cohort study of 30,593 persons, we observed the association between socioeconomic position (SEP, education/income) and mental health care use (MHCU) four months before the date of first redeemed antidepressant (Index Date/ID) and 12 months afterwards-and time to contact to psychologist/psychiatrist (PP). Logistic, Poisson, and Cox regression models were used, adjusted for sex, age, cohabitation, and psychiatric comorbidity. Results Before ID, high SEP was associated with less GP contact (general practitioner), higher odds ratios for GP-Mental Health Counseling (GP-MHC), psychologist contact, and admissions to hospital. This disparity decreased the following 12 months for GP-MHC but increased for contact to psychologist; same pattern was seen for rate of visits. However, the low-income group had more contact to private psychiatrist. For the 25,217 individuals with no MHCU before ID, higher educational level was associated with almost twice the rate of contact to PP the following 12 months; for the high-income group, the rate was 40% higher. 10% had contact to PP within 40 days after ID in the group with higher education; whereas, 10% of those with a short education would reach PP by day 120. High-income group had faster access as well. Conclusion Being in high SEP was positively associated with MHCU, before and after ID, and more rapid PP contact, most explicit when measured by education. Co-payment for psychologist may divert care towards private psychiatrist for low-income groups.",
keywords = "Socioeconomic factors, Mental health services, Access to health care, Antidepressants, Inequality, GENERAL-PRACTITIONER, DEPRESSION, DISORDERS, DETERMINANTS, INEQUALITIES, PEOPLE, LIFE",
author = "Aake Packness and Sonja Wehberg and Hastrup, {Lene Halling} and Erik Simonsen and Jens S{\o}ndergaard and Waldorff, {Frans Boch}",
year = "2021",
doi = "10.1007/s00127-020-01908-7",
language = "English",
volume = "56",
pages = "449–462",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "Springer Medizin",

}

RIS

TY - JOUR

T1 - Socioeconomic position and mental health care use before and after first redeemed antidepressant and time until subsequent contact to psychologist or psychiatrists

T2 - a nationwide Danish follow-up study

AU - Packness, Aake

AU - Wehberg, Sonja

AU - Hastrup, Lene Halling

AU - Simonsen, Erik

AU - Søndergaard, Jens

AU - Waldorff, Frans Boch

PY - 2021

Y1 - 2021

N2 - Purpose The purpose was to investigate inequalities in access to care among people with possible depression. Method In this nationwide register-based cohort study of 30,593 persons, we observed the association between socioeconomic position (SEP, education/income) and mental health care use (MHCU) four months before the date of first redeemed antidepressant (Index Date/ID) and 12 months afterwards-and time to contact to psychologist/psychiatrist (PP). Logistic, Poisson, and Cox regression models were used, adjusted for sex, age, cohabitation, and psychiatric comorbidity. Results Before ID, high SEP was associated with less GP contact (general practitioner), higher odds ratios for GP-Mental Health Counseling (GP-MHC), psychologist contact, and admissions to hospital. This disparity decreased the following 12 months for GP-MHC but increased for contact to psychologist; same pattern was seen for rate of visits. However, the low-income group had more contact to private psychiatrist. For the 25,217 individuals with no MHCU before ID, higher educational level was associated with almost twice the rate of contact to PP the following 12 months; for the high-income group, the rate was 40% higher. 10% had contact to PP within 40 days after ID in the group with higher education; whereas, 10% of those with a short education would reach PP by day 120. High-income group had faster access as well. Conclusion Being in high SEP was positively associated with MHCU, before and after ID, and more rapid PP contact, most explicit when measured by education. Co-payment for psychologist may divert care towards private psychiatrist for low-income groups.

AB - Purpose The purpose was to investigate inequalities in access to care among people with possible depression. Method In this nationwide register-based cohort study of 30,593 persons, we observed the association between socioeconomic position (SEP, education/income) and mental health care use (MHCU) four months before the date of first redeemed antidepressant (Index Date/ID) and 12 months afterwards-and time to contact to psychologist/psychiatrist (PP). Logistic, Poisson, and Cox regression models were used, adjusted for sex, age, cohabitation, and psychiatric comorbidity. Results Before ID, high SEP was associated with less GP contact (general practitioner), higher odds ratios for GP-Mental Health Counseling (GP-MHC), psychologist contact, and admissions to hospital. This disparity decreased the following 12 months for GP-MHC but increased for contact to psychologist; same pattern was seen for rate of visits. However, the low-income group had more contact to private psychiatrist. For the 25,217 individuals with no MHCU before ID, higher educational level was associated with almost twice the rate of contact to PP the following 12 months; for the high-income group, the rate was 40% higher. 10% had contact to PP within 40 days after ID in the group with higher education; whereas, 10% of those with a short education would reach PP by day 120. High-income group had faster access as well. Conclusion Being in high SEP was positively associated with MHCU, before and after ID, and more rapid PP contact, most explicit when measured by education. Co-payment for psychologist may divert care towards private psychiatrist for low-income groups.

KW - Socioeconomic factors

KW - Mental health services

KW - Access to health care

KW - Antidepressants

KW - Inequality

KW - GENERAL-PRACTITIONER

KW - DEPRESSION

KW - DISORDERS

KW - DETERMINANTS

KW - INEQUALITIES

KW - PEOPLE

KW - LIFE

U2 - 10.1007/s00127-020-01908-7

DO - 10.1007/s00127-020-01908-7

M3 - Journal article

C2 - 32642803

VL - 56

SP - 449

EP - 462

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

ER -

ID: 244998696