31 Income inequalities beyond access to mental health care RESULTS Our study population consisted of 951,530 individuals with a first specialist mental health treatment record opened between Jan 1, 2011, and Dec 31, 2016. Patients in our study population were on average aged 45.0 years (SD 17.9) and mainly female (529,859 [55.7%]; Table 1). 95,654 (10.1%) patients had a non-Dutch western migration background, whereas 137,505 (14.5%) had a non-western migration background. Patients in the lowest income quintile of the population income distribution were more than twice as likely to initiate specialist mental health treatment compared with those in the top quintile (299,159 [31.4%] in the first quintile, 195,371 [20.5%] in the second quintile, 172,146 [18.1%] in the third quintile, 152,700 [16.0%] in the fourth quintile, and 132,154 [13.9%] in the fifth quintile). Table 1. Characteristics of patients and their initial mental health treatment records Observations (N=951,530) Female 529,859 (55.7%) Male 421,671 (44.3%) Dutch background † 718,371 (75.5%) Western migration background † 95,654 (10.1%) Non-Western migration background † 137,505 (14.5%) Age (average in years, [SD]) 45.0 [17.9] Household income quintiles ‡ 1st quintile (lowest) 299,159 (31.4%) 2nd quintile 195,371 (20.5%) 3rd quintile 172,146 (18.1%) 4th quintile 152,700 (16.0%) 5th quintile (highest) 132,154 (13.9%) Primary mental disorder diagnosis Depressive disorder 234,126 (24.6%) Anxiety disorder 167,467 (17.6%) Personality disorder 79,776 (8.4%) Disorder first diagnosed in childhood 75,689 (8.0%) Dementia 64,933 (6.8%) Substance use disorder 71,668 (7.5%) Psychotic disorder 38,919 (4.1%) Somatoform disorder 49,013 (5.2%) Bipolar disorder 25,755 (2.7%) Impulse disorder 18,443 (1.9%) Eating disorder 15,488 (1.6%) Other conditions* 102,940 (10.8%) 2
RkJQdWJsaXNoZXIy MjY0ODMw