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Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area
INTRODUCTION: This study sought to identify factors associated with health service utilisation by individuals with mental disorders in a Canadian catchment area. METHODS: To be included in the study, participants had to be aged between 15 and 65 and reside in the study location. Data was collected r...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3366873/ https://www.ncbi.nlm.nih.gov/pubmed/22469459 http://dx.doi.org/10.1186/1475-9276-11-20 |
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author | Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie Perreault, Michel Kestens, Yan Caron, Jean |
author_facet | Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie Perreault, Michel Kestens, Yan Caron, Jean |
author_sort | Fleury, Marie-Josée |
collection | PubMed |
description | INTRODUCTION: This study sought to identify factors associated with health service utilisation by individuals with mental disorders in a Canadian catchment area. METHODS: To be included in the study, participants had to be aged between 15 and 65 and reside in the study location. Data was collected randomly from June to December 2009 by specially trained interviewers. A comprehensive set of variables (including geospatial factors) was studied using the Andersen's behavioural health service model. Univariate, bivariate, and multivariate analyses were carried out. RESULTS: Among 406 individuals diagnosed with mental disorders, 212 reported using a mental health service at least once in the 12 months preceding the interviews. Emotional problems and a history of violence victimisation were most strongly associated with such utilisation. Participants who were middle-aged or deemed their mental health to be poor were also more likely to seek mental healthcare. Individuals living in neighbourhoods where rental accommodations were the norm used significantly fewer health services than individuals residing in neighbourhoods where homeownership was preponderant; males were also less likely to use services than females. CONCLUSIONS: Our study broke new ground by uncovering the impact of longstanding violence victimisation, and the proportion of homeownership on mental health service utilisation among this population. It also confirmed the prominence of some variables (gender, age, emotional problems and self-perceived mental health) as key enabling variables of health-seeking. There should be better promotion of strategies designed to change the attitudes of males and youths and to deal with violence victimisation. There is also a need for initiatives that are targeted to neighbourhoods where there is more rental housing. |
format | Online Article Text |
id | pubmed-3366873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-33668732012-06-05 Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie Perreault, Michel Kestens, Yan Caron, Jean Int J Equity Health Research INTRODUCTION: This study sought to identify factors associated with health service utilisation by individuals with mental disorders in a Canadian catchment area. METHODS: To be included in the study, participants had to be aged between 15 and 65 and reside in the study location. Data was collected randomly from June to December 2009 by specially trained interviewers. A comprehensive set of variables (including geospatial factors) was studied using the Andersen's behavioural health service model. Univariate, bivariate, and multivariate analyses were carried out. RESULTS: Among 406 individuals diagnosed with mental disorders, 212 reported using a mental health service at least once in the 12 months preceding the interviews. Emotional problems and a history of violence victimisation were most strongly associated with such utilisation. Participants who were middle-aged or deemed their mental health to be poor were also more likely to seek mental healthcare. Individuals living in neighbourhoods where rental accommodations were the norm used significantly fewer health services than individuals residing in neighbourhoods where homeownership was preponderant; males were also less likely to use services than females. CONCLUSIONS: Our study broke new ground by uncovering the impact of longstanding violence victimisation, and the proportion of homeownership on mental health service utilisation among this population. It also confirmed the prominence of some variables (gender, age, emotional problems and self-perceived mental health) as key enabling variables of health-seeking. There should be better promotion of strategies designed to change the attitudes of males and youths and to deal with violence victimisation. There is also a need for initiatives that are targeted to neighbourhoods where there is more rental housing. BioMed Central 2012-04-02 /pmc/articles/PMC3366873/ /pubmed/22469459 http://dx.doi.org/10.1186/1475-9276-11-20 Text en Copyright ©2012 Fleury 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 Fleury, Marie-Josée Grenier, Guy Bamvita, Jean-Marie Perreault, Michel Kestens, Yan Caron, Jean Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title | Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title_full | Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title_fullStr | Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title_full_unstemmed | Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title_short | Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
title_sort | comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3366873/ https://www.ncbi.nlm.nih.gov/pubmed/22469459 http://dx.doi.org/10.1186/1475-9276-11-20 |
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