Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey
Abstract Background Mental health disorders are a common sequelae of traumatic brain injury (TBI) and are associated with worse health outcomes including increased mental health care utilization. The objective of this study was to determine the association between TBI and use of mental health servic...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Injury Epidemiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40621-023-00424-x |
| _version_ | 1797865870747238400 |
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| author | Nelofar Kureshi David B. Clarke Cindy Feng |
| author_facet | Nelofar Kureshi David B. Clarke Cindy Feng |
| author_sort | Nelofar Kureshi |
| collection | DOAJ |
| description | Abstract Background Mental health disorders are a common sequelae of traumatic brain injury (TBI) and are associated with worse health outcomes including increased mental health care utilization. The objective of this study was to determine the association between TBI and use of mental health services in a population-based sample. Methods Using data from a national Canadian survey, this study evaluated the association between TBI and mental health care utilization, while adjusting for confounding variables. A log-Poisson regression model was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (CI). Results The study sample included 158,287 TBI patients and 25,339,913 non-injured individuals. Compared with those were not injured, TBI patients reported higher proportions of chronic mental health conditions (27% vs. 12%, p < 0.001) and heavy drinking (33% vs. 24%, p = 0.005). The adjusted prevalence of mental health care utilization was 60% higher in patients with TBI than those who were not injured (PR = 1.60, 95%; CI 1.05–2.43). Conclusions This study suggests that chronic mental health conditions and heavy drinking are more common in individuals with TBI. The prevalence of mental health care utilization is 60% higher in TBI patients compared with those who are not injured after adjusting for sociodemographic factors, mental health conditions, and heavy drinking. Future longitudinal research is required to examine the temporality and direction of the association between TBI and the use of mental health services. |
| first_indexed | 2024-04-09T23:15:07Z |
| format | Article |
| id | doaj.art-2ddf51e31c6942d0977f33a63d9e108b |
| institution | Directory Open Access Journal |
| issn | 2197-1714 |
| language | English |
| last_indexed | 2024-04-09T23:15:07Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Injury Epidemiology |
| spelling | doaj.art-2ddf51e31c6942d0977f33a63d9e108b2023-03-22T10:02:08ZengBMCInjury Epidemiology2197-17142023-03-011011810.1186/s40621-023-00424-xAssociation between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health SurveyNelofar Kureshi0David B. Clarke1Cindy Feng2Division of Neurosurgery, Department of Surgery, Dalhousie UniversityDivision of Neurosurgery, Department of Surgery, Dalhousie UniversityDepartment of Community Health and Epidemiology, Dalhousie UniversityAbstract Background Mental health disorders are a common sequelae of traumatic brain injury (TBI) and are associated with worse health outcomes including increased mental health care utilization. The objective of this study was to determine the association between TBI and use of mental health services in a population-based sample. Methods Using data from a national Canadian survey, this study evaluated the association between TBI and mental health care utilization, while adjusting for confounding variables. A log-Poisson regression model was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (CI). Results The study sample included 158,287 TBI patients and 25,339,913 non-injured individuals. Compared with those were not injured, TBI patients reported higher proportions of chronic mental health conditions (27% vs. 12%, p < 0.001) and heavy drinking (33% vs. 24%, p = 0.005). The adjusted prevalence of mental health care utilization was 60% higher in patients with TBI than those who were not injured (PR = 1.60, 95%; CI 1.05–2.43). Conclusions This study suggests that chronic mental health conditions and heavy drinking are more common in individuals with TBI. The prevalence of mental health care utilization is 60% higher in TBI patients compared with those who are not injured after adjusting for sociodemographic factors, mental health conditions, and heavy drinking. Future longitudinal research is required to examine the temporality and direction of the association between TBI and the use of mental health services.https://doi.org/10.1186/s40621-023-00424-xTraumatic brain injuryMental healthHealth care utilizationPrevalence |
| spellingShingle | Nelofar Kureshi David B. Clarke Cindy Feng Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey Injury Epidemiology Traumatic brain injury Mental health Health care utilization Prevalence |
| title | Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey |
| title_full | Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey |
| title_fullStr | Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey |
| title_full_unstemmed | Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey |
| title_short | Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey |
| title_sort | association between traumatic brain injury and mental health care utilization evidence from the canadian community health survey |
| topic | Traumatic brain injury Mental health Health care utilization Prevalence |
| url | https://doi.org/10.1186/s40621-023-00424-x |
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