新南威尔士智障和精神障碍妇女的人口和诊断概况以及服务使用模式:数据关联研究

IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL
Erin L. Whittle, Karen Fisher, Preeyaporn Srasuekbul, Julian Trollor
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引用次数: 0

摘要

背景目前的证据表明,智力残疾和性别都是造成服务使用情况不同的因素。然而,有关使用精神健康服务的智障人士的人口统计和服务使用模式的数据却很有限。对于患有精神疾病的智障女性来说,情况尤其如此。对大规模链接数据集进行查询可以为了解边缘化群体的服务使用模式提供有价值的信息。方法 澳大利亚新南威尔士州(NSW)开展了一个大型合作数据链接项目,其总体目标是提供智障人士的健康(包括精神健康)、医疗服务使用、死亡率和与其他服务系统接触的流行病学概况。这些关联数据被用于分析新南威尔士州寻求精神健康支持的智障女性的人口统计学、诊断和服务使用概况。结果关联数据显示,与无智障女性和有或无智障、有精神健康障碍的男性相比,智障女性和有精神健康障碍的女性在诊断和服务使用模式上存在重大差异。智障妇女的诊断情况反映了更广泛人群中诊断的性别性质。结论:性别、智障和精神健康之间的交叉影响了智障妇女的诊断概况和服务使用模式。这些差异非常重要,可能会影响到为寻求心理健康支持的智障女性提供的有针对性的服务和规划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The demographic and diagnostic profile of women with intellectual disability and mental health disorder in New South Wales and patterns of service use: A data linkage study

The demographic and diagnostic profile of women with intellectual disability and mental health disorder in New South Wales and patterns of service use: A data linkage study

Background

Current evidence indicates that intellectual disability and gender are both factors in differential usage of services. However, there are limited data about the demographic and service usage patterns of people with intellectual disability who use mental health services. This is particularly true in relation to women with intellectual disability with mental ill health. Interrogation of large-scale linked data sets can provide valuable insights into patterns of service usage among marginalised groups.

Method

A large collaborative data linkage project was assembled with the overarching aim of providing an epidemiological profile of the health (including mental health), health service use, mortality and other service system contacts of people with intellectual disability in New South Wales (NSW), Australia. These linked data were used to interrogate the demographic, diagnostic and service use profiles of women with intellectual disability who have sought mental health support in NSW.

Results

The linked data demonstrated important differences in patterns of diagnosis and service use for women with intellectual disability and mental health disorders, when compared to women without intellectual disability and men with and without intellectual disability, with mental health disorders. The diagnostic profile of women with intellectual disability reflected the gendered nature of diagnoses found in the wider population. Women with intellectual disability also experienced higher rates of diagnostic instability than other groups.

Conclusions

The intersection between gender, intellectual disability and mental health has an effect on diagnostic profile and patterns of service use for women with intellectual disability. These differences are important and may impact targeted service delivery and planning for women with intellectual disability who have sought mental health support.

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来源期刊
CiteScore
2.30
自引率
20.00%
发文量
74
期刊介绍: The British Journal of Learning Disabilities is an interdisciplinary international peer-reviewed journal which aims to be the leading journal in the learning disability field. It is the official Journal of the British Institute of Learning Disabilities. It encompasses contemporary debate/s and developments in research, policy and practice that are relevant to the field of learning disabilities. It publishes original refereed papers, regular special issues giving comprehensive coverage to specific subject areas, and especially commissioned keynote reviews on major topics. In addition, there are reviews of books and training materials, and a letters section. The focus of the journal is on practical issues, with current debates and research reports. Topics covered could include, but not be limited to: Current trends in residential and day-care service Inclusion, rehabilitation and quality of life Education and training Historical and inclusive pieces [particularly welcomed are those co-written with people with learning disabilities] Therapies Mental health issues Employment and occupation Recreation and leisure; Ethical issues, advocacy and rights Family and carers Health issues Adoption and fostering Causation and management of specific syndromes Staff training New technology Policy critique and impact.
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