How are immigrant background and gender associated with the utilisation of psychiatric care among adolescents?

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How are immigrant background and gender associated with the utilisation of psychiatric care among adolescents?

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dc.contributor.author Ivert, Anna-Karin
dc.contributor.author Merlo, Juan
dc.contributor.author Svensson, Robert
dc.contributor.author Torstensson Levander, Marie
dc.date.accessioned 2012-10-19T12:22:32Z
dc.date.available 2012-10-19T12:22:32Z
dc.date.issued 2012 en_US
dc.identifier.citation e-pub ahead of print en_US
dc.identifier.issn 0933-7954 en_US
dc.identifier.uri http://hdl.handle.net/2043/14247
dc.description.abstract Purpose To investigate how parental country of birth and individual gender affect utilisation of psychiatric care in adolescents. Methods On the basis of data from the Longitudinal Multilevel Analysis in Scania database, the article employs logistic regression to analyse the utilisation of psychiatric care among adolescents aged 13–18 (n = 92203) who were living in the southern Swedish county of Scania in 2005. Results Adolescents whose parents were born in middle- or low-income countries presented lower levels of psychiatric outpatient care utilisation than those with native parents. Initially, no associations were found between the utilisation of psychiatric inpatient care and parental country of birth. Following adjustment for socio-demographic variables, it was found that adolescents with parents born in low-income countries were less likely to utilise psychiatric inpatient care. Girls presented higher levels of psychiatric care utilisation, but controls for possible interactions revealed that this was true primarily for girls with parents born in Sweden or other high-income countries. Conclusions The different utilisation patterns found among adolescents with different backgrounds should be taken into consideration when planning and designing psychiatric care for adolescents, and when allocating resources. Our results may indicate lower levels of mental health problems among adolescents with parents born in middle- or low-income countries implying that protective factors compensate other stressors implicated in mental health problems. On the other hand, our findings may indicate an unmet health-care need as a result of problems accessing care. en_US
dc.language.iso eng en_US
dc.publisher Springer Verlag en_US
dc.subject adolescents en_US
dc.subject psychiatric care utilisation en_US
dc.subject parental country of birth en_US
dc.subject gender en_US
dc.subject.classification Medicine en_US
dc.title How are immigrant background and gender associated with the utilisation of psychiatric care among adolescents? en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Health and Society en
dc.identifier.doi http://dx.doi.org/10.1007/s00127-012-0589-3 en_US
dc.subject.srsc Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS en_US
dc.identifier.url http://www.springerlink.com/content/3453676702571716/ en_US
dc.relation.ispartofpublication Social Psychiatry and Psychiatric Epidemiology;
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