Geographical Variations In Emergency Department Visits For Mental Health Conditions For Medicaid Beneficiaries

McConnell, K. John; Watson, Kelsey; Choo, Esther K.; Zhu, Jane M.

doi:10.1377/hlthaff.2022.00796

Cited by 2 publications

(7 citation statements)

References 35 publications

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“…However, we also observed geographical differences. Specifically, patients from the northern region, western region, inland area, and economically underdeveloped area exhibited more severe psychological symptoms, which might be related to the social and cultural environment, lifestyle, economic status, medical resources, and psychological support and social networks available to patients in different regions 21–24 . For instance, a previous study has shown that the lifestyle of patients with IBD can significantly influence the occurrence of depression, 21 and patients in economically underdeveloped regions may face greater stress and lack of social support, leading to an increase in psychological symptoms 23 .…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, patients from the northern region, western region, inland area, and economically underdeveloped area exhibited more severe psychological symptoms, which might be related to the social and cultural environment, lifestyle, economic status, medical resources, and psychological support and social networks available to patients in different regions. [21][22][23][24] For instance, a previous study has shown that the lifestyle of patients with IBD can significantly influence the occurrence of depression, 21 and patients in economically underdeveloped regions may face greater stress and lack of social support, leading to an increase in psychological symptoms. 23 These findings emphasize the importance of incorporating psychological management into the routine treatment of IBD and considering geographical factors when developing personalized psychological intervention strategies, 25,26 as the occurrence of psychological abnormality itself varies by region.…”

Section: Discussionmentioning

confidence: 99%

“…29 may suffer from a lack of health knowledge and poor health awareness, and areas with limited medical resources may result in patients being unable to receive timely treatment and support, thus affecting their QoL. 24 Moreover, residents in economically underdeveloped areas may struggle to afford high medical expenses, which could impact their access to effective treatment. [30][31][32] Therefore, providing appropriate medical and social support to improve the QoL of patients is an essential intervention goal.…”

Section: Discussionmentioning

confidence: 99%

“…For example, economically underdeveloped areas may have limited medical resources, leading to difficulties for patients in accessing timely treatment and support. 24,30 Lastly, individual factors such as educational level, lifestyle, and coping strategies might also contribute to the differences in psychological symptoms, sleep quality, and overall QoL between geographical regions. 35 For instance, dietary habits, exercise routines, and working environment in different regions could all impact patients' health conditions.…”

Section: Discussionmentioning

confidence: 99%

“…area had poorer QoL, which might be related to socioeconomic conditions, cultural beliefs, education level, medical resources, patient's treatment compliance, and social support systems within the geographical regions, as numerous studies have demonstrated that economic status, social welfare, and medical resources significantly influence patient's QoL 24,[30][31][32]. Regions with lower education levels T A B L E 3…”

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confidence: 99%

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Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

Liu,

Zhang,

et al. 2024

J of Digest Diseases

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ObjectiveWe aimed to explore the geographic differences in psychological symptoms, sleep quality, and quality of life (QoL) among adult patients with inflammatory bowel disease (IBD).MethodsA unified questionnaire was developed to collect data on psychological status and QoL of IBD patients from 42 hospitals across 22 provinces, municipalities, and autonomous regions in China's mainland from September 2021 to May 2022.ResultsA total of 2478 patients with IBD were surveyed. The proportions of patients with anxiety (28.5% vs 23.1%), depression (32.3% vs 27.8%), and poor QoL (44.8% vs 32.2%) were significantly higher in patients from the northern region compared to the southern region (all P < 0.05). In the western region, the proportions of patients with anxiety (31.9% vs 23.0%), depression (37.7% vs 26.7%), sleep disturbances (64.5% vs 58.5%), and poor QoL (44.9% vs 34.8%) were significantly higher than in the eastern and central regions (all P < 0.01). Patients from inland regions had significantly higher rates of anxiety (27.1% vs 23.3%), depression (32.5% vs 26.0%), sleep disturbance (62.0% vs 57.7%), and poor QoL (43.5% vs 29.9%) compared to those from coastal regions (all P < 0.05). In economically underdeveloped areas, the proportions of patients with depression (33.1% vs 28.5%) and poor QoL (52.0% vs 32.4%) were significantly higher than in economically (relatively) developed areas (both P < 0.05).ConclusionThere are significant geographic differences in psychological symptoms, sleep quality, and QoL among Chinese patients with IBD, which might provide valuable insights for global IBD research and clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

Liu,

Zhang,

et al. 2024

J of Digest Diseases

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Depressive Symptoms in Adolescence and Young Adulthood

Keyes,

Kreski,

Patrick

2024

JAMA Netw Open

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ImportanceDepressive symptoms have increased among US adolescents since 2010. It remains unclear as to what extent this increase will persist into young adulthood, potentially turning the youth mental health crisis into a young adult mental health crisis.ObjectiveTo test the association between birth cohort and adolescent depressive symptoms at ages 18, 19 to 20, and 21 to 22 years and changes in these symptoms by cohort.Design, Setting, and ParticipantsThis panel cohort study analyzed data from the Monitoring the Future longitudinal survey from 1990 to 2019, including birth cohorts from 1972 to 2001. Survey respondents were recruited from US high schools in 12th grade and were approximately aged 18 years (at baseline) through age 21 to 22 years (during mail and web follow-up). Data analysis was conducted from April to October 2023.ExposureDepressive symptoms score (&gt;12 vs ≤12, with &gt;12 representing top-decile scores) on a scale examining affective items (eg, “Life often seems meaningless”).Main Outcomes and MeasuresHigh (vs lower) depressive symptoms at ages 19 to 20 years and 21 to 22 years.ResultsThe 36 552 respondents included 18 597 females (50.5%), and most reported having a parent who graduated from college (44.8%). Among females, 19.1% (95% CI, 16.7%-21.4%) of the most recent birth cohort (born: 1997-2001) had high depressive symptoms at age 18 years, higher than any previous birth cohort. While prevalence declined by age 21 to 22 years, it remained higher than previous cohorts at that age. Among males, 13.4% (95% CI, 11.2%-15.6%) of the most recent birth cohort had high depressive symptoms at age 18 years, and prevalence increased through young adulthood. Males with high baseline depressive symptoms had 10.24 (95% CI, 7.01-14.97) times the odds of symptoms at age 19 to 20 years and 6.20 (95% CI, 3.93-9.78) times the odds of symptoms at age 21 to 22 years. Females with high baseline depressive symptoms had 9.16 (95% CI, 6.57-12.76) times the odds of symptoms at age 19 to 20 years and 7.28 (95% CI, 4.92-10.78) times the odds of symptoms at age 21 to 22 years. The magnitude of the associations did not vary over time. Population attributable fractions indicated that the total proportion of young adult symptoms associated with depressive symptoms at age 18 years among females has increased; in the most recent birth cohort, 55.25% (95% CI, 38.11%-65.13%) of depressive symptoms at age 21 to 22 years were associated with symptoms at age 18 years.Conclusions and RelevanceThis panel cohort study found that increases in depressive symptoms in adolescence persisted into young adulthood, suggesting the need for primary prevention and mental health resources during the adolescent years.

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Geographical Variations In Emergency Department Visits For Mental Health Conditions For Medicaid Beneficiaries

Cited by 2 publications

References 35 publications

Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

Depressive Symptoms in Adolescence and Young Adulthood

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