Children and young people's consultation rates for psychosocial problems between 2016 and 2021 in the Netherlands.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-06-04 DOI:10.1080/13814788.2024.2357780
Lukas B M Koet, Premysl Velek, Patrick J E Bindels, Arthur M Bohnen, Evelien I T de Schepper, Heike Gerger
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引用次数: 0

Abstract

Background: Worldwide, there are concerns about declining mental health of children and young people (CYP).

Objectives: To examine trends in GP consultation rates for psychosocial problems and the impact of the COVID-19 pandemic.

Methods: We performed a population-based cohort study using electronic GP records of CYP (0-24 years) living in the Rotterdam metropolitan area between 2016 and 2021. We calculated monthly consultation rates for psychosocial problems, stratified by age group and sex. We used negative binomial models to model the pre-COVID-19 trend, and estimate expected rates post-COVID-19 onset. We modelled the effect of COVID-19 infection rate and school closure on consultation rates per sex and age group.

Results: The cohort increased from 64801 to 92093 CYP between January 2016 and December 2021. Median age was 12.5 years and 49.3% was female. Monthly consultation rates increased from 2,443 to 4,542 consultations per 100,000 patient months over the six years. This trend (RR 1.009, 95%CI 1.008-1.011) started well before the COVID-19 pandemic. Consultation rates of adolescent girls and young women increased most strongly. Between March and May 2020, there was a temporary reduction in consultation rates, whereupon these returned to expected levels. COVID-19 infection rate and school closures showed small but significant associations with consultation rates for psychosocial problems but this did not affect the overall trend. Although consultation rates for psychosocial problems increased, this increment was stable over the entire study period.

Conclusion: The COVID-19 pandemic did not significantly increase consultation rates for psychosocial problems in CYP. The consultation rates increased, especially in adolescent girls and young women.

2016 年至 2021 年荷兰儿童和青少年社会心理问题就诊率。
背景在世界范围内,儿童和青少年(CYP)的心理健康水平不断下降:研究全科医生心理社会问题咨询率的趋势以及 COVID-19 大流行的影响:我们利用 2016 年至 2021 年间居住在鹿特丹大都会地区的儿童和青少年(0-24 岁)的全科医生电子记录,开展了一项基于人群的队列研究。我们计算了按年龄组和性别分层的社会心理问题月就诊率。我们使用负二项模型来模拟 COVID-19 前的趋势,并估算出 COVID-19 后的预期发病率。我们模拟了 COVID-19 感染率和学校关闭对各性别和年龄组就诊率的影响:在 2016 年 1 月至 2021 年 12 月期间,队列从 64801 人增至 92093 人。中位年龄为 12.5 岁,49.3% 为女性。在这六年中,每 10 万个患者月的月就诊率从 2443 次增加到 4542 次。这一趋势(RR 1.009,95%CI 1.008-1.011)早在 COVID-19 大流行之前就已开始。少女和年轻女性的就诊率增长最为强劲。2020 年 3 月至 5 月期间,就诊率暂时下降,随后恢复到预期水平。COVID-19 感染率和学校关闭与心理社会问题的就诊率有微小但显著的关联,但这并不影响总体趋势。虽然社会心理问题的就诊率有所上升,但在整个研究期间,这一增幅保持稳定:结论:COVID-19 大流行并没有显著增加社区青年心理社会问题的就诊率。就诊率有所上升,尤其是少女和年轻女性。
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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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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