title: Predictors of healthcare service utilization for mental health reasons.
abstract: This study was designed to identify: (1) predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2) correlates associated with healthcare service utilization for mental health reasons among individuals with and without mental disorders respectively. Analyses comprised univariate, bivariate, and multiple regression analyses. Being male, having poor quality of life, possessing better self-perception of physical health, and suffering from major depressive episodes, panic disorder, social phobia, and emotional problems predicted healthcare service utilization for mental health reasons. Among individuals with mental disorders, needs factors (psychological distress, impulsiveness, emotional problems, victim of violence, and aggressive behavior) and visits to healthcare professionals were associated with healthcare service utilization for mental health reasons. Among individuals without mental disorders, healthcare service utilization for mental health reasons is strongly associated with enabling factors such as social support, income, environmental variables, and self-perception of the neighborhood. Interventions facilitating social cohesion and social solidarity in neighborhood settings may reduce the need to seek help among individuals without mental disorders. Furthermore, in their capacity as frontline professionals, general practitioners should be more sensitive in preventing, detecting, and treating mental disorders in routine primary care.
authors.affiliation: Department of Psychiatry, McGill University, Montreal, QC H3A 0G4, Canada. flemar@douglas.mcgill.ca.
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Fleury
authors.affiliation: Montreal Addiction Rehabilitation Centre-University Institute (CRDM-IU), Montreal, QC H2M 2E8, Canada. ngui@justice.com.
authors.forename: André Ngamini
authors.initials: AN
authors.lastname: Ngui
authors.affiliation: Psychosocial Division, Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada. jean-marie.bamvita@douglas.mcgill.ca.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Bamvita
authors.affiliation: Psychosocial Division, Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada. guy.grenier@douglas.mcgill.ca.
authors.forename: Guy
authors.initials: G
authors.lastname: Grenier
authors.affiliation: Department of Psychiatry, McGill University, Montreal, QC H3A 0G4, Canada. jean.caron@douglas.mcgill.ca.
authors.forename: Jean
authors.initials: J
authors.lastname: Caron
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002391:Catchment Area, Health; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data; D011792:Quebec / Q000453:epidemiology; D012944:Social Support