Table 2. Mental Health Service Utilization Rates by Sex.
| Diagnostic group | Utilization rate, mean (SD)a | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Female | Male | Total | |||||||
| Pre–COVID-19 | Post–COVID-19 | Difference, % | Pre–COVID-19 | Post–COVID-19 | Difference, % | Pre–COVID-19 | Post–COVID-19 | Difference, % | |
| Major depressive disorder | 23.98 (1.44) | 25.51 (1.94) | 6.0 | 11.41 (0.74) | 11.45 (0.85) | 0.3 | 17.59 (1.07) | 18.37 (1.38) | 4.4 |
| Anxiety disorders | 31.50 (1.47) | 37.08 (3.12) | 17.7 | 15.32 (0.75) | 16.32 (1.33) | 6.5 | 23.28 (1.08) | 26.54 (2.19) | 14.0 |
| Bipolar disorder | 5.46 (0.25) | 5.92 (0.46) | 8.4 | 2.45 (0.15) | 2.48 (0.20) | 1.2 | 4.83 (0.27) | 5.48 (0.42) | 13.5 |
| Adjustment disorders | 28.61 (2.12) | 31.96 (3.14) | 11.7 | 16.00 (0.99) | 16.35 (1.35) | 2.2 | 22.20 (1.53) | 24.03 (2.21) | 8.2 |
| PTSD | 7.64 (0.39) | 8.78 (0.66) | 14.9 | 2.11 (0.15) | 2.28 (0.20) | 8.1 | 3.93 (0.18) | 4.18 (0.32) | 6.4 |
Abbreviation: PTSD, posttraumatic stress disorder.
a
The pre–COVID-19 service utilization rate was defined as weekly beneficiaries receiving services for mental health conditions per 10 000 enrollees from January 5 through March 12, 2020. The post–COVID-19 service utilization rate was defined as weekly beneficiaries receiving services for mental health conditions per 10 000 enrollees from March 13 through December 21, 2020. Standard deviations represent week-over-week variation within the period of interest.