title: [Socio-demographic factors and use of health services for psychological reasons in young adults].
abstract: BACKGROUND
  Although young adults exhibit a high rate of psychiatric disorders, their rate of access to mental health care is low compared with older age groups. Our study examined the relationship between socio-demographic factors and the use of health care services for psychological reasons.
  
  
  METHODS
  We studied a community sample of 1103 French 22 to 35-year-old (TEMPO cohort study) who were surveyed by mailed questionnaire in 2009. Data were collected regarding participants' health (internalizing and externalizing psychological symptoms in 1991 and 2009), health care use (access to health professionals and psychotropic medications in case of psychological difficulties), and socio-demographic factors (sex, age, employment status, marital situation, social support). Parental history of depression was ascertained based on TEMPO participants' and their parents' reports (in the GAZEL cohort study).
  
  
  RESULTS
  In the 12 months preceding the study, 16.7% of study participants saw a health professional and 12.8% took a psychotropic medication for psychological reasons. In multivariate regression, models adjusted for all socio-demographic and psychological characteristics, access to health professionals was associated with being unemployed/out of the labor force (OR=1.93; 95% CI=1.11-3.30), family situation (OR in participants living with a partner with no children: 2.16; 95% CI 1.26-3.72; OR in participants not living with a partner: 2.29; 95% CI=1.34-3.90), and having low social support (OR=1.75; 95% CI=1.21-2.54). The use of psychotropic medications was associated with female gender (OR=2.70; 95% CI=1.60-4.55), being unemployed/out of the labor force (OR=3.85; 95% CI=2.14-6.95), not living with a partner (OR=2.04; 95% CI=1.09-3.80) and having low social support (OR=1.65; 95% CI=1.05-2.59). Additionally, use of health services was associated with participants' and their parents' psychological difficulties.
authors.affiliation: Inserm, U1018, centre de recherche en épidémiologie et santé des populations, épidémiologie des déterminants professionnels et sociaux de la santé, 16, avenue Paul-Vaillant-Couturier, 78150 Villejuif, France.
authors.forename: L-A
authors.initials: LA
authors.lastname: de Monteynard
authors.forename: N
authors.initials: N
authors.lastname: Younès
authors.forename: M
authors.initials: M
authors.lastname: Melchior
mesh_terms: D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D005260:Female; D058005:General Practitioners / Q000706:statistics & numerical data; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D010290:Parents / Q000523:psychology; D011570:Psychiatry / Q000706:statistics & numerical data; D012944:Social Support; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Community survey; Health care use; Jeunes adultes; Mental health; Psychotropes; Psychotropic treatment; Recours aux soins; Santé mentale; Young adults; Étude en population