Evidence map›Paper›PMID 35819228›Full record

ArticleThe International journal of social psychiatry2023

Educational level and the use of mental health services, psychotropic medication and psychotherapy among adults with a history of physician diagnosed mental disorders.

Marie Halme, Päivi Rautava, Lauri Sillanmäki, Markku Sumanen, Sakari Suominen, Jussi Vahtera, Pekka Virtanen, Paula Salo

Open access · hybridAbstract read
In one paragraph

Article in The International journal of social psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Marie HalmeDepartment of Psychology, University of Turku, Finland.ORCID 0000-0001-8490-9796
Päivi RautavaDepartment of Public Health, University of Turku, Finland.
Lauri SillanmäkiDepartment of Public Health, University of Turku, Finland.
Markku SumanenFaculty of Medicine and Health Technology, Tampere University, Finland.
Sakari SuominenDepartment of Public Health, University of Turku, Finland.
Jussi VahteraDepartment of Public Health and Centre for Population Health Research, University of Turku, Finland.
Pekka VirtanenFaculty of Social Sciences, Tampere University, Finland.
Paula SaloDepartment of Psychology, University of Turku, Finland.
University of Turku · FITampere University · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of mental disorders is increased among people of low socioeconomic status or educational level, but it remains unclear whether their access to treatment matches their increased need.

aimsOur objective was to examine whether educational level as an indicator of socioeconomic status is associated with use of mental health services, psychotropic medication and psychotherapy in Finland.

methodCross-sectional data from a follow-up survey of a longitudinal, population-based cohort study were used to form a sample of 3,053 men and women aged 24 to 68 with a current or previous physician diagnosed mental disorder. The prevalence of mental disorders, mental health service use and educational level were assessed with self-report questionnaire. Educational level was determined by the highest educational attainment and grouped into three levels: high, intermediate and low. The associations between educational level and mental health service -related outcomes were assessed with binary logistic regression. Covariates in the fully adjusted model were age, gender and number of somatic diseases.

resultsCompared to high educational level, low educational level was associated with higher odds of using antidepressants (OR 1.35, 95% CI [1.09, 1.66]), hypnotics (OR 1.33, 95% CI [1.07, 1.66]) and sedatives (OR 2.17, 95% CI [1.69, 2.78]), and lower odds of using mental health services (OR 0.80, 95% CI [0.65, 0.98]). No associations were found between educational level and use of psychotherapy.

conclusionsThe results do not suggest a general socioeconomic status related mismatch. A pharmacological emphasis was observed in the treatment of low educational background participants, whereas overall mental health service use was emphasized among high educational background participants.

Indexed as

Mental DisordersMental Health ServicesAdultCohort StudiesCross-Sectional StudiesEducational StatusFemaleHumansHypnotics and SedativesMalePsychotherapyPsychotropic DrugsHypnotics and SedativesPsychotropic DrugsEducational levelmental health service usepsychotherapypsychotropic medicationsocioeconomic status

Identifiers

PMID35819228
PMCPMC9983050
OpenAlexW4285077055

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.