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根据社会经济地位,自杀前心理健康问题的医疗保健利用率的变化:挪威基于登记的人口研究
Carine Øien-Ødegaard1, Solveig Tobie Glestad Christiansen2, Lars Johan Hauge2
1Division of Mental and Physical Health, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, 0213, Norway. caoe@fhi.no.
BMC health services research
|May 22, 2024
概括
自杀前使用心理健康保健因社会经济地位 (SES) 和性别而异. 高等教育与更多的服务使用相关,而收入较高的就业男性使用服务较少,表明需要有针对性的自杀预防策略.
科学领域:
- 公共卫生 公共卫生
- 心理健康护理研究 心理健康护理研究
- 社会学 社会学 社会学
背景情况:
- 自杀是挪威重要的公共卫生问题,每年约有650人死亡.
- 了解自杀前的精神卫生保健利用模式,特别是关于社会经济地位 (SES) 的理解至关重要,但有限.
- 本研究研究了2009-2021年挪威成年人 (20-64岁) 中的心理健康服务使用情况,重点关注SES差异.
研究的目的:
- 分析与社会经济地位相关的自杀前的心理健康服务利用模式.
- 为了确定自杀前一年和一个月服务使用的潜在差异.
- 为了告知有针对性的自杀预防干预.
主要方法:
- 这是一项针对20至64岁的挪威公民 (2009-2021) 进行的全民,基于登记册的研究.
- 包括来自初级和专业护理服务的心理健康咨询.
- 基于教育程度,就业状况和收入的服务使用模式分析4731起自杀案.
主要成果:
- 在男性和女性的SES组件中观察到自杀前精神卫生保健使用的显著差异.
- 高学历的人在自杀前更频繁地使用心理健康服务.
- 与失业男性或低收入男性相比,雇佣男性和高收入男性的精神卫生保健使用率明显较低.
结论:
- 自杀前的精神卫生保健使用在SES组件中异质,并表现出性别模式.
- 对咨询率较低的群体需要有针对性的干预措施,例如高收入和低教育程度的就业男性.
- 需要采取全面的自杀预防措施,特别是对女性和风险男性 (失业者,低收入者) 来说,这些男性的自杀率更高.
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