Mental health service use among mothers and other birthing parents during the COVID-19 pandemic in Ontario, Canada.

Autor: Webber C; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruyere Research Institute, Ottawa, Ontario, Canada; ICES, Ontario, Canada. Electronic address: cowebber@ohri.ca., Dover K; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Tanuseputro P; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruyere Research Institute, Ottawa, Ontario, Canada; ICES, Ontario, Canada; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Vigod SN; ICES, Ontario, Canada; Women's College Hospital, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Canada., Moineddin R; Department of Family and Community Medicine, University of Toronto, Canada., Clarke A; ICES, Ontario, Canada., Isenberg S; Bruyere Research Institute, Ottawa, Ontario, Canada; ICES, Ontario, Canada; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Fiedorowicz JG; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada., Jin Y; Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada., Gandhi J; Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada., Simpson AN; ICES, Ontario, Canada; Department of Obstetrics & Gynaecology, University of Toronto, Toronto, Ontario, Canada; St. Michael's Hospital/Unity Health Toronto, Toronto, Ontario, Canada., Barker LC; ICES, Ontario, Canada; Women's College Hospital, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Canada., Kendall CE; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruyere Research Institute, Ottawa, Ontario, Canada; ICES, Ontario, Canada; Department of Family Medicine, University of Ottawa, Canada., Myran D; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruyere Research Institute, Ottawa, Ontario, Canada; ICES, Ontario, Canada; Department of Family Medicine, University of Ottawa, Canada.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2024 Dec 15; Vol. 367, pp. 913-922. Date of Electronic Publication: 2024 Aug 25.
DOI: 10.1016/j.jad.2024.08.125
Abstrakt: Background: Parents have reported increased symptoms of depression and anxiety during the COVID-19 pandemic. This study evaluated changes in mental health and addiction (MHA)-related health service use among mothers and other birthing parents during the COVID-19 pandemic.
Methods: We conducted a repeated cross-sectional study using health administrative data in Ontario, Canada. The population included all mothers and birthing parents (≥1 child aged 1-18, no children <1 to exclude postpartum parents) between January 2016 and December 2021. We compared rates of MHA-related outpatient physician visits, hospitalizations, and emergency department (ED) visits during COVID-19 (March 2020-December 2021) to pre-COVID-19 (pre-March 2020).
Results: MHA-related outpatient visit rates increased by 17 % (rate ratio (RR) 1.17, 95 % CI 1.16-1.18) during COVID-19. Monthly utilization rates remained higher than expected across the COVID-19 period. MHA-related ED visit rates remained lower than expected during COVID-19, while MHA-related hospitalization rates returned to expected levels by August 2020. The largest relative increases in MHA-related outpatient visits during COVID-19 were in mothers and other birthing parents living in higher income (RR 1.20, 95 % CI 1.19-1.22) or urban areas (RR 1.20, 95 % CI 1.18-1.21), with children aged 1-3 years (RR 1.23, 95 % CI 1.20-1.25) and with no history of MHA-related health service use (RR 1.20, 95 % CI 1.19-1.21).
Limitations: This study only captured physician-delivered MHA-related health service use.
Conclusions: The COVID-19 pandemic was associated with an increase in MHA-related outpatient visits among mothers and other birthing parents. These findings point to the need for improvements in mental health service access.
Competing Interests: Declaration of competing interest The authors have no conflicts to declare.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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