Utilization of physician mental health services by birthing parents with young children during the COVID-19 pandemic: a population-based, repeated cross-sectional study.

CMAJ open Pub Date : 2023-11-28 Print Date: 2023-11-01 DOI:10.9778/cmajo.20220239
John S Moin, Simone N Vigod, Lesley Plumptre, Natalie Troke, Irene Papanicolas, Walter P Wodchis, Geoff Anderson
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引用次数: 0

Abstract

Background: The COVID-19 pandemic and nonpharmaceutical interventions that reduced the spread of infection had impacts on social interaction, schooling and employment. Concerns have been raised about the impact of these disruptions on the mental health of high-risk groups, including birthing parents of young children.

Methods: This population-based, repeated cross-sectional study used health administrative databases in Ontario, Canada, to link children to birth parents and to measure subsequent mental health visits of birthing parents of younger (age 0-5 yr) and school-aged (6-12 yr) children. We used a repeated cross-sectional study design to estimate expected rates for visits to physicians for mental health diagnoses, based on prepandemic trends (March 2016-February 2020), and to compare those to observed visit rates during the March 2020-November 2021 period of the pandemic.

Results: We identified 2 cohorts: 986 870 birthing parents of younger children and 1 012 997 birthing parents of school-aged children. In both cohorts, observed visit rates were higher than expected in the June 2020-August 2020 quarter (incidence rate ratio [IRR] 1.13, 95% confidence interval [CI] 1.10-1.16; and IRR 1.10, 95% CI 1.07-1.13, respectively), peaked in December 2020-February 2021 (IRR 1.24, 95% CI 1.20-1.27; and IRR 1.20, 95% CI 1.16-1.23) and remained higher than expected in September 2021-November 2021 (IRR 1.12, 95% CI 1.08-1.16; and IRR 1.09, 95% CI 1.06-1.13). The increases were driven mostly by visits for mood and anxiety disorders, and trends in increases were similar across physician type, birthing-parent age and deprivation quintile.

Interpretation: The COVID-19 pandemic was associated with increased mental health visits for parents of young children. This raises concerns about mental health impacts and highlights the need to address these concerns.

COVID-19大流行期间带幼儿的分娩父母对医生心理健康服务的利用:一项基于人群的重复横断面研究
背景:COVID-19大流行和减少感染传播的非药物干预措施对社会交往、上学和就业产生了影响。人们对这些干扰对高危群体(包括育有幼儿的父母)心理健康的影响表示关切。方法:这项以人群为基础的重复横断面研究使用了加拿大安大略省的卫生管理数据库,将儿童与亲生父母联系起来,并测量年幼(0-5岁)和学龄(6-12岁)儿童的亲生父母随后的心理健康访问。我们使用了重复的横断面研究设计,根据大流行前的趋势(2016年3月至2020年2月)估计心理健康诊断的医生出诊率,并将其与大流行期间2020年3月至2021年11月期间观察到的出诊率进行比较。结果:我们确定了2个队列:986 870名幼儿的分娩父母和1 012 997名学龄儿童的分娩父母。在这两个队列中,观察到的2020年6月至2020年8月季度的就诊率均高于预期(发病率比[IRR] 1.13, 95%可信区间[CI] 1.10-1.16;和IRR 1.10, 95% CI分别为1.07-1.13),在2020年12月至2021年2月达到峰值(IRR 1.24, 95% CI 1.20-1.27;和IRR 1.20, 95% CI 1.16-1.23),并且仍然高于2021年9月至2021年11月的预期(IRR 1.12, 95% CI 1.08-1.16;IRR 1.09, 95% CI 1.06-1.13)。这一增长主要是由情绪和焦虑症引起的,在医生类型、出生父母年龄和贫困五分位数中,增长趋势相似。解释:COVID-19大流行与幼儿父母心理健康就诊次数增加有关。这引起了人们对心理健康影响的关切,并突出了解决这些关切的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.40
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