Hospitalization for mental illness in adolescents : Risk groups and impact on the health care system.
To determine the extent and cost of hospitalizations for mental illness among adolescents and to identify differences in acute care hospital use by gender and between racial/ethnic groups.
Analysis of discharge data for adolescents, 10 to 19 years of age (n=27,595), with a principal diagnosis of mental illness from acute care hospitals in California in 1994.
Relative risks (RRs) were calculated by race/ethnicity and gender and stratified by race/ethnicity and payment source.
Mental illness accounted for 14.8% of hospitalizations in this age group ; the mean length of stay was 10.9 days.
Total charges exceeded $300 million.
Overall, adolescent boys had a slightly lower risk of hospitalization for mental illness than did adolescent girls (RR=0.90,95% confidence interval [CI]=0.87,0.92) but a higher risk for certain diagnoses.
Overall, nonwhite adolescents had a lower risk of hospitalization for mental illness than did white adolescents : African-Americans (RR=0.77,95% CI=0.74,0.81), Latinos (RR=0.32,95% CI=0.31,0.33), and Asians/others (RR=0.27,95% CI=0.26,0.29).
These differences remained significant after stratification by payment source.
The risk of hospitalization for mental illness among adolescents varies by specific mental illness and by race/ethnicity. (...)
Mots-clés Pascal : Trouble psychiatrique, Hospitalisation, Adolescent, Homme, Californie, Etats Unis, Amérique du Nord, Amérique, Diagnostic, Analyse coût, Economie santé, Etude comparative, Sexe, Ethnie, Santé mentale, Système santé
Mots-clés Pascal anglais : Mental disorder, Hospitalization, Adolescent, Human, California, United States, North America, America, Diagnosis, Cost analysis, Health economy, Comparative study, Sex, Ethnic group, Mental health, Health system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0340801
Code Inist : 002B18I09. Création : 14/12/1999.