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Utilization of physician mental health services by birthing parents with young children during the COVID-19 pandemic: a population-based, repeated cross-sectional study

John S. Moin, Simone N. Vigod, Lesley Plumptre, Natalie Troke, Irene Papanicolas, Walter P. Wodchis and Geoff Anderson
November 28, 2023 11 (6) E1093-E1101; DOI: https://doi.org/10.9778/cmajo.20220239
John S. Moin
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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Simone N. Vigod
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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Lesley Plumptre
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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Natalie Troke
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
MPH
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Irene Papanicolas
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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Walter P. Wodchis
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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Geoff Anderson
Institute of Health Policy Management and Evaluation (Moin, Wodchis, Anderson), Dalla Lana School of Public Health, University of Toronto; Women’s College Hospital (Vigod); ICES Central (Plumptre, Troke), Toronto, Ont.; The London School of Economics and Political Science (Papanicolas), Health Policy London, London, UK; Brown School of Public Health (Papanicolas), Providence, RI; Institute for Better Health (Wodchis), Trillium Health Partners, Mississauga, Ont.
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    Figure 1:

    Total expected and observed outpatient mental health visits over time. Note: CI = confidence interval, IRR = incidence rate ratio.

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    Figure 2:

    Expected and observed mental health visits by diagnosis over time. Note: CI = confidence interval, IRR = incidence rate ratio.

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    Figure 3:

    Expected and observed mental health visits by physician type over time. Note: CI = confidence interval, GP = general practitioner, IRR = incidence rate ratio.

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    Table 1:

    Sociodemographic characteristics of study population

    CharacteristicsNo. (%) of birthing parents with younger children, aged 0–5 yr (Cohort 1)No. (%) of birthing parents with school-aged children, aged 6–12 yr (Cohort 2)
    Sex
     Female986 870 (100.0)1 012 997 (100.0)
    Age band of parents, yr
     < 184906 (0.5)13 (0)
     18–26164 717 (16.7)36 243 (3.6)
     27–36592 467 (60.0)368 089 (36.3)
     37–47221 619 (22.5)544 602 (53.8)
     ≥ 483161 (0.3)64 050 (6.3)
    Material deprivation
     1 (least deprived)231 596 (23.8)248 140 (24.8)
     2207 234 (21.3)224 054 (22.4)
     3181 014 (18.6)186 712 (18.6)
     4170 147 (17.5)166 238 (16.6)
     5 (most deprived)184 940 (18.9)176 788 (17.6)
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CMAJ Open: 11 (6)
Vol. 11, Issue 6
1 Nov 2023
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Utilization of physician mental health services by birthing parents with young children during the COVID-19 pandemic: a population-based, repeated cross-sectional study
John S. Moin, Simone N. Vigod, Lesley Plumptre, Natalie Troke, Irene Papanicolas, Walter P. Wodchis, Geoff Anderson
Nov 2023, 11 (6) E1093-E1101; DOI: 10.9778/cmajo.20220239

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Utilization of physician mental health services by birthing parents with young children during the COVID-19 pandemic: a population-based, repeated cross-sectional study
John S. Moin, Simone N. Vigod, Lesley Plumptre, Natalie Troke, Irene Papanicolas, Walter P. Wodchis, Geoff Anderson
Nov 2023, 11 (6) E1093-E1101; DOI: 10.9778/cmajo.20220239
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