Regional Differences in Serious Psychological Distress and Overall Physical and Mental Health

Abstract

To determine regional differences in the prevalence of overall physical health, overall mental health, and serious psychological distress (SPD). Data from the 2004 to 2016 Medical Expenditure Panel Survey were used for weighted analysis across region. Relationship modifiers considered were sociodemographic factors, health factors, and measures of health expenditures. A higher burden ratio of health care expenditures is negatively associated with health outcomes, across all US regions and insurance. Compared to 2004 values, SPD, overall physical health, and mental health are significantly improved after 2014. This research supports the whole health paradigm, indicating that overall mental and physical health are closely related. The burden of health care costs is an important consideration and related to overall health outcomes, regardless of insurance status or region. These considerations are likely increasingly important to consider with recent global events.

A comparative analysis of pediatric mental health-related emergency department utilization in Montréal, Canada, before and during the COVID-19 pandemic

“…So far, the bulk of the evidence regarding changes in pediatric MHR ED utilization has originated from the United States [ 6 , 9 , 12 , 15 – 17 , 21 – 23 , 26 ], with few studies from other parts of the world [ 7 , 8 , 10 , 11 , 13 , 14 , 24 , 25 ], thereby limiting the generalizability of findings to other countries. Potential regional and national differences could stem from varying COVID-19 epidemiology, public health responses, healthcare systems, socio-economic and sociocultural factors, and availability of mental health services [ 27 ]. Moreover, it remains unclear whether MHR ED utilization has differed across pediatric subpopulations.…”

A comparative analysis of pediatric mental health-related emergency department utilization in Montréal, Canada before and during the COVID-19 pandemic

“…Potential regional and national differences could stem from varying COVID-19 epidemiology, public health responses, healthcare systems, socioeconomic and sociocultural factors, and availability of mental health services. (26) Moreover, it remains unclear whether MHR ED utilization has differed across pediatric subpopulations. To date, only two studies have examined sociodemographic-specific differences — notably, related to age, sex and socio-economic status (SES).…”