Michelle Dey1, Anthony Francis Jorm2. 1. Population Mental Health Group, Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3010, Australia. michelle.dey@unimelb.edu.au. 2. Population Mental Health Group, Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3010, Australia.
Abstract
OBJECTIVES: To investigate whether mental health services utilization in Switzerland is equitably distributed (i.e., predicted only by the need of a person). METHODS: Data on 17,789 participants of the Swiss Health Survey 2012 (≥15 years) was analysed. Logistic regression analyses were conducted to predict: having been in treatment for a psychological problem; having used psychotropic medication; having had medical treatment for depression; and having visited a psychologist or psychotherapist. Need (depression severity and risky alcohol consumption) and socio-demographic variables were used as independent variables. RESULTS: Depression severity was the strongest predictor for using mental health services. In contrast, risky alcohol consumption was not associated with an increased likelihood of using mental health services. After adjusting for need, the following groups were less likely to use (some of) the mental health services: males, young people, participants who (almost) work full-time, single/unmarried, non-Swiss people and those living in rural areas. Education and income were not significantly associated with the outcomes in the adjusted analyses. CONCLUSIONS: Some socio-demographic subgroups are less likely to use mental health services despite having the same need.
OBJECTIVES: To investigate whether mental health services utilization in Switzerland is equitably distributed (i.e., predicted only by the need of a person). METHODS: Data on 17,789 participants of the Swiss Health Survey 2012 (≥15 years) was analysed. Logistic regression analyses were conducted to predict: having been in treatment for a psychological problem; having used psychotropic medication; having had medical treatment for depression; and having visited a psychologist or psychotherapist. Need (depression severity and risky alcohol consumption) and socio-demographic variables were used as independent variables. RESULTS:Depression severity was the strongest predictor for using mental health services. In contrast, risky alcohol consumption was not associated with an increased likelihood of using mental health services. After adjusting for need, the following groups were less likely to use (some of) the mental health services: males, young people, participants who (almost) work full-time, single/unmarried, non-Swiss people and those living in rural areas. Education and income were not significantly associated with the outcomes in the adjusted analyses. CONCLUSIONS: Some socio-demographic subgroups are less likely to use mental health services despite having the same need.
Entities:
Keywords:
Alcohol; Behavioural model of health services use; Depression; Mental health services
Authors: Jitender Sareen; Amit Jagdeo; Brian J Cox; Ian Clara; Margreet ten Have; Shay-Lee Belik; Ron de Graaf; Murray B Stein Journal: Psychiatr Serv Date: 2007-03 Impact factor: 3.084
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