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Войти в исследования Journal of affective disorders · 2025
Motherhood status and the use of government-subsidised mental health services: Findings from a national cohort study of Australian women.
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Jin Chuyao, Tooth Leigh R, Xu Xiaolin, Mishra Gita D
Аннотация
AIMS: Women without children have been found to have poorer mental health than mothers. However, no studies have examined their mental health service use. This study aims to investigate whether motherhood status is associated with the use of government-subsidised mental health services in Australia.
METHODS: Data were drawn from a longitudinal study of Australian women aged 18-23 at baseline. Motherhood status was categorised as mothers, voluntarily childless, childless due to fertility issues, and childless due to social infertility. Generalised estimating equations with a logit link were used to assess the association between motherhood status and annual use of government-subsidised mental health services.
RESULTS: Among 6362 women (mean age 46.0 ± 1.5 years in Survey 9 in 2021), 84.3 % were mothers, 3.8 % were voluntarily childless, 5.6 % were childless due to fertility issues, and 6.3 % were childless due to social infertility. From 2007 to 2022, 53.3 % of participants accessed government-subsidised mental health services at least once. Women who were voluntarily childless and childless due to fertility issues had higher odds of using any government-subsidised mental health services and attending mental health treatment sessions compared to mothers in a calendar year, after adjusting for childhood factors and time-varying socio-demographic characteristics.
CONCLUSIONS: Women who were voluntarily childless and childless due to fertility issues used more mental health services than mothers during the reproductive lifespan. Further research should investigate the reasons for non-adherence to mental health treatment plans and whether mental health services effectively address the unique challenges faced by women who are childless.
METHODS: Data were drawn from a longitudinal study of Australian women aged 18-23 at baseline. Motherhood status was categorised as mothers, voluntarily childless, childless due to fertility issues, and childless due to social infertility. Generalised estimating equations with a logit link were used to assess the association between motherhood status and annual use of government-subsidised mental health services.
RESULTS: Among 6362 women (mean age 46.0 ± 1.5 years in Survey 9 in 2021), 84.3 % were mothers, 3.8 % were voluntarily childless, 5.6 % were childless due to fertility issues, and 6.3 % were childless due to social infertility. From 2007 to 2022, 53.3 % of participants accessed government-subsidised mental health services at least once. Women who were voluntarily childless and childless due to fertility issues had higher odds of using any government-subsidised mental health services and attending mental health treatment sessions compared to mothers in a calendar year, after adjusting for childhood factors and time-varying socio-demographic characteristics.
CONCLUSIONS: Women who were voluntarily childless and childless due to fertility issues used more mental health services than mothers during the reproductive lifespan. Further research should investigate the reasons for non-adherence to mental health treatment plans and whether mental health services effectively address the unique challenges faced by women who are childless.