Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients

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• 作者：Shinobu Watanabe-Galloway ; Rachel Valleley…
• 关键词：Adolescent ; Pediatric ; Emotional and behavioral problems ; Integrated behavioral/primary care
• 刊名：Community Mental Health Journal
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：53
• 期：1
• 页码：27-33
• 全文大小：
• 刊物类别：Behavioral Science
• 刊物主题：Psychiatry; Community and Environmental Psychology;
• 出版者：Springer US
• ISSN：1573-2789
• 卷排序：53

文摘

Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.