The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study

Fabrizio Cedrone, Alessandro Catalini, Lorenzo Stacchini, Nausicaa Berselli, Marta Caminiti, Clara Mazza, Claudia Cosma, Giuseppa Minutolo and Giuseppe Di Martino ()
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Fabrizio Cedrone: Health Management of “S. Spirito” Hospital, Local Health Authority of Pescara, 65100 Pescara, Italy
Alessandro Catalini: Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60100 Ancona, Italy
Lorenzo Stacchini: Department of Health Science, University of Florence, 50100 Florence, Italy
Nausicaa Berselli: Department of Biomedical, Metabolic and Neurosciences, University of Modena and Reggio Emilia, 41100 Modena, Italy
Marta Caminiti: Department of Medicine and Surgery—Sector of Public Health, University of Perugia, 06100 Perugia, Italy
Clara Mazza: Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
Claudia Cosma: Department of Health Science, University of Florence, 50100 Florence, Italy
Giuseppa Minutolo: Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90100 Palermo, Italy
Giuseppe Di Martino: Department of Medicine and Ageing Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy

IJERPH, 2022, vol. 19, issue 22, 1-11

Abstract: 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.

Keywords: mental health; substance abuse; alcohol abuse; barriers; gender inequalities; preventable hospitalizations; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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