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Int. J. Environ. Res. Public Health 2014, 11(10), 10559-10586; doi:10.3390/ijerph111010559

Predictors of Healthcare Service Utilization for Mental Health Reasons

1
Department of Psychiatry, McGill University, Montreal, QC H3A 0G4, Canada
2
Montreal Addiction Rehabilitation Centre—University Institute (CRDM-IU), Montreal, QC H2M 2E8, Canada
3
Psychosocial Division, Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada
*
Author to whom correspondence should be addressed.
Received: 6 June 2014 / Revised: 24 September 2014 / Accepted: 25 September 2014 / Published: 15 October 2014
(This article belongs to the Special Issue Mental Health Care)
View Full-Text   |   Download PDF [756 KB, uploaded 15 October 2014]   |  

Abstract

This study was designed to identify: (1) predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2) correlates associated with healthcare service utilization for mental health reasons among individuals with and without mental disorders respectively. Analyses comprised univariate, bivariate, and multiple regression analyses. Being male, having poor quality of life, possessing better self-perception of physical health, and suffering from major depressive episodes, panic disorder, social phobia, and emotional problems predicted healthcare service utilization for mental health reasons. Among individuals with mental disorders, needs factors (psychological distress, impulsiveness, emotional problems, victim of violence, and aggressive behavior) and visits to healthcare professionals were associated with healthcare service utilization for mental health reasons. Among individuals without mental disorders, healthcare service utilization for mental health reasons is strongly associated with enabling factors such as social support, income, environmental variables, and self-perception of the neighborhood. Interventions facilitating social cohesion and social solidarity in neighborhood settings may reduce the need to seek help among individuals without mental disorders. Furthermore, in their capacity as frontline professionals, general practitioners should be more sensitive in preventing, detecting, and treating mental disorders in routine primary care. View Full-Text
Keywords: mental health; service utilization; Andersen behavioral model; longitudinal study; catchment area research mental health; service utilization; Andersen behavioral model; longitudinal study; catchment area research
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Fleury, M.-J.; Ngui, A.N.; Bamvita, J.-M.; Grenier, G.; Caron, J. Predictors of Healthcare Service Utilization for Mental Health Reasons. Int. J. Environ. Res. Public Health 2014, 11, 10559-10586.

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