title: Correlates of mental health service utilization in married women in tehran 2011.
abstract: OBJECTIVE
  There are disparities in mental health services (MHS) utilization within and between populations and several factors are studied as its potential correlates. Identifying those correlates would help health policy makers to adjust service provision with characteristics of their community. To evaluate demographic, socioeconomic and system correlates of MHS utilization among married women from Tehran, Iran.
  
  
  METHODS
  A household survey of 615 married women residents of 22 municipal districts of Tehran selected via a cluster sampling method. All subjects were asked about health services utilization during last one and 12 months as well as need and access for MHS, demographic and socioeconomic factors. Independent correlates of MHS use were determined with logistic regression analysis.
  
  
  RESULTS
  Total 615 women, mean±SE age and duration of marital life of 42.6±0.9 and 22±0.8 years, respectively were selected, rate of MHS utilization during last one and 12 months were 5.2% and 10.1% respectively. 23.6% of women reported having mental illness and 19.3% and 17.9% had need for MHS and access to outpatient health services, respectively. Logistic regression models showed that need for MHS (OR:5.25, 95%CI:2.7-10.1), access to outpatient services (OR:2.17, 95%CI:1.04-4.52), smoking (OR:3.4, 95%CI:1.16-10.2) and crowding index (OR:0.69, 95%CI:0.48-0.99).
  
  
  CONCLUSIONS
  Rate of MHS utilization in women are low considering the near to estimated rate of perceived illness. Bridging the gap between perceived illness and need for services, then providing better access to services in areas with higher crowding index and higher rates of smoking in residents should considered in any mental health promotion programs.
  
  
  BACKGROUND
  None.
authors.affiliation: Resident of psychiatry, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Masuod
authors.initials: M
authors.lastname: Ahmadzad-Asl
authors.affiliation: Resident of Community Medicine, Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Farnoush
authors.initials: F
authors.lastname: Davoudi
authors.affiliation: Resident of psychiatry, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Homa
authors.initials: H
authors.lastname: Mohammad Sadeghi
authors.affiliation: Psychiatrist, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Noshin
authors.initials: N
authors.lastname: Khademolreza
authors.affiliation: Resident of psychiatry, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Noushin
authors.initials: N
authors.lastname: Zarei
authors.affiliation: Specialist of Community Medicine, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Morteza
authors.initials: M
authors.lastname: Naserbakht
authors.affiliation: Professor of Community Medicine. Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Marziyeh
authors.initials: M
authors.lastname: Nojomi
authors.affiliation: Associate professor of psychiatry. Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Rasoulian
keywords: Access to Services; Health Services Utilization; Mental Health; Perceived Need