Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Setting
2.2. Data Sources
2.3. Study Population
2.4. Health Service Contacts for Mood and Anxiety Disorders
2.5. Neighbourhood Socioenvironmental Characteristics
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristic | (1) All Patients (n = 13,330) | (2) Females (n = 4755) | (3) Males (n = 8580) | |||||||
---|---|---|---|---|---|---|---|---|---|---|
HR | Lower CI | Upper CI | HR | Lower CI | Upper CI | HR | Lower CI | Upper CI | ||
Sex | ||||||||||
Female (ref: Male) | 1.58 * | 1.48 | 1.68 | -- | -- | -- | -- | -- | -- | |
Age group | ||||||||||
65–74 years (ref: 45–64 years) | 0.95 | 0.88 | 1.03 | 0.91 | 0.80 | 1.03 | 0.97 | 0.88 | 1.07 | |
75+ years | 0.94 * | 0.87 | 1.00 | 0.81 * | 0.72 | 0.91 | 1.05 | 0.96 | 1.16 | |
Community size | ||||||||||
Urban (ref: Rural) | 0.91 * | 0.85 | 0.97 | 0.95 | 0.85 | 1.06 | 0.88 * | 0.80 | 0.96 | |
Neighbourhood material deprivation | ||||||||||
High (ref: Low) | 1.03 | 0.95 | 1.12 | 1.16 * | 1.01 | 1.33 | 0.95 | 0.85 | 1.06 | |
Neighbourhood population dependency | ||||||||||
High (ref: Low) | 1.03 | 0.94 | 1.14 | 0.95 | 0.82 | 1.11 | 1.09 | 0.96 | 1.23 | |
Neighbourhood residential instability | ||||||||||
High (ref: Low) | 1.04 | 0.97 | 1.11 | 1.03 | 0.92 | 1.15 | 1.04 | 0.95 | 1.13 | |
Neighbourhood ethnic concentration | ||||||||||
High (ref: Low) | 1.11 * | 1.03 | 1.19 | 1.07 | 0.95 | 1.20 | 1.14 * | 1.03 | 1.25 | |
Neighbourhood active living friendliness | ||||||||||
High (ref: Low) | 1.01 | 0.92 | 1.10 | 1.01 | 0.88 | 1.15 | 1.00 | 0.89 | 1.12 | |
Local climate zone | ||||||||||
Compact high-rise (ref: Lightweight low-rise) | 1.01 | 0.94 | 1.08 | 1.07 | 0.96 | 1.19 | 0.97 | 0.89 | 1.05 |
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Foroughi, I.; Gupta, N.; Crouse, D.L. Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population. Int. J. Environ. Res. Public Health 2020, 17, 4939. https://doi.org/10.3390/ijerph17144939
Foroughi I, Gupta N, Crouse DL. Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population. International Journal of Environmental Research and Public Health. 2020; 17(14):4939. https://doi.org/10.3390/ijerph17144939
Chicago/Turabian StyleForoughi, Ismael, Neeru Gupta, and Dan Lawson Crouse. 2020. "Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population" International Journal of Environmental Research and Public Health 17, no. 14: 4939. https://doi.org/10.3390/ijerph17144939