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Disparities of Mental Health Service Needs and Utilization Among Older Adults

Prior studies have examined mental health disparities, however, without adequate attention to the older adult population. Framed by the Andersen Behavioral Model of Health Service Use, this study was to examine the prevalence of depression and anxiety and the mental health service use among older ad...

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Autores principales: Hu, Yuanyuan, Xu, Qingwen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679713/
http://dx.doi.org/10.1093/geroni/igab046.1584
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author Hu, Yuanyuan
Xu, Qingwen
author_facet Hu, Yuanyuan
Xu, Qingwen
author_sort Hu, Yuanyuan
collection PubMed
description Prior studies have examined mental health disparities, however, without adequate attention to the older adult population. Framed by the Andersen Behavioral Model of Health Service Use, this study was to examine the prevalence of depression and anxiety and the mental health service use among older adults of different race/ethnicity; and to investigate factors associated with mental health services use(counseling and psychotropic medication). Data from the National Health Interview Survey 2019 were analyzed by bivariate tests and logistic regression analyses. Hispanic older adults have the highest rates of depressive and anxious symptoms, followed by Whites, Blacks, and Asians. Non-Hispanic Asians and Blacks reported significantly lower rates of taking medication. The severity of depression and anxiety was consistently associated with mental health service use across all groups. Education was positively associated with counseling use in white and black groups. For older whites, better general health, male and foreign-born were significantly predicting less medication use. Older blacks with better general health were significantly less likely to use medication. For Hispanic older adults, female and being single were associated with anxiety medication use. Results suggest that older adults, despite different perceptions and cultural understandings of mental health, use mental health services for severe conditions. This study also highlights the important role that education and health literacy could have played in the use of counseling services. For the medication use, the result—that general health status was important for both black and white older adults, but not Hispanics—could suggest a few directions for further exploration.
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spelling pubmed-86797132021-12-17 Disparities of Mental Health Service Needs and Utilization Among Older Adults Hu, Yuanyuan Xu, Qingwen Innov Aging Abstracts Prior studies have examined mental health disparities, however, without adequate attention to the older adult population. Framed by the Andersen Behavioral Model of Health Service Use, this study was to examine the prevalence of depression and anxiety and the mental health service use among older adults of different race/ethnicity; and to investigate factors associated with mental health services use(counseling and psychotropic medication). Data from the National Health Interview Survey 2019 were analyzed by bivariate tests and logistic regression analyses. Hispanic older adults have the highest rates of depressive and anxious symptoms, followed by Whites, Blacks, and Asians. Non-Hispanic Asians and Blacks reported significantly lower rates of taking medication. The severity of depression and anxiety was consistently associated with mental health service use across all groups. Education was positively associated with counseling use in white and black groups. For older whites, better general health, male and foreign-born were significantly predicting less medication use. Older blacks with better general health were significantly less likely to use medication. For Hispanic older adults, female and being single were associated with anxiety medication use. Results suggest that older adults, despite different perceptions and cultural understandings of mental health, use mental health services for severe conditions. This study also highlights the important role that education and health literacy could have played in the use of counseling services. For the medication use, the result—that general health status was important for both black and white older adults, but not Hispanics—could suggest a few directions for further exploration. Oxford University Press 2021-12-17 /pmc/articles/PMC8679713/ http://dx.doi.org/10.1093/geroni/igab046.1584 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Hu, Yuanyuan
Xu, Qingwen
Disparities of Mental Health Service Needs and Utilization Among Older Adults
title Disparities of Mental Health Service Needs and Utilization Among Older Adults
title_full Disparities of Mental Health Service Needs and Utilization Among Older Adults
title_fullStr Disparities of Mental Health Service Needs and Utilization Among Older Adults
title_full_unstemmed Disparities of Mental Health Service Needs and Utilization Among Older Adults
title_short Disparities of Mental Health Service Needs and Utilization Among Older Adults
title_sort disparities of mental health service needs and utilization among older adults
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679713/
http://dx.doi.org/10.1093/geroni/igab046.1584
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