ArticleSocial psychiatry and psychiatric epidemiology2020
The effect of gender on mental health service use: an examination of mediation through material, social and health-related pathways.
Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
6 citing papers in PubMed.
- An alternative to causal mediation for inequality research: which questions can be answered?Social psychiatry and psychiatric epidemiology · 2026Article
- Community Social Capital and All-cause Mortality in Japan: Findings From the Adachi Cohort Study.Journal of epidemiology · 2025Article
- Using a causal decomposition approach to estimate the contribution of employment to differences in mental health profiles between men and women.SSM - population health · 2024Article
- MANdatory - why men need (and are needed for) gender equality progress.Frontiers in psychology · 2024Review
- Gender differences in psychiatric outpatients: a before and during COVID-19 pandemic study in general hospitals from China.Annals of general psychiatry · 2022Article
- Coping strategies adopted by Australian frontline health workers to address psychological distress during the COVID-19 pandemic.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeWe aimed to understand how much of the gender difference in mental health service use could be due to the joint mediation of employment, behavioural and material factors, social support and mental health need.
methodsWe used data from employed individuals aged 18-65 years who participated in the 2015-2017 waves of the Household, Income and Labour Dynamics in Australia survey. The exposure (male, female) and confounders were measured in 2015, mediators in 2016 and the outcome-whether a person had seen a mental health professional in the previous year-was measured in 2017. We estimated natural mediation effects using weighted counterfactual predictions from a logistic regression model.
resultsMen were less likely to see a mental health care provider than women. The total causal effect on the risk difference scale was - 0.045 (95% CI - 0.056, - 0,034). The counterfactual of men taking the mediator values of women explained 28% (95% CI 1.7%, 54%) of the total effect, with the natural direct effect estimated to represent an absolute risk difference of - 0.033 (95% CI - 0.048, - 0.018) and the natural indirect effect - 0.012 (95% CI - 0.022, - 0.0027).
conclusionGendered differences in the use of mental health services could be reduced by addressing inequalities in health, employment, material and behavioural factors, and social support.
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Registered trials
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