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Mental illness in elementary-school-aged children

A Chabra1, G F Chávez, E S Harris

  • 1California Department of Health Services, Sacramento 94704-1011, USA. achabra@hw1.cahwnet.gov

The Western Journal of Medicine
|February 2, 1999
PubMed
Summary
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Mental illness hospitalizations significantly impact elementary-school-aged children, with boys hospitalized more often than girls. Latino and Asian/other children show lower hospitalization rates, highlighting disparities in mental health care access.

Area of Science:

  • Pediatric mental health
  • Hospital epidemiology
  • Child psychiatry

Background:

  • Mental illness poses a significant burden on pediatric healthcare systems.
  • Understanding hospitalization trends in elementary-school-aged children is crucial for resource allocation and intervention development.

Purpose of the Study:

  • To determine the incidence of mental illness hospitalizations in 6- to 12-year-olds.
  • To analyze disparities in mental illness hospitalization rates based on sex, race/ethnicity, and payment source.

Main Methods:

  • Retrospective analysis of 1992 hospital discharge data.
  • Inclusion of 4,460 hospitalizations for children aged 6-12 with a principal mental illness diagnosis.
  • Calculation of relative risks (RRs) for hospitalization by demographic factors.

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Main Results:

  • Mental illnesses comprised 8.1% of hospitalizations and 28.9% of hospital days for children aged 6-12.
  • Boys exhibited a nearly twofold higher risk of mental illness hospitalization compared to girls (RR 1.96).
  • Latino (RR 0.22) and Asian/other (RR 0.12) children had significantly lower hospitalization risks than white children.

Conclusions:

  • Inpatient mental illness hospitalizations represent a major morbidity factor for elementary-school-aged children.
  • Boys are overrepresented, while Latino and Asian/other children are underrepresented in mental illness hospitalizations.
  • Findings indicate significant disparities in mental health care access and utilization among children, necessitating further investigation into clinical implications and care barriers.