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Relationships between serious psychological distress and the use of health services in the United States [article] : findings from the Behavioral Risk Factor Surveillance System

by Pearson, William S; Strine, Tara W; Liang, Yia Wun; Berry, Joyce T; Mokdad, Ali H; Dhingra, Satvinder S.
Material type: materialTypeLabelArticleSAPHIR theme(s): Santé mentaleMeSH subject(s): Health Services Accessibility | Mental Disorders | Stress, Psychological | Insurance Coverage | Health Services Accessibility -- economics | Mental Disorders -- epidemiology | United StatesPUBLICATION TYPE SAPHIR: Journal ArticleOnline resources: Cliquez ici Summary: Objective: To determine rates of access to and use of health services among adults with Serious Psychological Distress (SPD). Methods: Adults = 18 years in the 2007 BRFSS were stratified based on the presence of SPD, assessed by scores = 13 using the Kessler-6 tool (N = 199,209). Access to and use of general and mental health services were compared for those with scores < 13 and those = 13 using Chi-square analyses and logistic regression models. Results: Less than half of all adults with SPD indicated receiving mental health treatment. Persons < 65 years and having SPD were significantly less likely to have access to any type of health insurance (0.59 O.R., 0.51-0.68 95% C.I.) compared to persons <65 years without SPD. Conclusions: These results present a situation which could potentially lead to increased use of emergency departments for possible non-emergent services. Less than half of adults with SPD were receiving mental health treatment and most, regardless of their SPD score, were receiving routine health checkups; presenting an opportunity to identify and treat many mental health issues in the primary care setting. [Authors]
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Objective: To determine rates of access to and use of health services among adults with Serious Psychological Distress (SPD). Methods: Adults = 18 years in the 2007 BRFSS were stratified based on the presence of SPD, assessed by scores = 13 using the Kessler-6 tool (N = 199,209). Access to and use of general and mental health services were compared for those with scores < 13 and those = 13 using Chi-square analyses and logistic regression models. Results: Less than half of all adults with SPD indicated receiving mental health treatment. Persons < 65 years and having SPD were significantly less likely to have access to any type of health insurance (0.59 O.R., 0.51-0.68 95% C.I.) compared to persons <65 years without SPD. Conclusions: These results present a situation which could potentially lead to increased use of emergency departments for possible non-emergent services. Less than half of adults with SPD were receiving mental health treatment and most, regardless of their SPD score, were receiving routine health checkups; presenting an opportunity to identify and treat many mental health issues in the primary care setting. [Authors]