Predictors of Healthcare Service Utilization for Mental Health Reasons

Marie-Josée Fleury, André Ngamini Ngui, Jean-Marie Bamvita, Guy Grenier and Jean Caron
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Marie-Josée Fleury: Department of Psychiatry, McGill University, Montreal, QC H3A 0G4, Canada
André Ngamini Ngui: Montreal Addiction Rehabilitation Centre—University Institute (CRDM-IU), Montreal, QC H2M 2E8, Canada
Jean-Marie Bamvita: Psychosocial Division, Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada
Guy Grenier: Psychosocial Division, Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada
Jean Caron: Department of Psychiatry, McGill University, Montreal, QC H3A 0G4, Canada

IJERPH, 2014, vol. 11, issue 10, 1-28

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.

Keywords: mental health; service utilization; Andersen behavioral model; longitudinal study; catchment area research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

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