Evidence map›Paper›PMID 33153508›Full record

ArticleBJPsych open2020

Gender and mental health service use in bipolar disorder: national cohort study.

Ruth Cunningham, Marie Crowe, James Stanley, Tracy Haitana, Suzanne Pitama, Richard Porter, Jo Baxter, Tania Huria, Roger Mulder, Mau Te Rangimarie Clark and 1 more

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  4. Article
  5. Article
  6. Sex Differences in Brain Disorders.International journal of molecular sciences · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Ruth CunninghamDepartment of Public Health, University of Otago, New Zealand.ORCID https://orcid.org/0000-0003-0090-3579
Marie CroweDepartment of Psychological Medicine, University of Otago, New Zealand.
James StanleyDepartment of Public Health, University of Otago, New Zealand.
Tracy HaitanaMāori/Indigenous Health Institute (MIHI), University of Otago, New Zealand.
Suzanne PitamaMāori/Indigenous Health Institute (MIHI), University of Otago, New Zealand.
Richard PorterDepartment of Psychological Medicine, University of Otago, New Zealand.ORCID https://orcid.org/0000-0002-8695-3966
Jo BaxterKōhatu Centre for Hauora Māori, Dunedin School of Medicine, University of Otago, New Zealand.
Tania HuriaMāori/Indigenous Health Institute (MIHI), University of Otago, New Zealand.
Roger MulderDepartment of Psychological Medicine, University of Otago, New Zealand.
Mau Te Rangimarie ClarkMāori/Indigenous Health Institute (MIHI), University of Otago, New Zealand.
Cameron LaceyDepartment of Psychological Medicine, University of Otago, New Zealand; and Māori/Indigenous Health Institute (MIHI), University of Otago, New Zealand.ORCID https://orcid.org/0000-0001-9898-6784
University of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder.

aimsTo use routine data to describe specialist mental health service contact for bipolar disorder, including in-patient, community and support service contacts; to compare clinical characteristics and mental health service use between men and women in contact with secondary services for bipolar disorder.

methodCross-sectional analysis of mental health patients with bipolar disorder in New Zealand, based on complete national routine health data.

resultsA total of 3639 individuals were in contact with specialist mental health services with a current diagnosis of bipolar disorder in 2015. Of these 58% were women and 46% were aged 45 and over. The 1-year prevalence rate of bipolar disorder leading to contact with specialist mental health services was 1.56 (95% CI 1.50-1.63) per 100 000 women and 1.20 (95% CI 1.14-1.26) per 100 000 men. Rates of bipolar disorder leading to service contact were 30% higher in women than men (rate ratio 1.30, 95% CI 1.22-1.39). The majority (68%) had a diagnosis of bipolar I disorder. Women were more likely to receive only out-patient treatment and have comorbid anxiety whereas more men had substance use disorder, were convicted for crimes when unwell, received compulsory treatment orders and received in-patient treatment.

conclusionsAlthough the prevalence of bipolar disorder is equal between men and women in the population, women were more likely to have contact with specialist services for bipolar disorder but had a lower intensity of service interaction.

Indexed as

Bipolar disorderepidemiologygenderservice use

Identifiers

PMID33153508
PMCPMC7745236
OpenAlexW3097612860

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.