Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Suryavanshi, Manasi S. ; Yang, Yi
Suryavanshi, Manasi S. ; Yang, Yi Less -
Description:
Introduction

The prevalence of chronic physical and mental disorders is increasing among children and adolescents in the United States. In this study, we investigated the association between mental health disorders and chronic physical conditions among children, and we assessed whether having mental disorders is associated with increased health care costs for children with chronic physical conditions, using Medical Expenditure Panel Survey data from 2008 through 2013.

Methods

Children aged 5 to 17 with at least 1 chronic physical condition were included in the study. Chronic physical conditions and mental disorders were identified using International Classification of Diseases, 9th Revision, Clinical Modification codes. We used logistic regression to assess the relationship between mental disorders and chronic physical conditions, and we used generalized linear models with gamma distribution and log link to estimate direct medical costs.

Results

Of 42,130 children, 4,640 had at least 1 chronic physical condition. After controlling for sociodemographic and health care access characteristics, we found that children with at least 1 chronic physical condition were 62% more likely to have a mental health disorder than were children without chronic physical conditions (odds ratio = 1.62; 95% confidence interval [CI], 1.37–1.92). Having a mental disorder was a significant predictor of total health care cost (β = 0.64; 95% CI, 0.43–0.85; P < .001). The adjusted annual incremental cost due to mental disorders among children with chronic physical conditions was $2,631 (P < .001).

Conclusion

Having chronic physical conditions in childhood is a significant predictor of mental health disorders and total health care expenditures.


Subjects:
[+]
Adolescent Child Chronic Disease Cost Of Illness Cross-Sectional Studies Female Health Care Costs Health Expenditures Humans International Classification Of Diseases Linear Models Logistic Models Male Mental Disorder Odds Ratio Retrospective Studies Surveys And Questionnaires
Source:
Prev Chronic Dis. 13.
Pubmed ID:
27236382
Pubmed Central ID:
PMC4885682
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:b5935ea43c9b0da342f866ba7568fc2ed9144ef2f3ff5ebc762a21db76346886
Download URL:
https://stacks.cdc.gov/view/cdc/39731/cdc_39731_DS1.pdf
File Type:

Supporting Files

• PCD-13-E71.nxml

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