PDF(Pubmed)
Abstract：
UNASSIGNED: The COVID-19 pandemic resulted in multiple socially restrictive public health measures and reported negative mental health impacts in youths. Few studies have evaluated incidence rates by sex, region, and social determinants across an entire population.
UNASSIGNED: To estimate the incidence of hospitalizations for mental health conditions, stratified by sex, region, and social determinants, in children and adolescents (hereinafter referred to as youths) and young adults comparing the prepandemic and pandemic-prevalent periods.
UNASSIGNED: This Canadian population-based repeated ecological cross-sectional study used health administrative data, extending from April 1, 2016, to March 31, 2023. All youths and young adults from 6 to 20 years of age in each of the Canadian provinces and territories were included. Data were provided by the Canadian Institute for Health Information for all provinces except Quebec; the Institut National d\'Excellence en Santé et en Services Sociaux provided aggregate data for Quebec.
UNASSIGNED: The COVID-19-prevalent period, defined as April 1, 2020, to March 31, 2023.
UNASSIGNED: The main outcome measures were the prepandemic and COVID-19-prevalent incidence rates of hospitalizations for anxiety, mood disorders, eating disorders, schizophrenia or psychosis, personality disorders, substance-related disorders, and self-harm. Secondary measures included hospitalization differences by sex, age group, and deprivation as well as emergency department visits for the same mental health conditions.
UNASSIGNED: Among Canadian youths and young adults during the study period, there were 218 101 hospitalizations for mental health conditions (ages 6 to 11 years: 5.8%, 12 to 17 years: 66.9%, and 18 to 20 years: 27.3%; 66.0% female). The rate of mental health hospitalizations decreased from 51.6 to 47.9 per 10 000 person-years between the prepandemic and COVID-19-prevalent years. However, the pandemic was associated with a rise in hospitalizations for anxiety (incidence rate ratio [IRR], 1.11; 95% CI, 1.08-1.14), personality disorders (IRR, 1.21; 95% CI, 1.16-1.25), suicide and self-harm (IRR, 1.10; 95% CI, 1.07-1.13), and eating disorders (IRR, 1.66; 95% CI, 1.60-1.73) in females and for eating disorders (IRR, 1.47; 95% CI, 1.31-1.67) in males. In both sexes, there was a decrease in hospitalizations for mood disorders (IRR, 0.84; 95% CI, 0.83-0.86), substance-related disorders (IRR, 0.83; 95% CI, 0.81-0.86), and other mental health disorders (IRR, 0.78; 95% CI, 0.76-0.79).
UNASSIGNED: This cross-sectional study of Canadian youths and young adults found a rise in anxiety, personality disorders, and suicidality in females and a rise in eating disorders in both sexes in the COVID-19-prevalent period. These results suggest that in future pandemics, policymakers should support youths and young adults who are particularly vulnerable to deterioration in mental health conditions during public health restrictions, including eating disorders, anxiety, and suicidality.
UNASSIGNED: To estimate the incidence of hospitalizations for mental health conditions, stratified by sex, region, and social determinants, in children and adolescents (hereinafter referred to as youths) and young adults comparing the prepandemic and pandemic-prevalent periods.
UNASSIGNED: This Canadian population-based repeated ecological cross-sectional study used health administrative data, extending from April 1, 2016, to March 31, 2023. All youths and young adults from 6 to 20 years of age in each of the Canadian provinces and territories were included. Data were provided by the Canadian Institute for Health Information for all provinces except Quebec; the Institut National d\'Excellence en Santé et en Services Sociaux provided aggregate data for Quebec.
UNASSIGNED: The COVID-19-prevalent period, defined as April 1, 2020, to March 31, 2023.
UNASSIGNED: The main outcome measures were the prepandemic and COVID-19-prevalent incidence rates of hospitalizations for anxiety, mood disorders, eating disorders, schizophrenia or psychosis, personality disorders, substance-related disorders, and self-harm. Secondary measures included hospitalization differences by sex, age group, and deprivation as well as emergency department visits for the same mental health conditions.
UNASSIGNED: Among Canadian youths and young adults during the study period, there were 218 101 hospitalizations for mental health conditions (ages 6 to 11 years: 5.8%, 12 to 17 years: 66.9%, and 18 to 20 years: 27.3%; 66.0% female). The rate of mental health hospitalizations decreased from 51.6 to 47.9 per 10 000 person-years between the prepandemic and COVID-19-prevalent years. However, the pandemic was associated with a rise in hospitalizations for anxiety (incidence rate ratio [IRR], 1.11; 95% CI, 1.08-1.14), personality disorders (IRR, 1.21; 95% CI, 1.16-1.25), suicide and self-harm (IRR, 1.10; 95% CI, 1.07-1.13), and eating disorders (IRR, 1.66; 95% CI, 1.60-1.73) in females and for eating disorders (IRR, 1.47; 95% CI, 1.31-1.67) in males. In both sexes, there was a decrease in hospitalizations for mood disorders (IRR, 0.84; 95% CI, 0.83-0.86), substance-related disorders (IRR, 0.83; 95% CI, 0.81-0.86), and other mental health disorders (IRR, 0.78; 95% CI, 0.76-0.79).
UNASSIGNED: This cross-sectional study of Canadian youths and young adults found a rise in anxiety, personality disorders, and suicidality in females and a rise in eating disorders in both sexes in the COVID-19-prevalent period. These results suggest that in future pandemics, policymakers should support youths and young adults who are particularly vulnerable to deterioration in mental health conditions during public health restrictions, including eating disorders, anxiety, and suicidality.
摘要：
■COVID-19大流行导致了多种具有社会限制性的公共卫生措施，并报告了对青少年的负面心理健康影响。很少有研究按性别评估发病率，区域,以及整个人口的社会决定因素。
■为了估计精神健康状况住院的发生率，按性别分层，区域,和社会决定因素，在儿童和青少年（以下简称青年）和年轻人中，比较流行和流行期。
■这项基于加拿大人口的重复生态横断面研究使用了卫生行政数据，从2016年4月1日延长至2023年3月31日。包括加拿大各省和地区的所有6至20岁的年轻人和年轻人。加拿大卫生信息研究所提供了除魁北克以外所有省份的数据；国家卓越研究所提供了魁北克的汇总数据。
■COVID-19流行时期，定义为2020年4月1日至2023年3月31日。
■主要结局指标是因焦虑症住院的前流行率和COVID-19流行率，情绪障碍,饮食失调,精神分裂症或精神病，人格障碍,物质相关疾病，和自我伤害。次要指标包括按性别分列的住院差异，年龄组,和剥夺以及急诊科访问相同的精神健康状况。
■在研究期间的加拿大青年和年轻人中，有218101例精神健康状况住院(6至11岁:5.8%，12至17年：66.9%，18至20岁：27.3%；66.0%女性）。在流行前和COVID-19流行年之间，精神健康住院率从每10,000人年51.6降至47.9。然而,大流行与焦虑症住院人数增加有关(发病率比[IRR]，1.11；95%CI，1.08-1.14），人格障碍(IRR，1.21；95%CI，1.16-1.25），自杀和自我伤害(IRR，1.10；95%CI，1.07-1.13），和饮食失调(IRR，1.66；95%CI，1.60-1.73)，女性和饮食失调(IRR，1.47；95%CI，1.31-1.67）男性。在两性中，因情绪障碍而住院的人数有所减少(IRR，0.84；95%CI，0.83-0.86），物质相关疾病（IRR，0.83；95%CI，0.81-0.86），和其他精神健康障碍(IRR，0.78；95%CI，0.76-0.79）。
■这项针对加拿大年轻人和年轻人的横断面研究发现，焦虑情绪有所上升，人格障碍,在COVID-19流行期，女性自杀和两性饮食失调的增加。这些结果表明，在未来的大流行中，政策制定者应支持在公共卫生限制期间特别容易受到精神健康状况恶化影响的年轻人和年轻人，包括饮食失调,焦虑,和自杀。
■为了估计精神健康状况住院的发生率，按性别分层，区域,和社会决定因素，在儿童和青少年（以下简称青年）和年轻人中，比较流行和流行期。
■这项基于加拿大人口的重复生态横断面研究使用了卫生行政数据，从2016年4月1日延长至2023年3月31日。包括加拿大各省和地区的所有6至20岁的年轻人和年轻人。加拿大卫生信息研究所提供了除魁北克以外所有省份的数据；国家卓越研究所提供了魁北克的汇总数据。
■COVID-19流行时期，定义为2020年4月1日至2023年3月31日。
■主要结局指标是因焦虑症住院的前流行率和COVID-19流行率，情绪障碍,饮食失调,精神分裂症或精神病，人格障碍,物质相关疾病，和自我伤害。次要指标包括按性别分列的住院差异，年龄组,和剥夺以及急诊科访问相同的精神健康状况。
■在研究期间的加拿大青年和年轻人中，有218101例精神健康状况住院(6至11岁:5.8%，12至17年：66.9%，18至20岁：27.3%；66.0%女性）。在流行前和COVID-19流行年之间，精神健康住院率从每10,000人年51.6降至47.9。然而,大流行与焦虑症住院人数增加有关(发病率比[IRR]，1.11；95%CI，1.08-1.14），人格障碍(IRR，1.21；95%CI，1.16-1.25），自杀和自我伤害(IRR，1.10；95%CI，1.07-1.13），和饮食失调(IRR，1.66；95%CI，1.60-1.73)，女性和饮食失调(IRR，1.47；95%CI，1.31-1.67）男性。在两性中，因情绪障碍而住院的人数有所减少(IRR，0.84；95%CI，0.83-0.86），物质相关疾病（IRR，0.83；95%CI，0.81-0.86），和其他精神健康障碍(IRR，0.78；95%CI，0.76-0.79）。
■这项针对加拿大年轻人和年轻人的横断面研究发现，焦虑情绪有所上升，人格障碍,在COVID-19流行期，女性自杀和两性饮食失调的增加。这些结果表明，在未来的大流行中，政策制定者应支持在公共卫生限制期间特别容易受到精神健康状况恶化影响的年轻人和年轻人，包括饮食失调,焦虑,和自杀。
