Linda Chiu-Wa Lam1, Corine Sau-Man Wong2, Min-Jung Wang3, Wai-Chi Chan2, Eric Yu-Hai Chen2, Roger Man-Kin Ng4, Se-Fong Hung5, Eric Fuk-Chi Cheung6, Pak-Chung Sham2, Helen Fung-Kum Chiu3, Ming Lam6, Wing-Chung Chang2, Edwin Ho-Ming Lee2, Tin-Po Chiang6, Joseph Tak-Fai Lau7, Jim van Os8, Glyn Lewis9, Paul Bebbington9. 1. Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China. cwlam@cuhk.edu.hk. 2. Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China. 3. Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China. 4. Department of Psychiatry, Kowloon Hospital, Hong Kong SAR, People's Republic of China. 5. Department of Psychiatry, Kwai Chung Hospital, Hong Kong SAR, People's Republic of China. 6. Department of Psychiatry, Castle Peak Hospital, Hong Kong SAR, People's Republic of China. 7. Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China. 8. Department of Psychiatry and Psychology, Maastricht University Medical Centre, Maastricht, The Netherlands. 9. Division of Psychiatry, University College London, London, United Kingdom.
Abstract
PURPOSE: Data on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors. METHODS: We analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16-75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R). RESULTS: The weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment. CONCLUSIONS: Apart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care.
PURPOSE: Data on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors. METHODS: We analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16-75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R). RESULTS: The weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment. CONCLUSIONS: Apart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care.
Entities:
Keywords:
Epidemiology; Health service utilization; Mental disorders; Mental health; Prevalence
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