95 Patient cost-sharing, mental health care and inequalities APPENDIX E. SUBPOPULATION OF ADOLESCENT MENTAL HEALTH CARE USERS Table A2. Characterization of the subpopulation of mental of health care users at the year of their 17th birthday Female (N=49,386) Household income (euros, median) a Male (N=42,909) Household income (euros, median) a Mental health care use b Specialist, % (n) 72.8 (35,950) 23,271 84.5 (36,266) 22,986 Basic, % (n) 32.3 (15,955) 26,599 19.1 (8,180) 27,306 Mental health care expenditure in euros, median c 1st quartile 206 25,260 188 25,077 2nd quartile 593 24,707 613 24,100 3rd quartile 2,127 23,720 2,167 23,507 4th quartile 6,490 23,150 7,031 21,879 Psychotropic medicines use, % (n) 1 drug class 19.4 (9,568) 24,870 32.0 (13,733) 25,033 Antipsychotics 2.2 (1,066) 22,341 4.4 (1,874) 22,157 Anxiolytics 0.7 (357) 22,493 0.5 (204) 21,836 Antidepressants 7.1 (3,493) 24,863 3.5 (1,485) 24,174 ADHD agents* 9.4 (4,652) 25,597 23.7 (10,170) 25,705 2 + drug classes 3.9 (1,914) 24,041 5.5 (2,356) 23,856 Migratory background, % (n) d Netherlands 81.7 (40,333) 25,172 79.3 (34,042) 24,893 Turkey 2.1 (1,031) 16,802 2.2 (946) 16,495 Morocco 1.7 (841) 15,447 2.6 (1,095) 15,257 Suriname 2.5 (1,235) 19,361 2.8 (1,201) 19,525 Dutch Antilles 1.1 (538) 18,181 1.4 (589) 17,591 Other 11.0 (5,408) 21,104 11.7 (5,036) 20,558 Household income, % (n) 1st quartile 29.9 (14,755) 15,234 32.2 (13,797) 15,134 2nd quartile 25.5 (12,603) 22,462 25.0 (10,727) 22,334 3rd quartile 23.0 (11,333) 28,685 22.1 (9,498) 28,727 4th quartile 21.7 (10,695) 39,763 21.7 (8,887) 39,693 Notes: a Adjusted by the Consumer Price Index with reference to 2015 (CBS 2020). b Due to availability of expenditure data from 2009 onwards, the proportion of mental health care users at 17 is measured for birth cohorts 1992-1997, from a population of 561,724 female and 585,768 male individuals. c Adjusted by the Consumer Price Index with reference to 2015 (CBS 2020), category health expenditures. d First generation migrants are classified according to their country of birth. Second generation migrants are classified according the country of birth of their mother – if that is the Netherlands the country of birth of the father is considered. * The complete designation of the class is psychostimulants, agents used for ADHD and nootropics. 3
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