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This study aims to investigate if there are socioeconomic differences in the utilisation of MHC, while accounting for adolescents\u2019 mental health status. We analysed a cohort of 3517 adolescents, followed from 7 to 9th grade (ages 13\u201316), to examine the association between parental socioeconomic position (SEP: education and disposable income), adolescents\u2019 estimated needs, and the utilisation of MHC (defined as visits to secondary psychiatric care or receipt of psychotropic medication). Logistic and negative binomial regression models, with mental health status as moderator, were used to predict utilisation during each grade. Lower SEP predicted higher odds of utilising MHC in adolescents with no\/mild symptoms (e.g., odds ratio, OR\u2009=\u20091.33, 95% CI 1.04\u20131.72, lower vs highest education), but not in those with moderate-to-severe symptoms (estimates close to one and non-significant). This pattern was largely explained by treatment of attention deficit hyperactivity disorder\/autism spectrum disorders (ADHD\/ASD) in boys. For girls with severe symptoms, lower SEP predicted reduced odds of utilising MHC for other mental disorders (OR\u2009=\u20090.48, 95% CI 0.25\u20130.92, lower education), and fewer outpatient visits when in contact with such care, although non-significant (incidence rate ratio, IRR\u2009=\u20090.51, 95% CI 0.25\u20131.05, lowest vs highest income). Our findings suggest a more equitable use of MHC for treating ADHD\/ASD, but not other mental disorders such as depression and anxiety, particularly among girls.<\/jats:p>","DOI":"10.1007\/s00787-023-02341-2","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T05:02:45Z","timestamp":1703826165000},"page":"2581-2591","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Are the estimated needs for mental health care among adolescents from different socioeconomic backgrounds met equally in Sweden? 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Region Stockholm is responsible for all publicly-financed healthcare in Stockholm County","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"All the authors except MRG and ACH are employed by Region Stockholm. Region Stockholm is responsible for all publicly financed healthcare in Stockholm County.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"We received permission from the Swedish Ethical Review Authority to utilise data from the Kupol project (reference number: 2021-02943). Kupol received ethical clearance from the Swedish Ethical Review Authority and informed consent from participants (parents) to collect, process, and utilise their data (reference numbers: 2012\/1904-31\/1 and 2016\/1280-32). This study was performed in accordance with the ethical principles of the Declaration of Helsinki.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}