Gender and mental health service use in bipolar disorder: national cohort study
Background Despite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder. Aims To use routine data to describe specialist mental health service contact...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-11-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472420001179/type/journal_article |
| _version_ | 1811157027039215616 |
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| author | Ruth Cunningham Marie Crowe James Stanley Tracy Haitana Suzanne Pitama Richard Porter Jo Baxter Tania Huria Roger Mulder Mau Te Rangimarie Clark Cameron Lacey |
| author_facet | Ruth Cunningham Marie Crowe James Stanley Tracy Haitana Suzanne Pitama Richard Porter Jo Baxter Tania Huria Roger Mulder Mau Te Rangimarie Clark Cameron Lacey |
| author_sort | Ruth Cunningham |
| collection | DOAJ |
| description | Background
Despite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder.
Aims
To use routine data to describe specialist mental health service contact for bipolar disorder, including in-patient, community and support service contacts; to compare clinical characteristics and mental health service use between men and women in contact with secondary services for bipolar disorder.
Method
Cross-sectional analysis of mental health patients with bipolar disorder in New Zealand, based on complete national routine health data.
Results
A total of 3639 individuals were in contact with specialist mental health services with a current diagnosis of bipolar disorder in 2015. Of these 58% were women and 46% were aged 45 and over. The 1-year prevalence rate of bipolar disorder leading to contact with specialist mental health services was 1.56 (95% CI 1.50–1.63) per 100 000 women and 1.20 (95% CI 1.14–1.26) per 100 000 men. Rates of bipolar disorder leading to service contact were 30% higher in women than men (rate ratio 1.30, 95% CI 1.22–1.39). The majority (68%) had a diagnosis of bipolar I disorder. Women were more likely to receive only out-patient treatment and have comorbid anxiety whereas more men had substance use disorder, were convicted for crimes when unwell, received compulsory treatment orders and received in-patient treatment.
Conclusions
Although the prevalence of bipolar disorder is equal between men and women in the population, women were more likely to have contact with specialist services for bipolar disorder but had a lower intensity of service interaction.
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| first_indexed | 2024-04-10T04:59:24Z |
| format | Article |
| id | doaj.art-a1e9d175e6e0414da2951da5679eda65 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:24Z |
| publishDate | 2020-11-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-a1e9d175e6e0414da2951da5679eda652023-03-09T12:29:04ZengCambridge University PressBJPsych Open2056-47242020-11-01610.1192/bjo.2020.117Gender and mental health service use in bipolar disorder: national cohort studyRuth Cunningham0https://orcid.org/0000-0003-0090-3579Marie Crowe1James Stanley2Tracy Haitana3Suzanne Pitama4Richard Porter5https://orcid.org/0000-0002-8695-3966Jo Baxter6Tania Huria7Roger Mulder8Mau Te Rangimarie Clark9Cameron Lacey10https://orcid.org/0000-0001-9898-6784Department of Public Health, University of Otago, New ZealandDepartment of Psychological Medicine, University of Otago, New ZealandDepartment of Public Health, University of Otago, New ZealandMāori/Indigenous Health Institute (MIHI), University of Otago, New ZealandMāori/Indigenous Health Institute (MIHI), University of Otago, New ZealandDepartment of Psychological Medicine, University of Otago, New ZealandKōhatu Centre for Hauora Māori, Dunedin School of Medicine, University of Otago, New ZealandMāori/Indigenous Health Institute (MIHI), University of Otago, New ZealandDepartment of Psychological Medicine, University of Otago, New ZealandMāori/Indigenous Health Institute (MIHI), University of Otago, New ZealandDepartment of Psychological Medicine, University of Otago, New Zealand; and Māori/Indigenous Health Institute (MIHI), University of Otago, New ZealandBackground Despite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder. Aims To use routine data to describe specialist mental health service contact for bipolar disorder, including in-patient, community and support service contacts; to compare clinical characteristics and mental health service use between men and women in contact with secondary services for bipolar disorder. Method Cross-sectional analysis of mental health patients with bipolar disorder in New Zealand, based on complete national routine health data. Results A total of 3639 individuals were in contact with specialist mental health services with a current diagnosis of bipolar disorder in 2015. Of these 58% were women and 46% were aged 45 and over. The 1-year prevalence rate of bipolar disorder leading to contact with specialist mental health services was 1.56 (95% CI 1.50–1.63) per 100 000 women and 1.20 (95% CI 1.14–1.26) per 100 000 men. Rates of bipolar disorder leading to service contact were 30% higher in women than men (rate ratio 1.30, 95% CI 1.22–1.39). The majority (68%) had a diagnosis of bipolar I disorder. Women were more likely to receive only out-patient treatment and have comorbid anxiety whereas more men had substance use disorder, were convicted for crimes when unwell, received compulsory treatment orders and received in-patient treatment. Conclusions Although the prevalence of bipolar disorder is equal between men and women in the population, women were more likely to have contact with specialist services for bipolar disorder but had a lower intensity of service interaction. https://www.cambridge.org/core/product/identifier/S2056472420001179/type/journal_articleBipolar disorderepidemiologygenderservice use |
| spellingShingle | Ruth Cunningham Marie Crowe James Stanley Tracy Haitana Suzanne Pitama Richard Porter Jo Baxter Tania Huria Roger Mulder Mau Te Rangimarie Clark Cameron Lacey Gender and mental health service use in bipolar disorder: national cohort study BJPsych Open Bipolar disorder epidemiology gender service use |
| title | Gender and mental health service use in bipolar disorder: national cohort study |
| title_full | Gender and mental health service use in bipolar disorder: national cohort study |
| title_fullStr | Gender and mental health service use in bipolar disorder: national cohort study |
| title_full_unstemmed | Gender and mental health service use in bipolar disorder: national cohort study |
| title_short | Gender and mental health service use in bipolar disorder: national cohort study |
| title_sort | gender and mental health service use in bipolar disorder national cohort study |
| topic | Bipolar disorder epidemiology gender service use |
| url | https://www.cambridge.org/core/product/identifier/S2056472420001179/type/journal_article |
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