title: Gender differences in general and specialty outpatient mental health service use for depression.
abstract: BACKGROUND
  This study ascertained gender-specific determinants of outpatient mental health (MH) service use for depression to highlight any gender disparities in barriers to care and explain how depressed men and women in need of care might differ in their help-seeking behaviour.
  
  
  METHODS
  Data used in this study came from the Canadian Community Health Survey on Mental Health and Well Being, cycle 1.2 (CCHS 1.2) conducted by Statistics Canada in 2002 (N = 36,984). The sample was limited to respondents filling criteria for a probable major depression in the 12 months prior to the interview (n = 1743). Gender-specific multivariate logistic regression analyses were carried out.
  
  
  RESULTS
  The results showed that 54.3% of respondents meeting criteria for major depression had consulted for mental health reasons in the year prior to interview. When looking at type of outpatient mental health service use, males were more likely to consult a general practitioner and a mental health specialist in the past year as opposed to females. However, females were more likely to consult a general practitioner only as opposed to no service use than males. Gender specific differences in determinants associated with outpatient service use included for males, lower adjusted household income, and for females, a younger age, the presence of social support, self-reported availability barriers, the presence of self-reported suicidal thoughts or attempt and a poorer self- perceived mental health.
  
  
  CONCLUSIONS
  Continued efforts to promote access to mental health care are needed for men and women affected by depression, and this, to target specific vulnerable populations and increase utilization rates.
authors.affiliation: Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbooke, Canada. Sarah.m.Gagne@USherbrooke.ca.
authors.forename: Sarah
authors.initials: S
authors.lastname: Gagné
authors.forename: Helen-Maria
authors.initials: HM
authors.lastname: Vasiliadis
authors.forename: Michel
authors.initials: M
authors.lastname: Préville
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002170:Canada; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010045:Outpatients; D012017:Referral and Consultation; D012649:Self Concept; D012727:Sex Characteristics; D012944:Social Support; D059020:Suicidal Ideation; D055815:Young Adult