TY - JOUR PY - 2022// TI - The role of gender in the association between mental health and potentially preventable hospitalizations: a single-center retrospective observational study JO - International journal of environmental research and public health A1 - Di Martino, Giuseppe A1 - Minutolo, Giuseppa A1 - Cosma, Claudia A1 - Mazza, Clara A1 - Caminiti, Marta A1 - Berselli, Nausicaa A1 - Stacchini, Lorenzo A1 - Catalini, Alessandro A1 - Cedrone, Fabrizio SP - e14691 EP - e14691 VL - 19 IS - 22 N2 - Psychiatric disorders and substance abuse are barriers that limit access to timely treatment and can lead to Potentially Preventable Hospitalizations (PPH). The aim of this study is to identify the role played by gender in the association between mental health and PPH. Hospital discharge records (HDRs) from the Local Health Authority of Pescara (Italy) from 2015 to 2021 were examined and PPH were measured according to Prevention Quality Indicators (PQIs) provided by the Agency for Healthcare Research and Quality. In total, 119,730 HDRs were eligible for the study and 21,217 patients fell into the PQI categories. Mental health disorders and addictions were extracted from the HDRs through the Elixhauser Enhanced ICD-9-CM algorithm. The association between PQI hospitalization and some predictors considered was evaluated with multivariate logistic regression models. In males and females, alcohol abuse showed a protective role towards preventable admissions for PQI-90 (all types of conditions) and PQI-92 (chronic conditions). In contrast, there is a gender gap in accessibility to primary health care, especially for acute conditions leading to PPH. Indeed, in males, PQI-91 admissions for acute conditions were found to be positively associated with drug abuse, psychosis, and depression, whereas this was not the case for females.
Language: en
LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph192214691 ID - ref1 ER -