%0 Journal Article
%T Gender Differences in Service Use in a Sample of People with Schizophrenia and Other Psychoses
%A Raquel Iniesta
%A Susana Ochoa
%A Judith Usall
%J Schizophrenia Research and Treatment
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/365452
%X Objective. The main objective is to analyze the use of mental health services in a sample of people with schizophrenia and other psychoses according to gender. Method. The sample of this observational and retrospective study ( ) consisted of all the persons who visited any mental health service of the Parc Sanitari Sant Joan de D¨¦u from 2001 to 2007 with a diagnosis of schizophrenia and other psychoses. The main measures analyzed regarding gender were the frequency of patients for each diagnosis, their risk of being admitted into hospital, and the number and length of hospitalizations for the subsample of inpatient people during the study period. Results. Men are more frequent in the total sample (58.1%). For diagnosis of schizoaffective or delusional disorder, women have a higher frequency than men. Women with diagnosis of schizophrenia have a lower risk of being admitted to the hospital ( , 95% CI£¿(0.72, 0.97)). We found a higher risk of longer stays for men with schizophrenia of the disorganized type ( , 95% CI£¿(0.30, 0.81)), undifferentiated ( , 95% CI£¿(0.27, 0.61)), or delusional disorder ( , 95% CI£¿(0.49, 0.87)). Conclusion. Gender of patients is a relevant variable in mental health service use by patients with schizophrenia and other psychoses. 1. Introduction Gender differences in schizophrenia have received widespread empirical support with respect to incidence, age at onset, familial transmission, and neurobiological factors [1, 2]. However, gender differences in the use of mental health services have been less studied, and the results are controversial. The most studied variables are number of hospitalizations and length of hospital stay. Some researchers have found a higher number of hospitalizations and length of stays in men than women [3¨C5]. However, Lindamer et al. [6] found that women with schizophrenia have a higher risk of being hospitalized than men. Specifically, gender differences in the use of services with regard to the different subtypes of schizophrenia have been less explored. Beratis et al. [7] found that the frequency of men was more than three times greater than that of women in the residual and the catatonic subtypes. Tang et al. [8], using the ICD-10 classification system, found differences in the overall subtype distribution between male and female patients, with the paranoid subtype being more common in females; however, they did not explore hospitalizations regarding the subtypes of schizophrenia. On the other hand, Mimica et al. [9] found a different hospitalization pattern between subtypes of schizophrenia; the
%U http://www.hindawi.com/journals/schizort/2012/365452/