Determinants of Turkish households' out‐of‐pocket expenditures on three categories of health care services: A multivariate probit approach

Demir, Ayşenur; Alkan, Ömer; Bilgiç, Abdülbaki; Florkowski, Wojciech J.; Karaaslan, Abdulkerim

doi:10.1002/hpm.3470

Cited by 8 publications

(6 citation statements)

References 120 publications

(446 reference statements)

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“…where X is the covariate matrix with any explanatory variable, β is the unknown regression coefficient matrix, ε is the error term, R is the variance-covariance matrix, and ρ jm is the correlation matrix [61]. Categorical variables can be included in models using dummy variables.…”

Section: Discussionmentioning

confidence: 99%

Psychological Help-Seeking Status for Living with Mental Health Conditions in Türkiye: Using a Multivariate Probit Model

Bayrakçeken,

Alkan,

Abar

2023

Healthcare

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Background/aim: Mental disorders constitute a significant public health concern, contributing significantly to the overall disease burden. Individuals experiencing mental distress often delay or avoid seeking psychological help or do not seek help due to varying factors. This study examines the factors affecting individuals’ preferences, particularly young people, in seeking psychological help in Türkiye. Methods: This study utilized microdata from the Türkiye Health Survey conducted by TURKSTAT in 2016 and 2019. The factors influencing decisions to consult with a psychologist, psychotherapist, or psychiatrist were determined by multivariate probit regression analysis. The Türkiye Health Survey employed a stratified two-stage cluster sampling method, surveying 17,242 individuals over the age of 15 in 9470 households in 2016 and 17,084 individuals over the age of 15 in 9470 households in 2019. Results: The analysis findings indicated that, in the entire sample, women are more likely to seek psychological help, while younger women are less likely to do so. In the entire sample, as the education level increased, the probability of individuals receiving psychological help increased, while it decreased for young people. It was determined that people who use tobacco and alcohol are more likely to receive psychological help than others. It was also determined that individuals who perceive their health status as good, especially those who are both young and perceive their health status as good, are less likely to seek psychological help. Conclusions: The significance and impact of the variables on the probability of individuals seeking psychological help vary for both the entire sample and young people. There may be various restrictions in getting psychological help, and people may resort to informal methods instead of professionals to cope with their existing problems. In developing preventive strategies to safeguard mental health, factors related to young people’s and individuals’ psychological help-seeking status should be prioritized, and more attention should be paid to them.

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Section: Discussionmentioning

confidence: 99%

Psychological Help-Seeking Status for Living with Mental Health Conditions in Türkiye: Using a Multivariate Probit Model

Bayrakçeken,

Alkan,

Abar

2023

Healthcare

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“…All the independent variables used in the present study are categorical. Ordinal and nominal variables were defined as dummy variables to observe the effects of categories for all variables included in the binary logistic regression ( Demir et al, 2022 ; Alkan et al, 2023c ; Ünver et al, 2023a ).…”

Section: Methodsmentioning

confidence: 99%

Gender differences in psychological help-seeking attitudes: a case in Türkiye

Güney,

Aydemir,

Iyit

et al. 2024

Front. Psychol.

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Background/aimMental disorders pose a substantial public health challenge within the overall disease burden. This study aims to determine the factors associated with seeking psychological help among individuals experiencing depression according to gender differences in Türkiye.MethodsThe study utilized microdata from Türkiye Health Survey conducted by the Turkish Statistical Institute in 2016, 2019, and 2022. Binary logistic regression analysis was employed to determine the factors associated with seeking psychological help.ResultsThe study’s findings reveal that variables such as survey year, age, education level, employment status, general health status, disease status, depression status, day service status in the hospital, daily activity status, tobacco use status, and alcohol use status are associated with the status of receiving psychological help.ConclusionGender-specific analysis indicated variations in the significance and impact of these variables among individuals seeking psychological help. In the development of preventive strategies for mental health protection, special attention should be given to factors associated with the psychological help-seeking behavior of both women and men. Prioritizing and addressing these factors will contribute to more effective mental health interventions.

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“…Survey statistics in Stata 15 (Stata Corporation) were used to account for the complex sampling design and weights ( 32 ). Weighted analysis was performed ( 33 , 34 ). First, frequencies and percentages of older individuals were determined according to their psychological support status.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and predictors of psychological assistance services for older individuals in Turkish society

Coşkun

Yıldız

Alkan

2023

Front. Public Health

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Background/aimDue to the high contribution of psychological problems to the decline in the comfortable lifestyle of the older individuals, determining the factors that affect individuals' receiving psychological services and searching for solutions based on these factors is one of the primary concerns of national and international decision-makers. This study aimed to identify the factors that affect older individuals' access to psychological assistance services in Turkey.MethodsIn this study, the Turkish Health Research micro dataset, which was conducted by the Turkish Statistical Institute (TURKSTAT) in 2016 and 2019, was employed. In this dataset, the data of 7,252 older individuals were analyzed. Using binary logistic analysis, the factors that are effective for obtaining psychological assistance for the older individuals were identified.ResultsAccording to the results of the analysis, factors such as gender, education, general health status, disease status, payment of health expenditures, and body mass index affected older individuals who received psychological assistance.ConclusionIn recent years, there has been a rise in the availability of psychological assistance services for the older individuals. By identifying factors that increase the likelihood of receiving psychological assistance services, this study is expected to contribute to the creation and regulation of psychological assistance services to prevent possible psychological problems that may occur in old age, minimize the problems experienced by individuals, and promote a more comfortable lifestyle.

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Determinants of Turkish households' out‐of‐pocket expenditures on three categories of health care services: A multivariate probit approach

Cited by 8 publications

References 120 publications

Psychological Help-Seeking Status for Living with Mental Health Conditions in Türkiye: Using a Multivariate Probit Model

Psychological Help-Seeking Status for Living with Mental Health Conditions in Türkiye: Using a Multivariate Probit Model

Gender differences in psychological help-seeking attitudes: a case in Türkiye

Prevalence and predictors of psychological assistance services for older individuals in Turkish society

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