ArticleJournal of epidemiology and community health2014
Physical health and gender as risk factors for usage of services for mental illness.
Article in Journal of epidemiology and community health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.
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- Preference for Palliative Care in Cancer Patients: Are Men and Women Alike?Journal of pain and symptom management · 2018Trial
- Where the final day is spent: patterns in place of death among U.S. adults with alcoholic liver cirrhosis, 1999-2023.Annals of medicine and surgery (2012) · 2026Article
- Changes in Pain Catastrophizing and Related Outcomes Following a Single-Session Empowered Relief Intervention Delivered by Physical Therapists in Workers with Low Back Pain: A Pilot Study.Journal of pain research · 2025Article
- Urban people's preferences for life-sustaining treatment or artificial nutrition and hydration in advance decisions.BMC medical ethics · 2024Article
- Chronic pain trials often exclude people with comorbid depressive symptoms: A secondary analysis of 346 randomized controlled trials.Clinical trials (London, England) · 2023Article
- Article
- The Landscape of Outpatient Palliative Care in Germany: Results from a Retrospective Analysis of 14,792 Patients.International journal of environmental research and public health · 2022Article
- The Impact of Integrated Behavioral Healthcare on Glycemic Control.Journal of clinical psychology in medical settings · 2022Article
- Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital.Healthcare (Basel, Switzerland) · 2022Article
- Trauma, Post-Traumatic Stress Disorder, and Treatment Among Middle-Aged and Older Women in the Nurses' Health Study II.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Article
- Bipolar Disorder Related Hospitalizations - a Descriptive Nationwide Study Using a Big Data Approach.The Psychiatric quarterly · 2022Observational
- Factors Influencing Public Awareness of and Attitudes Toward Palliative Care: A Cross-Sectional Analysis of the 2018 HINTS Data.Frontiers in public health · 2022Article
- Medical student exposure to women's health concepts and practices: a content analysis of curriculum at Canadian medical schools.BMC medical education · 2021Article
- Depression as a Risk Factor for Physical Illness and Multimorbidity in a Cohort with No Prior Comorbidity.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Program evaluation of a student-led peer support service at a Canadian university.International journal of mental health systems · 2021Article
- Participatory COVID-19 Surveillance Tool in Rural Appalachia : Real-Time Disease Monitoring and Regional Response.Public health reports (Washington, D.C. : 1974) · 2021Article
- Impact of the intersection of anaesthesia and gender on burnout and mental health, illustrated by the COVID-19 pandemic.Anaesthesia · 2021Review
- Impact of Workplace Conflicts on Self-Reported Medically Certified Sickness Absence in Latvia.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with comorbid mental and physical illness (PI) experience worse health, inadequate care and increased mortality relative to those without mental illness (MI). The role of gender in this relationship is not fully understood. This study examined gender differences in onset of mental health service usage among people with physical illness (COPD, asthma, hypertension and type II diabetes) compared with a control cohort.
methodsWe used a unique linked dataset consisting of the 2000-2001 Canadian Community Health Survey and medical records (n=17 050) to examine risk of onset of MI among those with and without PI among Ontario residents (18-74 years old) over a 10-year period (2002-2011). Adjusted COX proportional survival analysis was conducted.
resultsUnadjusted use of MI medical services in the PI cohort was 55.6% among women and 44.7% (p=0.0001) among men; among controls 48.1% of the women and 36.7% of the men used MI medical services (p=0.0001). The relative risk of usage among women in the PI group relative to controls was 1.16. Among men, the relative risk was 1.22. Women were 1.45 times more likely to use MI medical services relative to men (HR=1.45, CI 1.35 to 1.55). Respondents in the PI cohort were 1.32 times more likely to use MI medical services (HR=1.32, CI 1.23 to 1.42) relative to controls. Women in the PI cohort used MI medical services 6.4 months earlier than PI males (p=0.0059). In the adjusted model, women with PI were most likely to use MI medical services, followed by women controls, men with PI and men controls. There was no significant interaction between gender and PI cohort.
conclusionsFurther, gender-based research focusing on onset of usage of MI services among those with and without chronic health problems will enable better understanding of gender-based health disparities to improve healthcare quality, delivery and public health policy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.