title: Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands.
abstract: BACKGROUND
  Migration and ethnic minority status have been associated with higher occurrence of common mental disorders (CMD), while mental health care utilisation by non-Western migrants has been reported to be low compared to the general population in Western host countries. Still, the evidence-base for this is poor. This study evaluates uptake of mental health services for CMD and psychological distress among first-generation non-Western migrants in Amsterdam, the Netherlands.
  
  
  METHODS
  A population-based survey. First generation non-Western migrants and ethnic Dutch respondents (N = 580) participated in structured interviews in their own languages. The interview included the Composite International Diagnostic Interview (CIDI) and the Kessler psychological distress scale (K10). Uptake of services was measured by self-report. Data were analysed using weighting techniques and multivariate logistic regression.
  
  
  RESULTS
  Of subjects with a CMD during six months preceding the interview, 50.9% reported care for mental problems in that period; 35.0% contacted specialised services. In relation to CMD, ethnic groups were equally likely to access specialised mental health services. In relation to psychological distress, however, Moroccan migrants reported less uptake of primary care services (OR = 0.37; 95% CI = 0.15 to 0.88).
  
  
  CONCLUSIONS
  About half of the ethnic Dutch, Turkish and Moroccan population in Amsterdam with CMD contact mental health services. Since the primary purpose of specialised mental health services is to treat "cases", this study provides strong indications for equal access to specialised care for these ethnic groups. The purpose of primary care services is however to treat psychological distress, so that access appears to be lower among Moroccan migrants.
authors.affiliation: Department of Epidemiology Documentation & Health Promotion, Municipal Health Service, Amsterdam, the Netherlands. tfassaert@ggd.amsterdam.nl
authors.forename: Thijs
authors.initials: T
authors.lastname: Fassaert
authors.forename: Matty A S
authors.initials: MA
authors.lastname: de Wit
authors.forename: Arnoud P
authors.initials: AP
authors.lastname: Verhoeff
authors.forename: Wilco C
authors.initials: WC
authors.lastname: Tuinebreijer
authors.forename: Wim H M
authors.initials: WH
authors.lastname: Gorissen
authors.forename: Aartjan T F
authors.initials: AT
authors.lastname: Beekman
authors.forename: Jack
authors.initials: J
authors.lastname: Dekker
mesh_terms: D000328:Adult; D000368:Aged; D003625:Data Collection; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009018:Morocco / Q000208:ethnology; D009426:Netherlands / Q000453:epidemiology; D014421:Turkey / Q000208:ethnology
references.citation: Fam Pract. 2001 Dec;18(6):638-43
references.pmid: 11739354
references.citation: Transcult Psychiatry. 2005 Sep;42(3):437-56
references.pmid: 16268237
references.citation: J Health Soc Behav. 1995 Mar;36(1):1-10
references.pmid: 7738325
references.citation: J Clin Epidemiol. 2000 Mar 1;53(3):267-72
references.pmid: 10760636
references.citation: Patient Educ Couns. 2008 Jul;72(1):155-62
references.pmid: 18485657
references.citation: Int J Soc Psychiatry. 2007 Nov;53(6):514-25
references.pmid: 18181354
references.citation: Ment Health Serv Res. 2004 Mar;6(1):33-46
references.pmid: 15002679
references.citation: J Am Board Fam Pract. 2002 Jan-Feb;15(1):25-38
references.pmid: 11841136
references.citation: Soc Psychiatry Psychiatr Epidemiol. 1997 Aug;32(6):355-62
references.pmid: 9299930
references.citation: Milbank Mem Fund Q Health Soc. 1981 Fall;59(4):542-60
references.pmid: 6912950
references.citation: Soc Psychiatry Psychiatr Epidemiol. 1999 Mar;34(3):141-6
references.pmid: 10327839
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2009 Mar;44(3):208-16
references.pmid: 18787746
references.citation: Psychol Med. 2002 May;32(4):585-94
references.pmid: 12102373
references.citation: Health Serv Res. 2001 Dec;36(6 Pt 1):987-1007
references.pmid: 11775672
references.citation: Int J Equity Health. 2004 Jun 28;3(1):8
references.pmid: 15222885
references.citation: J Affect Disord. 2007 Jan;97(1-3):229-39
references.pmid: 16901547
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2002 Mar;37(3):118-24
references.pmid: 11990008
references.citation: Clin Pract Epidemiol Ment Health. 2005 Aug 31;1:13
references.pmid: 16135246
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2008 Nov;43(11):905-12
references.pmid: 18587679
references.citation: Soc Sci Med. 2000 Dec;51(11):1611-25
references.pmid: 11072882
references.citation: Am J Public Health. 2000 Apr;90(4):602-7
references.pmid: 10754976
references.citation: J Epidemiol Community Health. 2002 Dec;56(12):927-34
references.pmid: 12461114
references.citation: J Hypertens. 2006 Nov;24(11):2169-76
references.pmid: 17053537
references.citation: J Affect Disord. 2004 Jun;80(2-3):239-48
references.pmid: 15207937
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2005 Apr;40(4):259-66
references.pmid: 15834776
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2002 Jun;37(6):276-82
references.pmid: 12111033
references.citation: Eur J Public Health. 2004 Jun;14(2):134-40
references.pmid: 15230497
references.citation: Int J Soc Psychiatry. 2005 Dec;51(4):372-82
references.pmid: 16400912
references.citation: Int J Methods Psychiatr Res. 2009 Sep;18(3):159-68
references.pmid: 19701920
references.citation: Eur Psychiatry. 2005 Dec;20(8):540-9
references.pmid: 15963698
references.citation: Soc Sci Med. 2007 Dec;65(12):2425-39
references.pmid: 17767988
references.citation: Arch Dis Child. 2007 Oct;92(10):922-6
references.pmid: 17895342
references.citation: Acta Psychiatr Scand. 2004 Apr;109(4):243-58
references.pmid: 15008797
references.citation: Patient Educ Couns. 2006 Feb;60(2):253-9
references.pmid: 16442467
references.citation: Int J Epidemiol. 2001 Dec;30(6):1407-14
references.pmid: 11821355
references.citation: J Epidemiol Community Health. 2001 Oct;55(10):701-7
references.pmid: 11553652
references.citation: Am J Public Health. 2007 Jan;97(1):11-2
references.pmid: 17138903
references.citation: Br J Gen Pract. 2005 Oct;55(519):770-5
references.pmid: 16212852
references.citation: Am J Public Health. 1997 Jul;87(7):1136-43
references.pmid: 9240103
references.citation: Eur J Public Health. 2005 Feb;15(1):59-65
references.pmid: 15788805
references.citation: Curr Opin Psychiatry. 2005 Sep;18(5):560-4
references.pmid: 16639119
references.citation: J Fam Pract. 2001 Apr;50(4):323-8
references.pmid: 11300984
references.citation: Public Health. 2008 Jun;122(6):625-30
references.pmid: 18294664
references.citation: Acta Psychiatr Scand Suppl. 2004;(420):47-54
references.pmid: 15128387
references.citation: J Affect Disord. 2004 Nov 15;83(1):33-41
references.pmid: 15546643
references.citation: Soc Sci Med. 2006 Nov;63(9):2407-17
references.pmid: 16928417
references.citation: Psychol Med. 2002 Aug;32(6):959-76
references.pmid: 12214795
references.citation: Eur J Public Health. 2006 Aug;16(4):388-93
references.pmid: 16641158