Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey
Published version, also available at http://dx.doi.org/10.1186/s12913-015-1146-z Background: Overall, men are less likely than women to seek health care services for mental health problems, but differences between genders in higher age groups are equivocal. The aim of the current study was to invest...
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BioMed Central
2015
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Online Access: | https://hdl.handle.net/10037/8760 https://doi.org/10.1186/s12913-015-1146-z |
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ftunivtroemsoe:oai:munin.uit.no:10037/8760 2023-05-15T18:34:39+02:00 Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey Hansen, Anne Helen Høye, Anne 2015-10-22 https://hdl.handle.net/10037/8760 https://doi.org/10.1186/s12913-015-1146-z eng eng BioMed Central BMC Health Services Research (2015) 15:477 FRIDAID 1283858 doi:10.1186/s12913-015-1146-z 1472-6963 https://hdl.handle.net/10037/8760 URN:NBN:no-uit_munin_8330 openAccess VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Psychiatric specialist services Mental health care Health care utilisation Cross-sectional study Norway Journal article Tidsskriftartikkel Peer reviewed 2015 ftunivtroemsoe https://doi.org/10.1186/s12913-015-1146-z 2021-06-25T17:54:37Z Published version, also available at http://dx.doi.org/10.1186/s12913-015-1146-z Background: Overall, men are less likely than women to seek health care services for mental health problems, but differences between genders in higher age groups are equivocal. The aim of the current study was to investigate the association between gender and the use of psychiatric outpatient specialist services in Norway, both in a general population and in a subpopulation with self-reported anxiety and/or depression. Methods: Using questionnaires from 12,982 participants (30–87 years) in the cross-sectional sixth Tromsø Study (2007-8) we estimated proportions reporting anxiety/depression, and proportions using psychiatric outpatient specialist services in a year. By logistic regressions we studied the association between gender and the use of psychiatric outpatient specialist services. Analyses were adjusted for age, marital status, income, education, selfreported degree of anxiety/depression, and GP visits last year. Analyses were also performed for genders separately. Results: Anxiety/depression was reported by 21.5 % of women and 12.3 % of men in the general population. Visits to psychiatric outpatient services during one year were reported by 4.6 % of women and 3.3 % of men. The general population’s probability of a visit was significantly lower among men compared to women in ages 30–49 years (odds ratio [OR] 0.58, confidence interval [CI] 0.39–0.84, p-value [p] = 0.004), whereas men used services slightly more than women in ages 50 years and over (OR 1.36, CI 1.00–1.83, p = 0.047). Among those with anxiety/depression 13.5 % of women and 10.5 % of men visited psychiatric outpatient services in a year. We found no statistically significant gender differences in the use of services in this subgroup. Other factors associated with services use in women with anxiety/depression were higher education, more severe anxiety/ depression, and GP visits the last year, whereas in men only a more severe anxiety/depression was associated with psychiatric outpatient visits. Overall, the use of services decreased with higher age. Conclusions: Most people with self-reported anxiety/depression did not visit specialist outpatient clinics. This applies in particular to men aged 30–49 years, older individuals, and individuals with lower education. Gender differences in the use of services in the general population were dependent on age, whereas in the subgroup with anxiety/depression gender differences were not confirmed. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø BMC Health Services Research 15 1 |
institution |
Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Psychiatric specialist services Mental health care Health care utilisation Cross-sectional study Norway |
spellingShingle |
VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Psychiatric specialist services Mental health care Health care utilisation Cross-sectional study Norway Hansen, Anne Helen Høye, Anne Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Psychiatric specialist services Mental health care Health care utilisation Cross-sectional study Norway |
description |
Published version, also available at http://dx.doi.org/10.1186/s12913-015-1146-z Background: Overall, men are less likely than women to seek health care services for mental health problems, but differences between genders in higher age groups are equivocal. The aim of the current study was to investigate the association between gender and the use of psychiatric outpatient specialist services in Norway, both in a general population and in a subpopulation with self-reported anxiety and/or depression. Methods: Using questionnaires from 12,982 participants (30–87 years) in the cross-sectional sixth Tromsø Study (2007-8) we estimated proportions reporting anxiety/depression, and proportions using psychiatric outpatient specialist services in a year. By logistic regressions we studied the association between gender and the use of psychiatric outpatient specialist services. Analyses were adjusted for age, marital status, income, education, selfreported degree of anxiety/depression, and GP visits last year. Analyses were also performed for genders separately. Results: Anxiety/depression was reported by 21.5 % of women and 12.3 % of men in the general population. Visits to psychiatric outpatient services during one year were reported by 4.6 % of women and 3.3 % of men. The general population’s probability of a visit was significantly lower among men compared to women in ages 30–49 years (odds ratio [OR] 0.58, confidence interval [CI] 0.39–0.84, p-value [p] = 0.004), whereas men used services slightly more than women in ages 50 years and over (OR 1.36, CI 1.00–1.83, p = 0.047). Among those with anxiety/depression 13.5 % of women and 10.5 % of men visited psychiatric outpatient services in a year. We found no statistically significant gender differences in the use of services in this subgroup. Other factors associated with services use in women with anxiety/depression were higher education, more severe anxiety/ depression, and GP visits the last year, whereas in men only a more severe anxiety/depression was associated with psychiatric outpatient visits. Overall, the use of services decreased with higher age. Conclusions: Most people with self-reported anxiety/depression did not visit specialist outpatient clinics. This applies in particular to men aged 30–49 years, older individuals, and individuals with lower education. Gender differences in the use of services in the general population were dependent on age, whereas in the subgroup with anxiety/depression gender differences were not confirmed. |
format |
Article in Journal/Newspaper |
author |
Hansen, Anne Helen Høye, Anne |
author_facet |
Hansen, Anne Helen Høye, Anne |
author_sort |
Hansen, Anne Helen |
title |
Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
title_short |
Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
title_full |
Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
title_fullStr |
Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
title_full_unstemmed |
Gender differences in the use of psychiatric outpatient specialist services in Tromsø, Norway are dependent on age: a population-based cross-sectional survey |
title_sort |
gender differences in the use of psychiatric outpatient specialist services in tromsø, norway are dependent on age: a population-based cross-sectional survey |
publisher |
BioMed Central |
publishDate |
2015 |
url |
https://hdl.handle.net/10037/8760 https://doi.org/10.1186/s12913-015-1146-z |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
BMC Health Services Research (2015) 15:477 FRIDAID 1283858 doi:10.1186/s12913-015-1146-z 1472-6963 https://hdl.handle.net/10037/8760 URN:NBN:no-uit_munin_8330 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s12913-015-1146-z |
container_title |
BMC Health Services Research |
container_volume |
15 |
container_issue |
1 |
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1766219508604731392 |