View in EDS HTML Full Text PDF Full Text

A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.

Saved in:
Bibliographic Details
Title: A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.
Authors: Petrelli, Alessio (AUTHOR), Aragona, Massimiliano (AUTHOR), Ciampichini, Roberta (AUTHOR), Di Napoli, Anteo (AUTHOR), Fano, Valeria (AUTHOR), Leone, Sara (AUTHOR), Pacifici, Martina (AUTHOR), Rosini, Claudio (AUTHOR), Silvestri, Caterina (AUTHOR), Zucchi, Alberto (AUTHOR), Ventura, Martina (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Apr2025, Vol. 60 Issue 4, p967-976. 10p.
Subjects: Mental health services, Health equity, Medical care, Medical sciences, Socioeconomic disparities in health
Abstract: Purpose: The Covid and Mental Health (CoMeH) cohort was established to assess the impact of the COVID-19 pandemic on the use of mental health care services in Italy in the short and long term, with a particular focus on socioeconomic and/or citizenship inequalities. Methods: The CoMeH cohort includes all residents for at least two years in one of three vast catchment areas (N = 5,167,043), aged ≥ 10 years and assisted by a National Health Service (NHS) general practitioner (GP) of the area of residence. Primary outcomes of interest are the following indicators of mental health care services use: first access to any mental health care service (MHCS), total number of accesses to MHCS, the consumption of psychiatric drugs, the number of psychiatric or psychological outpatient visits, the number of residential or day care days spent in psychiatric facilities, the number of emergency department (ED) admissions, and inpatient admissions to hospitals. Results: Initial findings show that incident MHCS users were 3.2% of the population of the Bergamo Local Health Authority (LHA), 3.5% of the Rome 2 LHA, and 4.4% of the Tuscany Region. The overall crude incidence rate of access to mental health care was 3.3% in the pre-COVID-19 period and 2.6% during the pandemic. Prescriptions for a mental disorder (57.2%) and ED admissions (25.1%) were the main reasons for enrollment. Compared to the general population, people with mental health conditions were older and more often female. The distribution of the incident users by deprivation index overlapped that of the population. Immigrants were younger, socioeconomically more deprived, and more often entered the study for an ED admission. Conclusion: This first CoMeH cohort study focused on the impact of the pandemic through the evaluation of hospitalizations, emergency department accesses, outpatient visits, residential and day care service use, and drug prescriptions. We also evaluated socioeconomic inequalities through the use of census-based deprivation index and migration status. Finally, we also analyzed the impact of COVID-19 infection and outcome on the study cohort. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 184745497
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Petrelli%2C+Alessio%22">Petrelli, Alessio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aragona%2C+Massimiliano%22">Aragona, Massimiliano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ciampichini%2C+Roberta%22">Ciampichini, Roberta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Di+Napoli%2C+Anteo%22">Di Napoli, Anteo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fano%2C+Valeria%22">Fano, Valeria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leone%2C+Sara%22">Leone, Sara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pacifici%2C+Martina%22">Pacifici, Martina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosini%2C+Claudio%22">Rosini, Claudio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silvestri%2C+Caterina%22">Silvestri, Caterina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zucchi%2C+Alberto%22">Zucchi, Alberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ventura%2C+Martina%22">Ventura, Martina</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Apr2025, Vol. 60 Issue 4, p967-976. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+sciences%22">Medical sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+disparities+in+health%22">Socioeconomic disparities in health</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The Covid and Mental Health (CoMeH) cohort was established to assess the impact of the COVID-19 pandemic on the use of mental health care services in Italy in the short and long term, with a particular focus on socioeconomic and/or citizenship inequalities. Methods: The CoMeH cohort includes all residents for at least two years in one of three vast catchment areas (N = 5,167,043), aged ≥ 10 years and assisted by a National Health Service (NHS) general practitioner (GP) of the area of residence. Primary outcomes of interest are the following indicators of mental health care services use: first access to any mental health care service (MHCS), total number of accesses to MHCS, the consumption of psychiatric drugs, the number of psychiatric or psychological outpatient visits, the number of residential or day care days spent in psychiatric facilities, the number of emergency department (ED) admissions, and inpatient admissions to hospitals. Results: Initial findings show that incident MHCS users were 3.2% of the population of the Bergamo Local Health Authority (LHA), 3.5% of the Rome 2 LHA, and 4.4% of the Tuscany Region. The overall crude incidence rate of access to mental health care was 3.3% in the pre-COVID-19 period and 2.6% during the pandemic. Prescriptions for a mental disorder (57.2%) and ED admissions (25.1%) were the main reasons for enrollment. Compared to the general population, people with mental health conditions were older and more often female. The distribution of the incident users by deprivation index overlapped that of the population. Immigrants were younger, socioeconomically more deprived, and more often entered the study for an ED admission. Conclusion: This first CoMeH cohort study focused on the impact of the pandemic through the evaluation of hospitalizations, emergency department accesses, outpatient visits, residential and day care service use, and drug prescriptions. We also evaluated socioeconomic inequalities through the use of census-based deprivation index and migration status. Finally, we also analyzed the impact of COVID-19 infection and outcome on the study cohort. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=184745497
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00127-025-02838-y
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 967
    Subjects:
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Medical sciences
        Type: general
      – SubjectFull: Socioeconomic disparities in health
        Type: general
    Titles:
      – TitleFull: A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Petrelli, Alessio
      – PersonEntity:
          Name:
            NameFull: Aragona, Massimiliano
      – PersonEntity:
          Name:
            NameFull: Ciampichini, Roberta
      – PersonEntity:
          Name:
            NameFull: Di Napoli, Anteo
      – PersonEntity:
          Name:
            NameFull: Fano, Valeria
      – PersonEntity:
          Name:
            NameFull: Leone, Sara
      – PersonEntity:
          Name:
            NameFull: Pacifici, Martina
      – PersonEntity:
          Name:
            NameFull: Rosini, Claudio
      – PersonEntity:
          Name:
            NameFull: Silvestri, Caterina
      – PersonEntity:
          Name:
            NameFull: Zucchi, Alberto
      – PersonEntity:
          Name:
            NameFull: Ventura, Martina
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 09337954
          Numbering:
            – Type: volume
              Value: 60
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Social Psychiatry & Psychiatric Epidemiology
              Type: main
ResultId 1