Multimorbidity, health-related quality of life and health service use among individuals with mental health problems: Urban-rural differences in South Australia.
Objective: To investigate urban-rural differences in the relationship between the coexistence of multiple physical health conditions, health-related quality of life and health service use among individuals with mental health problems. Design: Cross-sectional. Setting: Population-based. Participants:...
| Publicado en: | Australian Journal of Rural Health Vol. 28; no. 2; pp. 110 - 120 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143806721&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143806721 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Apr2020 vid: 28 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 143806721 143806721 143806721 10.1111/ajr.12621 143806721 ppf: 110 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Multimorbidity, health-related quality of life and health service use among individuals with mental health problems: Urban-rural differences in South Australia. aug: au: Gonzalez-Chica, David Alejandro Hoon, Elizabeth Stocks, Nigel affil: Adelaide Rural Clinical School, The University of Adelaide, Adelaide, SA, Australia sug: subj: Psychiatric Patients South Australia Health Resource Utilization Evaluation Quality of Life Evaluation Urban Areas Rural Areas Comorbidity Healthcare Disparities Evaluation Human Male Female Adult Middle Age Aged South Australia Cross Sectional Studies Confidence Intervals Random Sample Interviews Questionnaires Data Analysis Software Chi Square Test Regression Emergency Service Utilization Hospitalization Health Services Accessibility Socioeconomic Factors Geographic Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: To investigate urban-rural differences in the relationship between the coexistence of multiple physical health conditions, health-related quality of life and health service use among individuals with mental health problems. Design: Cross-sectional. Setting: Population-based. Participants: Random sample of 2977 South Australians aged 15+ years. Analyses restricted to 535 individuals self-reporting a "current" mental health problem (anxiety, depression, another mental condition). Exposure: Number of physical health conditions (none, 1-2, 3+ conditions) based on a list of 16 self-reported chronic diseases. Main outcome measures: Physical and mental health-related quality of life, frequently visited a GP (3+ times), visited a mental health specialist, visited an emergency department, was hospitalised in the last 3 months. Results: The mean age of the participants was 57.3 ± 13.9 years (51.9% females) with 10.6% of them living in inner regional and 14.9% in outer/remote locations. Mental health problems had similar prevalence in major cities (15.4%; 95% confidence intervals [CI]: 13.5-17.4), inner regional (19.3%; 95% CI: 14.8-24.7) and outer/remote areas (16.8%; 95% CI: 14.4-17.7). The remoteness of residence did not affect the relationship between the number of physical health conditions with health-related quality of life or visits to the emergency department/hospitalisations. Individuals without a physical health condition living in major cities were five times more likely to have frequently visited a GP than their counterparts in outer/remote South Australia (35% and 7%, respectively), but these differences were less marked among those with multiple co-morbidities. Conclusion: The coexistence of multiple physical health conditions among patients with a mental health problem is associated with less urban-rural disparities in terms of visiting a GP. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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