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Previous research has been limited in its ability to understand the intersection between service user characteristics and engagement. This study compared analytic approaches to investigate intersectional associations between sociodemographic and socioeconomic indicators and use of psychological treatment services by men.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>Data from 9,904 male service users attending two psychological treatment services in London were analysed. The association between ethnicity, sexual orientation, religious affiliation and employment status of service users and service use outcomes was explored using multinomial logistic regression and latent class analysis (LCA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Being from a minoritised ethnic background, of Muslim faith, being unemployed, and living in the most deprived neighbourhoods were associated with greater risk of not commencing or completing treatment. Seven classes were identified in LCA, with men predominately differentiated by self-reported ethnicity and religion. Compared with the \u2018White British, non-religious\u2019 class, the \u2018Asian Muslim\u2019 class and the \u2018minoritised ethnic, non-religious\u2019 class were at higher risk of disengagement, whilst the \u2018Asian, other religion\u2019 class were at higher risk of being referred elsewhere rather than completing initiated treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>There were significant inequalities in engagement by men associated with ethnicity, religion and socioeconomic status. Compared with the regression models, further\u00a0nuance\u00a0was apparent in LCA regarding the intersection of gender, religion and ethnicity. Identifying groups at greater risk of discontinuation of treatment could inform more personalised pathways through care.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00127-022-02256-4","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T23:02:21Z","timestamp":1647990141000},"page":"2065-2077","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Understanding differences in mental health service use by men: an intersectional analysis of routine data"],"prefix":"10.1007","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8940-9034","authenticated-orcid":false,"given":"Natasha","family":"Smyth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua E. 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Permission was granted by the network for the data to be used for this analysis and data were hosted in accordance with locally agreed procedures. No further data on patients other than that already routinely collected by the services was used for this project and NHS ethical approval was not required for this study (confirmed by the Health Research Authority July 2020, Reference Number 81\/81).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All patients are informed at initial contact with the services that their anonymised data may be used for service improvement and research purposes and that this may include publication, and they are able to opt-out at this point. The identities of participants were unknown to the research team.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All patients are informed at initial contact with the services that their anonymised data may be used for service improvement and research purposes and that this may include publication, and they are able to opt-out at this point. The identities of participants were unknown to the research team.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}]}}