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Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands

BACKGROUND: Migration and ethnic minority status have been associated with higher occurrence of common mental disorders (CMD), while mental health care utilisation by non-Western migrants has been reported to be low compared to the general population in Western host countries. Still, the evidence-ba...

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Autores principales: Fassaert, Thijs, de Wit, Matty AS, Verhoeff, Arnoud P, Tuinebreijer, Wilco C, Gorissen, Wim HM, Beekman, Aartjan TF, Dekker, Jack
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737538/
https://www.ncbi.nlm.nih.gov/pubmed/19698174
http://dx.doi.org/10.1186/1471-2458-9-307
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author Fassaert, Thijs
de Wit, Matty AS
Verhoeff, Arnoud P
Tuinebreijer, Wilco C
Gorissen, Wim HM
Beekman, Aartjan TF
Dekker, Jack
author_facet Fassaert, Thijs
de Wit, Matty AS
Verhoeff, Arnoud P
Tuinebreijer, Wilco C
Gorissen, Wim HM
Beekman, Aartjan TF
Dekker, Jack
author_sort Fassaert, Thijs
collection PubMed
description BACKGROUND: Migration and ethnic minority status have been associated with higher occurrence of common mental disorders (CMD), while mental health care utilisation by non-Western migrants has been reported to be low compared to the general population in Western host countries. Still, the evidence-base for this is poor. This study evaluates uptake of mental health services for CMD and psychological distress among first-generation non-Western migrants in Amsterdam, the Netherlands. METHODS: A population-based survey. First generation non-Western migrants and ethnic Dutch respondents (N = 580) participated in structured interviews in their own languages. The interview included the Composite International Diagnostic Interview (CIDI) and the Kessler psychological distress scale (K10). Uptake of services was measured by self-report. Data were analysed using weighting techniques and multivariate logistic regression. RESULTS: Of subjects with a CMD during six months preceding the interview, 50.9% reported care for mental problems in that period; 35.0% contacted specialised services. In relation to CMD, ethnic groups were equally likely to access specialised mental health services. In relation to psychological distress, however, Moroccan migrants reported less uptake of primary care services (OR = 0.37; 95% CI = 0.15 to 0.88). CONCLUSION: About half of the ethnic Dutch, Turkish and Moroccan population in Amsterdam with CMD contact mental health services. Since the primary purpose of specialised mental health services is to treat "cases", this study provides strong indications for equal access to specialised care for these ethnic groups. The purpose of primary care services is however to treat psychological distress, so that access appears to be lower among Moroccan migrants.
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spelling pubmed-27375382009-09-04 Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands Fassaert, Thijs de Wit, Matty AS Verhoeff, Arnoud P Tuinebreijer, Wilco C Gorissen, Wim HM Beekman, Aartjan TF Dekker, Jack BMC Public Health Research Article BACKGROUND: Migration and ethnic minority status have been associated with higher occurrence of common mental disorders (CMD), while mental health care utilisation by non-Western migrants has been reported to be low compared to the general population in Western host countries. Still, the evidence-base for this is poor. This study evaluates uptake of mental health services for CMD and psychological distress among first-generation non-Western migrants in Amsterdam, the Netherlands. METHODS: A population-based survey. First generation non-Western migrants and ethnic Dutch respondents (N = 580) participated in structured interviews in their own languages. The interview included the Composite International Diagnostic Interview (CIDI) and the Kessler psychological distress scale (K10). Uptake of services was measured by self-report. Data were analysed using weighting techniques and multivariate logistic regression. RESULTS: Of subjects with a CMD during six months preceding the interview, 50.9% reported care for mental problems in that period; 35.0% contacted specialised services. In relation to CMD, ethnic groups were equally likely to access specialised mental health services. In relation to psychological distress, however, Moroccan migrants reported less uptake of primary care services (OR = 0.37; 95% CI = 0.15 to 0.88). CONCLUSION: About half of the ethnic Dutch, Turkish and Moroccan population in Amsterdam with CMD contact mental health services. Since the primary purpose of specialised mental health services is to treat "cases", this study provides strong indications for equal access to specialised care for these ethnic groups. The purpose of primary care services is however to treat psychological distress, so that access appears to be lower among Moroccan migrants. BioMed Central 2009-08-23 /pmc/articles/PMC2737538/ /pubmed/19698174 http://dx.doi.org/10.1186/1471-2458-9-307 Text en Copyright © 2009 Fassaert et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Fassaert, Thijs
de Wit, Matty AS
Verhoeff, Arnoud P
Tuinebreijer, Wilco C
Gorissen, Wim HM
Beekman, Aartjan TF
Dekker, Jack
Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title_full Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title_fullStr Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title_full_unstemmed Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title_short Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands
title_sort uptake of health services for common mental disorders by first-generation turkish and moroccan migrants in the netherlands
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737538/
https://www.ncbi.nlm.nih.gov/pubmed/19698174
http://dx.doi.org/10.1186/1471-2458-9-307
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