Prediction of community mental health service utilization by individual and ecological level socio-economic factors

Donisi, Valeria; Tedeschi, Federico; Percudani, Mauro; Fiorillo, Andrea; Confalonieri, Linda; Rosa, Corrado De; Salazzari, Damiano; Tansella, Michele; Thornicroft, Graham; Amaddeo, Francesco

doi:10.1016/j.psychres.2013.02.031

Cited by 30 publications

(18 citation statements)

References 47 publications

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“…What is more, low childhood SES in post–World War II has had a long-latency effect on the onset of depression among Japanese adults [10]. Health disparities by SES exist for many outcomes, and generally speaking, people with low SES are more likely to experience a lower subjective health status after myocardial infarction [11], higher rates of psychiatric morbidity and use of psychiatric services [12], and increased risk of suicidal ideation among the elderly [13].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Kong

et al. 2019

IJERPH

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This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.

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Section: Introductionmentioning

confidence: 99%

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Kong

et al. 2019

IJERPH

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“…In the National Comorbidity Survey Replication, for example, only 33% of adults with any mental illness and 41% of adults with serious mental illness reported receiving mental health treatment in the previous year (1). People who are less likely to receive treatment tend to be male (1, 5, 6), black or Hispanic (1, 6–8), younger (1, 6, 9), uninsured (2, 5, 10), and of low socioeconomic status (1, 4, 9, 11). …”

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confidence: 99%

Insurance Status, Use of Mental Health Services, and Unmet Need for Mental Health Care in the United States

et al. 2015

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Objective The purpose of this study was to provide updated national estimates and correlates of service use, unmet need, and barriers to mental health treatment among adults with mental disorders. Method The sample included 36,647 adults aged 18–64 years (9723 with any mental illness and 2608 with serious mental illness) from the 2011 National Survey on Drug Use and Health. Logistic regression models were used to examine predictors of mental health treatment and perceived unmet need. Results Substantial numbers of adults with mental illness did not receive treatment (any mental illness: 62%; serious mental illness: 41%) and perceived an unmet need for treatment (any mental illness: 21%; serious mental illness: 41%). Having health insurance was a strong correlate of mental health treatment use (any mental illness: private insurance: AOR=1.63 (95% CI=1.29–2.06), Medicaid: AOR=2.66, (95% CI=2.04–3.46); serious mental illness: private insurance: AOR=1.65 (95% CI=1.12–2.45), Medicaid: AOR=3.37 (95% CI=2.02–5.61)) and of reduced perceived unmet need (any mental illness: private insurance: AOR=.78 (95% CI:.65–.95), Medicaid: AOR=.70 (95% CI=.54–.92)). Among adults with any mental illness and perceived unmet need, 72% reported at least one structural barrier and 47% reported at least one attitudinal barrier. Compared to respondents with insurance, uninsured individuals reported significantly more structural barriers and fewer attitudinal barriers. Conclusions Low rates of treatment and high unmet need persist among adults with mental illness. Strategies to reduce both structural barriers, such as cost and insurance coverage, and attitudinal barriers are needed.

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“…Studies have found proximity to services are related to increased utilisation. 19,20 However, our results suggest that hospital accessibility may not be associated with the relative risk of admission in adults with cognitive disorders. Residential instability, representative of areas with higher rates of isolation, and segregated built environments composed of concentrated dwellings were positively associated with admissions to inpatient psychiatry.…”

Section: Discussionmentioning

confidence: 54%

Geographic Clustering of Admissions to Inpatient Psychiatry among Adults with Cognitive Disorders in Ontario, Canada: Does Distance to Hospital Matter?

et al. 2018

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Prediction of community mental health service utilization by individual and ecological level socio-economic factors

Cited by 30 publications

References 47 publications

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Insurance Status, Use of Mental Health Services, and Unmet Need for Mental Health Care in the United States

Geographic Clustering of Admissions to Inpatient Psychiatry among Adults with Cognitive Disorders in Ontario, Canada: Does Distance to Hospital Matter?

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