Although research indicates that the prevalence of psychiatric disability differs depending on gender, a paucity of information exists as to whether men and women with psychiatric disability also differ regarding service program outcomes. For a United States Southwest peer support specialist training program, this study examines whether gender moderates the association between psychiatric disability and a key outcome-training dropout. Data were collected for 78 men and 157 women with psychiatric disability and 137 men and 203 women with mental illness only. Logistic regression was used to examine the association between psychiatric disability and dropout, with gender as a moderator variable, and age, education, race/ethnicity, and substance use disorder as control variables. Of trainees with psychiatric disability, dropout was greater among men than women (34.6% and 20.4%, respectively; p < .05). Dropout was also greater among men with psychiatric disability than among men with mental illness only (34.6% and 15.3%; p < .01). In contrast, dropout was similar for women with psychiatric disability and mental illness only (20.4% and 18.7%; p > .05), and dropout was comparable among men and women with mental illness only (15.3% and 18.7%; p > .05). In summary, risk of dropout was substantially higher among men with psychiatric disability than women with psychiatric disability. Gender tailoring of the program's services should be considered to better support training completion. This study's findings also raise questions as to possible underrepresentation of men with psychiatric disability in the peer support workforce training pipeline. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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性别、精神残疾和从同伴支持专家培训中辍学。

尽管研究表明精神残疾的患病率因性别而异，但关于精神残疾的男性和女性是否在服务项目结果方面也存在差异的信息很少。对于美国西南地区的同伴支持专家培训计划，本研究检验了性别是否会调节精神残疾与关键结果培训辍学之间的关联。仅收集了 78 名男性和 157 名患有精神疾病的女性和 137 名男性和 203 名患有精神疾病的女性的数据。逻辑回归用于检查精神残疾与辍学之间的关联，性别作为调节变量，年龄、教育、种族/民族和物质使用障碍作为控制变量。患有精神残疾的学员，男性的辍学率高于女性（分别为 34.6% 和 20.4%；p < .05）。患有精神疾病的男性的辍学率也高于仅患有精神疾病的男性（34.6% 和 15.3%；p < .01）。相比之下，仅患有精神疾病和精神疾病的女性的辍学率相似（20.4% 和 18.7%；p > .05），而仅患有精神疾病的男性和女性的辍学率相似（15.3% 和 18.7%；p > .05）。 05)。总之，精神障碍男性的辍学风险明显高于精神障碍女性。应考虑对计划服务进行性别调整，以更好地支持培训完成。这项研究的结果还提出了有关精神障碍男性在同伴支持劳动力培训管道中可能代表性不足的问题。