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Gender and outpatient mental health service use

Author

Listed:
  • Rhodes, Anne E.
  • Goering, Paula N.
  • To, Teresa
  • Williams, J. Ivan

Abstract

The purpose of this study is to describe gender differences in the use of outpatient mental health services and to identify potential determinants of this use. The study sample, N=7475 respondents 18-64 years, was drawn from the Mental Health Supplement to the Ontario Health Survey. For theoretical and empirical reasons, type of mental disorder was defined as: a Mood and/or Anxiety Disorder (Mood/Anx) or a Substance Use Disorder and/or Antisocial Behaviours (Subs/Asb) within the past year. Use was defined in relation to providers seen within the past year. Descriptive and multiple logistic regression analyses were employed including type of mental disorder, social and economic factors. Female gender remained positively associated with any use despite adjustments (adjusted OR: 1.7; 95% CI: 1.2; 2.4). The magnitude of this association was consistent across the levels of the study variables and various measures of use except volume of use where there were no gender differences. Mood/Anx appeared to mediate the gender-use relationship and was strongly associated with use (adjusted OR: 8.4; 95% CI: 5.9; 11.9). Subs/Asb was also related to use (adjusted OR: 2.6; 95% CI: 1.5; 4.3) but not to the same degree as Mood/Anx. Mood/Anx explained 60% of the crude Subs/Asb-use relationship. The evidence to suggest that Subs/Asb mediated the gender-use relationship was mixed. These findings raise questions about gender differences in illness and reporting behaviours and the health care system in its preferential treatment of women and those with Mood/Anx.

Suggested Citation

  • Rhodes, Anne E. & Goering, Paula N. & To, Teresa & Williams, J. Ivan, 2002. "Gender and outpatient mental health service use," Social Science & Medicine, Elsevier, vol. 54(1), pages 1-10, January.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:1:p:1-10
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    Cited by:

    1. Marie Halme & Päivi Rautava & Lauri Sillanmäki & Markku Sumanen & Sakari Suominen & Jussi Vahtera & Pekka Virtanen & Paula Salo, 2023. "Educational level and the use of mental health services, psychotropic medication and psychotherapy among adults with a history of physician diagnosed mental disorders," International Journal of Social Psychiatry, , vol. 69(2), pages 493-502, March.
    2. Abraczinskas, Michelle & Bory, Christopher & Plant, Robert, 2020. "Predictors of behavioral health service utilization in a medicaid enrolled sample of emerging adults," Children and Youth Services Review, Elsevier, vol. 108(C).
    3. Lukas Peter & Richard Reindl & Sigrid Zauter & Thomas Hillemacher & Kneginja Richter, 2019. "Effectiveness of an Online CBT-I Intervention and a Face-to-Face Treatment for Shift Work Sleep Disorder: A Comparison of Sleep Diary Data," IJERPH, MDPI, vol. 16(17), pages 1-11, August.
    4. Shannon, Candice A. & Rospenda, Kathleen M. & Richman, Judith A., 2007. "Workplace harassment patterning, gender, and utilization of professional services: Findings from a US national study," Social Science & Medicine, Elsevier, vol. 64(6), pages 1178-1191, March.
    5. Michelle Dey & Anthony Francis Jorm, 2017. "Social determinants of mental health service utilization in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 85-93, January.

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