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Young adults, particularly young women, account for an increasingly large share of Dutch mental healthcare expenditure over the period between 2015 and 2021

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Názov: Young adults, particularly young women, account for an increasingly large share of Dutch mental healthcare expenditure over the period between 2015 and 2021
Autori: L. Dijkstra, S. Gülöksüz, A. Batalla, J. van Os
Prispievatelia: AIOS Psychiatrie, Hersenen-Medisch 1, Diagnostiek & Vroege Psychose Medisch, Brain
Zdroj: Epidemiol Psychiatr Sci
Epidemiology and Psychiatric Sciences, Vol 33 (2024)
Informácie o vydavateľovi: Cambridge University Press (CUP), 2024.
Rok vydania: 2024
Predmety: Adult, Male, Mental Health Services, Adolescent, Epidemiology, Mental Health Services/statistics & numerical data economics, Neurosciences. Biological psychiatry. Neuropsychiatry, Young Adult, Health Economics, Sex Factors, Humans, Netherlands, Aged, Gender Differences, Social and Political Issues, Mental Disorders, Public Health, Environmental and Occupational Health, Age Factors, Middle Aged, Health Expenditures/statistics & numerical data, Psychiatry and Mental health, Mental Health, Original Article, Female, Mental Disorders/therapy epidemiology economics psychology, Public aspects of medicine, RA1-1270, Health Expenditures, RC321-571
Popis: Aims There is increasing concern over the mental distress of youth in recent years, which may impact mental healthcare utilisation. Here we aim to examine temporal patterns of mental healthcare expenditures in the Netherlands by age and sex in the period between 2015 and 2021. Methods Comprehensive data from health insurers in the Netherlands at the 3-number postal code level were used for cluster weighted linear regressions to examine temporal patterns of mental healthcare expenditure by age group (18–34 vs 35–65). The same was done for medical specialist and general practitioner costs. Additionally, we examined interactions with gender, by adding the interaction between age, year and sex to the model. Results Mental healthcare costs for younger adults (18–34) were higher than those for older adults (35–65) at all time points (β = 0.22, 95%-CI = 0.19; 0.25). Furthermore there was an increase in the strength of the association between younger age and mental healthcare costs from β = 0.22 (95%-CI = 0.19; 0.25) in 2015 to β = 0.37 (95%-CI = 0.35; 0.40) in 2021 (p < 0.0001) and this was most evident in women (p < 0.0001). Younger age was associated with lower general practitioner costs at all time points, but this association weakened over time. Younger age was also associated with lower medical specialist costs, which did not weaken over time. Conclusions Young adults, particularly young women, account for an increasing share of mental healthcare expenditure in the Netherlands. This suggests that mental distress in young people is increasingly met by a response from the medical system. To mitigate this trend a public mental health approach is needed.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 2045-7979
2045-7960
DOI: 10.1017/s2045796024000404
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39390846
https://doaj.org/article/74a3d44192f24415aca0c10f72adb256
https://dspace.library.uu.nl/handle/1874/458391
Rights: CC BY
CC BY NC ND
URL: http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Prístupové číslo: edsair.doi.dedup.....f242e7b6bab382690a584825d4b2c037
Databáza: OpenAIRE
Popis
Abstrakt:Aims There is increasing concern over the mental distress of youth in recent years, which may impact mental healthcare utilisation. Here we aim to examine temporal patterns of mental healthcare expenditures in the Netherlands by age and sex in the period between 2015 and 2021. Methods Comprehensive data from health insurers in the Netherlands at the 3-number postal code level were used for cluster weighted linear regressions to examine temporal patterns of mental healthcare expenditure by age group (18–34 vs 35–65). The same was done for medical specialist and general practitioner costs. Additionally, we examined interactions with gender, by adding the interaction between age, year and sex to the model. Results Mental healthcare costs for younger adults (18–34) were higher than those for older adults (35–65) at all time points (β = 0.22, 95%-CI = 0.19; 0.25). Furthermore there was an increase in the strength of the association between younger age and mental healthcare costs from β = 0.22 (95%-CI = 0.19; 0.25) in 2015 to β = 0.37 (95%-CI = 0.35; 0.40) in 2021 (p < 0.0001) and this was most evident in women (p < 0.0001). Younger age was associated with lower general practitioner costs at all time points, but this association weakened over time. Younger age was also associated with lower medical specialist costs, which did not weaken over time. Conclusions Young adults, particularly young women, account for an increasing share of mental healthcare expenditure in the Netherlands. This suggests that mental distress in young people is increasingly met by a response from the medical system. To mitigate this trend a public mental health approach is needed.
ISSN:20457979
20457960
DOI:10.1017/s2045796024000404