Assessing the impact of the COVID-19 pandemic on the mental health-related hospitalization rate of youth in Canada: an interrupted time series analysis.

Autor:	Dharma C; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Al-Jaishi AA; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada., Collins E; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada., Orchard C; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Institute for Work & Health, Toronto, Ontario, Canada.; Mental Health and Addictions Research Program, ICES, Toronto, Ontario, Canada., Amankwah N; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada., Lang JJ; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.; chool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.; Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia., Colman I; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada., Weeks M; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada., Edjoc R; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Jazyk:	English; French
Zdroj:	Health promotion and chronic disease prevention in Canada : research, policy and practice [Health Promot Chronic Dis Prev Can] 2024 Oct; Vol. 44 (10), pp. 417-430.
DOI:	10.24095/hpcdp.44.10.02
Abstrakt:	Introduction: This study evaluated the effect of the COVID-19 pandemic on temporal trends in mental health and addiction-related inpatient hospitalization rates among youth (aged 10-17 years) in Canadian provinces and territories (excluding Quebec) from 1 April 2018 to 5 March 2022. Methods: We conducted an interrupted time series analysis across three periods: T0 (pre-pandemic: 1 April 2018 to 15 March 2020); T1 (early pandemic: 15 March 2020 to 5 July 2020); and T2 (later pandemic: 6 July 2020 to 5 March 2022). Results: Pre-pandemic mental health and addiction-related hospitalization rates had significant regional variability, with weekly rates from 6.27 to 85.59 events per 100 000 persons in Manitoba and the territories combined, respectively. During T1, the national (excluding Quebec) weekly hospitalization rate decreased from a pre-pandemic level of 12.82 (95% CI: 12.14 to 13.50) to 5.11 (95% CI: 3.80 to 6.41) events per 100 000 persons. There was no statistically significant change in the mental health and addiction- related hospitalization rate across provinces and territories in T2 compared to T0. However, there was a significant increase in the rate of self-harm-related hospitalizations among females Canada-wide and in most provinces during this period. Conclusion: Although several Canadian studies have reported increases in mental health and addiction-related outpatient and emergency department visits among youth during the COVID-19 pandemic, this did not correspond to an increase in the inpatient hospital burden, with the notable exception of self-harm among young females. Competing Interests: The authors have no conflicts of interest. Justin J. Lang is one of this journal’s Associate Scientific Editors, but has recused himself from the review process for this article.
Databáze:	MEDLINE
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