title: Mental health service use one year after China 5.12 earthquake: relationship with post-traumatic stress disorder among survivors.
abstract: OBJECTIVE
  To assess mental health service use after one year and to determine what kinds of people prefer to seek mental health (MH) care for mental or emotional problems? Is MH service helpful to moderate post-traumatic stress disorder (PTSD) symptom? What are the relationships among potential traumatic events (PTEs) experiences, MH services utilization and PTSD symptoms?
  
  
  METHODS
  A systematic random sample of 2300 people in 19 severely affected counties from the 5.12 Chinese earthquake was interviewed with a 90.4% response rate. The PTSD scale was based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition.
  
  
  RESULTS
  There was a clear trend that the people who had a higher education level (OR = 2.952, P < 0.01**) and who had a higher monthly income (OR = 5.425, P < 0.01**) were more likely to seek MH services. The PTSD patients who had sought MH services and those who had not sought MH services were 182 and 653, respectively (29.8% of MH sample and 44.3% of non-MH sample).
  
  
  CONCLUSIONS
  MH services utilization was related to PTSD possibility decreasing. PTEs experiences were also related to MH services utilization and increased PTSD symptoms, so psychological intervention will continue to be an important aspect in post-disaster MH care.
authors.affiliation: Uncertainty Decision-Making Laboratory , Sichuan University , Chengdu , People's Republic of China.
authors.forename: Jiuping
authors.initials: J
authors.lastname: Xu
authors.forename: Yanfei
authors.initials: Y
authors.lastname: Deng
mesh_terms: D000328:Adult; D002681:China; D004190:Disasters; D055866:Earthquakes; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*; D017741:Survivors / Q000523:psychology*