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.