Exploring Disparities in Behavioral Health Service Use in the Early Stages of the COVID-19 Pandemic.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Saahoon Hong, Betty Walton, Hea-Won Kim, Maryanne Kaboi, Stephanie Moynihan, Taeho Greg Rhee
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引用次数: 0

Abstract

Background: Previous studies examined the impact of the COVID-19 pandemic on mental health, but few studies looked at associations between the pandemic and state-funded behavioral health service utilization. We aimed to examine behavioral health service utilization during the early phase of COVID-19 among individuals with psychiatric disorders (PD), substance use disorders (SUD), and co-occurring disorders (COD).

Methods: Using the last Adult Needs and Strengths Assessment (ANSA) completed in 2019 and 2020 in a Midwestern state, a column proportion test and Poisson regression model examined the associations of the pandemic year, age, gender, race/ethnicity, diagnostic type, and behavioral health needs.

Results: Between 2019 and 2020, the number of adults newly involved in behavioral health services increased from 11,882 to 17,385. The number of total actionable items (TAI) differed by gender and age group. Adults who were Black or American Indian were more likely to have a significantly higher number of needs that interfered with functioning (β = 0.08; CI [0.06, 0.09]), (β = 0.16; CI [0.08, 0.23]), respectively, than White peers. Individuals with COD showed the highest number of needs (β = 0.27; CI [0.26, 0.28]) when compared to the needs of individuals with psychiatric disorders, after controlling for year, age, gender, and race/ethnicity.

Conclusions: Additional research is needed to better understand the intersections of age, gender identity, race/ethnicity, the complexity of needs, and useful strengths. The involvement of practitioners, service organizations, researchers, and policymakers will be required to provide accessible, effective behavioral health services with cultural and developmental adaptations to support recovery.

Abstract Image

探索 COVID-19 大流行初期行为健康服务使用的差异。
背景:以往的研究探讨了 COVID-19 大流行对心理健康的影响,但很少有研究探讨大流行与国家资助的行为健康服务利用率之间的关联。我们旨在研究在 COVID-19 的早期阶段,患有精神障碍 (PD)、药物使用障碍 (SUD) 和共存障碍 (COD) 的个体使用行为健康服务的情况:方法:利用2019年和2020年在美国中西部某州完成的最后一次成人需求与优势评估(ANSA),通过列比例检验和泊松回归模型研究了大流行年份、年龄、性别、种族/民族、诊断类型和行为健康需求之间的关联:在 2019 年至 2020 年期间,新参与行为健康服务的成年人数量从 11882 人增加到 17385 人。可执行项目总数(TAI)因性别和年龄组而异。与白人同龄人相比,黑人或美国印第安人更有可能出现明显较多的影响功能的需求(β = 0.08;CI [0.06,0.09])和(β = 0.16;CI [0.08,0.23])。在控制了年份、年龄、性别和种族/民族之后,与患有精神障碍的人相比,患有慢性阻塞性疾病的人的需求数量最多(β = 0.27;CI [0.26,0.28]):需要开展更多的研究,以更好地了解年龄、性别认同、种族/民族、需求的复杂性和有用的优势之间的交叉关系。需要从业人员、服务机构、研究人员和政策制定者的参与,以提供方便、有效的行为健康服务,并在文化和发展方面进行调整,以支持康复。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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