Psychotherapy provision, socioeconomic deprivation, and the inverse care law

Saxon, David; Fitzgerald, G; Houghton, Simon; Lemme, Francesca; Saul, Carol; Warden, Sharon; Ricketts, Tom

doi:10.1080/10503300601063246

Cited by 17 publications

(17 citation statements)

References 11 publications

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“…Some recent examples of specific uses include a study exploring the influence of deprivation on patients entering a psychotherapy service (Saxon et al 2007) and another aiming to assess physical activity in cohorts of adolescents (Brodersen et al 2007). The growing influence of these multidimensional measures of disadvantage in research and policy is likely to strengthen with the development of the social inclusion agenda in Europe and Australia.…”

Section: Townsend Index Of Materials Deprivationmentioning

confidence: 99%

Measures of Disadvantage: is Car Ownership a Good Indicator?

2009

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Section: Townsend Index Of Materials Deprivationmentioning

confidence: 99%

Measures of Disadvantage: is Car Ownership a Good Indicator?

2009

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“…) or socioeconomic deprivation (Saxon et al . ). Yet national survey data indicate that those with low incomes are more likely to have used prescription medication (mostly anti‐depressants) (Anderson, Brownlie, and Given ) than those with higher incomes.…”

Section: Introductionmentioning

confidence: 97%

“…At the same time there is underuse by working-class patients of talking treatments for such problems (Ballinger and Wright 2007). This is supported by studies employing the term class (Garfield 1994) or a socioeconomic factor relating to it, such as low income (Anderson et al 2009) or socioeconomic deprivation (Saxon et al 2007). Yet national survey data indicate that those with low incomes are more likely to have used prescription medication (mostly antidepressants) (Anderson, Brownlie, and Given 2009) than those with higher incomes.…”

Section: Introductionmentioning

confidence: 99%

‘What help can you get talking to somebody?’ Explaining class differences in the use of talking treatments

Holman

2013

Sociology Health & Illness

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Talking treatments are underused in England by working-class people: their higher rates of common mental disorders compared with their middle-class counterparts are not matched by an increased use of these treatments. Given that,overall, talking treatments are effective in tackling depression and anxiety,understanding their underuse is important. Based upon semi-structured interview data I argue that a framework centred on individuals' cultural dispositions towards treatment can help with this task. Following Bourdieu, such dispositions can be traced to social structural conditioning factors, together comprising the habitus. Four key dispositions emerge from the data: verbalisation and introspection, impetus for emotional health, relation to medical authority and practical orientation to the future. In turn, these dispositions are rooted in the material, health, occupational and educational characteristics of working-class circumstances. Tracing these circumstances offers suggestions for increasing the use of this service.

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“…Finally, our data indicate that in São Paulo, where a public/private national health system is present, neither education nor income determined receipt of psychotherapy or psychotropic medication. It is not clear whether attempts to access care varied by socioeconomic status [15, 40] but once in the system, there appears to be equitable use.…”

Section: Discussionmentioning

confidence: 99%

Differential characteristics of young and midlife adult users of psychotherapy, psychotropic medications, or both: information from a population representative sample in São Paulo, Brazil

2015

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ObjectiveWhile the personal characteristics of users of psychotherapy and/or psychotropic medications have been examined, direct user comparison of these treatment approaches appears to be rare. Our aim is to ascertain extent of receipt of these services, and identify basic distinguishing characteristics of users.MethodsInformation on demographics, lifetime and past 12 month use of mental health services, and presence of common mental disorders (CMD), was gathered in 2002 using a multi-stage sampling procedure that yielded a population-representative, community-resident sample (N = 2000, age 18–65) for São Paulo, Brazil. Analysis used descriptive statistics and logistic regression.ResultsOverall, 9.3 % reported receiving psychotherapy and/or psychotropic medication, 54.3 % of whom did not meet CMD criteria. Of those meeting criteria for CMD (n = 455, 22.8 %), 2.9 % reported only psychotherapy, 10.1 % reported only psychotropic medication, and 5.7 % reported both. CMD was associated with use of psychotropic medication (psychotropic medication alone, Odds Ratio (OR) 3.58, 95 % CI 2.33–5.52; together with psychotherapy, OR 4.17, 95 % CI 2.34–7.44). CMD was not associated with use of psychotherapy. Users’ distinguishing characteristics were: psychotherapy only—not married; psychotropics only—increasing age, female, not married; using both—only CMD status. Neither education nor income was associated with use.ConclusionsNearly 10 % of all community residents age 18–65, but less than a fifth of the 23 % with CMD, received psychotherapy and/or psychotropic medication. Non-married status increased odds of all treatment types, but CMD presence increased only odds of psychotropic and combined psychotherapy/psychotropic use, with odds of psychotropic only use increasing with age, and for women. Use was equitable with respect to education and income.

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Psychotherapy provision, socioeconomic deprivation, and the inverse care law

Cited by 17 publications

References 11 publications

Measures of Disadvantage: is Car Ownership a Good Indicator?

Measures of Disadvantage: is Car Ownership a Good Indicator?

‘What help can you get talking to somebody?’ Explaining class differences in the use of talking treatments

Differential characteristics of young and midlife adult users of psychotherapy, psychotropic medications, or both: information from a population representative sample in São Paulo, Brazil

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