Racial and Ethnic Disparities in Pediatric Mental Health-Related Emergency Department Visits
Autor: | Meleah D. Boyle, Anna H. Abrams, Robert McCarter, Monika K. Goyal, Gia M. Badolato |
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Rok vydání: | 2020 |
Předmět: |
Adolescent
Population Ethnic group symbols.namesake Ethnicity Humans Medicine Poisson regression Child education Retrospective Studies education.field_of_study business.industry Retrospective cohort study Hispanic or Latino General Medicine Odds ratio Emergency department Mental health United States Mental Health Relative risk Pediatrics Perinatology and Child Health Emergency Medicine symbols Emergency Service Hospital business Demography |
Zdroj: | Pediatric Emergency Care. 38:e214-e218 |
ISSN: | 1535-1815 0749-5161 |
Popis: | OBJECTIVES To test the hypotheses that (1) rates of mental health-related concerns presenting to pediatric emergency departments (ED) have increased (2) rates are increasing more in minority than nonminority youth. METHODS We performed a 5-year retrospective cohort study of youth with mental health-related ED visits using the Pediatric Health Information System. We calculated rates of mental health-related visits, in aggregate and by race/ethnicity. The Poisson model was used to generate incidence rate ratios of unique mental health-related visits each year using census data as the population denominator. RESULTS There were 242,036 mental health-related visits that met the inclusion criteria, representing 160,656 unique patients. Approximately 7% of unique patients had 3 or more mental health-related visits, differing by race/ethnicity (8.75% non-Hispanic [NH]-Black vs 7.01% NH-White; adjusted odds ratio 1.14 [1.03, 1.26]). Overall, there were 42.8 mental health-related ED visits per 100,000 US children. The NH-Black children had higher rates of visits per 100,000 children compared with NH-Whites (66.1 vs 41.5; adjusted relative risk, 1.54 [1.50-1.59]). Mental health-related visits increased from 2012 to 2016 (33.31 [32.92-33.70] to 49.94 [49.46-50.41]). Every racial/ethnic group experienced an increase in rate of presentation over the study period; Hispanics experienced a significantly larger increase compared with NH-White children (P < 0.05). CONCLUSIONS Mental health-related ED visits among children are increasing overall, disproportionally affecting minority children. The NH-Black children have the highest visit rates, and rates among Hispanics are increasing at a significantly higher rate when compared with NH-Whites. These results indicate need for increased capacity of EDs to manage mental health-related complaints, especially among minority populations. |
Databáze: | OpenAIRE |
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