Socioeconomic status, depression, and health service utilization among adolescent women.
This article examines relationships among socioeconomic status (SES), depression, and health services utilization among 5,735 adolescent women. In cross-sectional analyses, effects of SES on having obtained a routine physical examination and use of psychological/emotional counseling in the past year are examined. Then, longitudinal analyses determine the effects of health service utilization on depression at 1 year follow-up (T2) controlling for baseline depression and SES. SES was associated with medical but not mental health service use. SES and health service use independently predicted T2 depression and an income x baseline depression interaction was noted. The findings and their implications are discussed.
Goodman
E
E
Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Huang
B
B
D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003866:Depressive Disorder; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008605:Mental Health Services / Q000706:statistics & numerical data*; D012923:Social Class; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D016387:Women's Health