TY - JOUR
KW - Adolescent
KW - Emotional and behavioral problems
KW - Integrated behavioral/primary care
KW - pediatric
AU - S. Watanabe-Galloway
AU - R. Valleley
AU - K. Rieke
AU - B. Corley
A1 - 
AB - Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.
BT - Community mental health journal
C5 - Healthcare Disparities
CP - 1
CY - United States
DO - 10.1007/s10597-016-0024-4
IS - 1
JF - Community mental health journal
N2 - Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.
PP - United States
PY - 2017
SN - 1573-2789; 0010-3853
SP - 27
EP - 33
EP - 
T1 - Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients
T2 - Community mental health journal
TI - Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients
U1 - Healthcare Disparities
U2 - 27250844
U3 - 10.1007/s10597-016-0024-4
VL - 53
VO - 1573-2789; 0010-3853
Y1 - 2017
ER -