Table 2.
Mental Disorder Diagnosis (n=9,286) |
Psychotropic (n=20,043) |
Psychiatrist (n=4,491) |
Psychotherapy (n=2,763) |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||||
21-64y | ≥65y | X2 | 21-64y | ≥65y | X2 | 21-64y | ≥65y | X2 | 21-64y | ≥65y | X2 | |
Age, mean (SE), y | 44.13 | 76.40 | n/a | 46.77 | 75.88 | n/a | 44.32 | 72.34 | n/a | 44.44 | 73.31 | |
(.25) | (.33) | (.19) | (.15) | (.31) | (.48) | (.47) | (.60) | |||||
Sex | ||||||||||||
Male, %d | 38.76 | 32.31 | 12.86c | 33.53 | 34.41 | 0.98 | 39.89 | 32.18 | 4.67a | 40.04 | 34.38 | 1.96 |
Female | 61.24 | 67.69 | 66.47 | 65.59 | 60.11 | 67.82 | 59.96 | 65.62 | ||||
Race/ethnicity | ||||||||||||
Non-Hispanic white | 81.08 | 81.88 | 0.29 | 80.40 | 83.02 | 0.29 | 81.05 | 84.57 | 0.71 | 83.17 | 89.37 | 4.18a |
Non-Hispanic black | 8.01 | 7.15 | 0.49 | 8.86 | 6.66 | 10.65b | 8.78 | 3.26 | 12.38c | 7.02 | 3.55 | 3.62 |
Hispanic | 7.57 | 7.85 | 0.07 | 7.60 | 7.69 | 0.03 | 6.78 | 9.15 | 0.72 | 5.75 | 4.38 | 0.48 |
Other | 3.34 | 3.13 | 0.13 | 3.15 | 2.62 | 1.50 | 3.39 | 3.02 | 0.10 | 4.06 | 2.70 | 0.98 |
Provider Specialty | ||||||||||||
Primary care | 49.33 | 63.59 | 16.32c | 49.82 | 52.85 | 2.47 | n/a | n/a | n/a | 9.63 | 20.26 | 4.42a |
Other specialty | 11.56 | 18.41 | 13.60c | 34.10 | 43.27 | 24.12c | n/a | n/a | n/a | 2.75 | 3.56 | 0.18 |
Psychiatrist | 40.10 | 19.42 | 81.33c | 17.11 | 4.35 | 175.13c | n/a | n/a | n/a | 87.92 | 80.16 | 5.43a |
MH diagnosis | ||||||||||||
Any MH diagnosis | n/a | n/a | n/a | 36.82 | 19.27 | 191.16c | 95.37 | 93.19 | 1.10 | 94.16 | 89.14 | 5.08a |
Depression | 42.73 | 38.35 | 5.92a | 17.52 | 8.12 | 159.59c | 44.08 | 52.58 | 7.33b | 44.79 | 54.23 | 4.03a |
Bipolar disorder | 11.44 | 3.87 | 59.46c | 4.97 | 0.83 | 137.91c | 19.16 | 12.75 | 6.36a | 16.82 | 12.54 | 2.07 |
Psychotic disorder | 5.22 | 3.27 | 7.37b | 2.15 | 0.67 | 41.78c | 9.62 | 9.26 | 0.05 | 6.57 | 7.04 | 0.07 |
Substance use disorder |
11.37 | 5.79 | 31.15c | 2.76 | 0.51 | 54.34c | 7.01 | 1.70 | 10.24b | 8.23 | 2.31 | 6.79b |
Anxiety disorder | 29.00 | 21.70 | 12.91c | 11.75 | 4.34 | 98.67c | 27.08 | 20.91 | 4.19a | 28.06 | 18.18 | 10.49b |
Dementia | 0.16 | 9.76 | 598.01c | <0.01 | 2.01 | 293.13c | <0.01 | 5.36 | 415.52c | <0.01 | 1.05 | 42.62c |
Psychotropic
medication |
||||||||||||
Any | 74.34 | 73.09 | 0.36 | n/a | n/a | n/a | 82.17 | 83.58 | 79.55 | 80.96 | 16.01 | 0.06 |
Antidepressant | 53.62 | 42.22 | 33.21c | 64.03 | 51.94 | 122.56c | 61.92 | 62.02 | 61.93 | 61.74 | 0.00 | 0.01 |
Anxiolytic | 36.37 | 31.06 | 6.08a | 50.26 | 50.80 | 0.22 | 0.39 | 0.40 | 38.30 | 41.78 | 0.60 | 0.60 |
Mood stabilizer | 9.14 | 3.41 | 33.54c | 8.00 | 0.03 | 117.25c | 16.56 | 8.73 | 14.16 | 8.71 | 5.77a | 5.93a |
Antipsychotic | 16.07 | 11.06 | 13.75c | 12.13 | 6.37 | 59.19c | 29.48 | 28.93 | 24.02 | 24.56 | 0.03 | 0.02 |
Stimulant | 3.75 | 0.81 | 31.11c | 2.63 | 0.37 | 101.71c | 5.86 | 2.86 | 5.15 | 2.98 | 2.50 | 2.57 |
Psychotherapy
visit |
22.70 | 12.08 | 43.89c | 9.50 | 2.89 | 135.93c | 50.41 | 55.01 | 1.24 | n/a | n/a | n/a |
Payment form | ||||||||||||
Medicare | 10.86 | 77.45 | 1084.40c | 11.86 | 80.63 | 2540.21c | 14.13 | 64.12 | 247.30c | 10.12 | 65.03 | 287.02c |
Medicaid | 15.99 | 6.55 | 40.6500c | 13.41 | 6.01 | 66.53c | 17.61 | 10.98 | 3.72 | 13.33 | 6.15 | 6.64a |
Private | 58.80 | 46.53 | 21.61c | 66.63 | 49.13 | 109.06c | 48.07 | 33.95 | 12.28c | 49.40 | 37.28 | 5.22a |
Other | 19.48 | 5.84 | 142.91c | 13.89 | 3.76 | 141.35c | 27.43 | 17.54 | 9.51b | 31.62 | 18.83 | 10.88b |
Geographic region | ||||||||||||
Northeast | 21.55 | 20.02 | 0.93 | 18.79 | 17.07 | 2.80 | 29.28 | 38.78 | 4.21a | 33.82 | 39.92 | 1.78 |
Midwest | 22.42 | 22.16 | 0.02 | 23.06 | 21.92 | 0.95 | 15.81 | 13.04 | 1.00 | 17.94 | 17.86 | 0.00 |
South | 34.83 | 37.75 | 1.47 | 37.97 | 41.05 | 3.23 | 33.55 | 28.85 | 0.95 | 21.82 | 17.61 | 1.16 |
West | 21.19 | 20.06 | 0.43 | 20.18 | 19.96 | 0.02 | 21.36 | 19.33 | 0.32 | 26.41 | 24.61 | 0.13 |
Metropolitan area | ||||||||||||
Yes | 86.82 | 85.85 | 0.40 | 87.47 | 86.63 | 0.36 | 89.24 | 85.42 | 1.85 | 90.83 | 85.71 | 3.01 |
No | 12.32 | 13.14 | 12.53 | 13.37 | 10.76 | 14.58 | 9.17 | 14.29 |
p< .05,
p< .01,
p< .001
all values are percentages except age