title: Prevalence, psychosocial correlates and service utilization of depressive and anxiety disorders in Hong Kong: the Hong Kong Mental Morbidity Survey (HKMMS).
abstract: OBJECTIVE
  Data on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors.
  
  
  METHODS
  We analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16-75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R).
  
  
  RESULTS
  The weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment.
  
  
  CONCLUSIONS
  Apart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care.
authors: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China. cwlam@cuhk.edu.hk.
authors: Linda Chiu-Wa
authors: LC
authors: Lam
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Corine Sau-Man
authors: CS
authors: Wong
authors: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Min-Jung
authors: MJ
authors: Wang
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Wai-Chi
authors: WC
authors: Chan
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Eric Yu-Hai
authors: EY
authors: Chen
authors: Department of Psychiatry, Kowloon Hospital, Hong Kong SAR, People's Republic of China.
authors: Roger Man-Kin
authors: RM
authors: Ng
authors: Department of Psychiatry, Kwai Chung Hospital, Hong Kong SAR, People's Republic of China.
authors: Se-Fong
authors: SF
authors: Hung
authors: Department of Psychiatry, Castle Peak Hospital, Hong Kong SAR, People's Republic of China.
authors: Eric Fuk-Chi
authors: EF
authors: Cheung
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Pak-Chung
authors: PC
authors: Sham
authors: Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Helen Fung-Kum
authors: HF
authors: Chiu
authors: Department of Psychiatry, Castle Peak Hospital, Hong Kong SAR, People's Republic of China.
authors: Ming
authors: M
authors: Lam
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Wing-Chung
authors: WC
authors: Chang
authors: Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Edwin Ho-Ming
authors: EH
authors: Lee
authors: Department of Psychiatry, Castle Peak Hospital, Hong Kong SAR, People's Republic of China.
authors: Tin-Po
authors: TP
authors: Chiang
authors: Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
authors: Joseph Tak-Fai
authors: JT
authors: Lau
authors: Department of Psychiatry and Psychology, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors: Jim
authors: J
authors: van Os
authors: Division of Psychiatry, University College London, London, United Kingdom.
authors: Glyn
authors: G
authors: Lewis
authors: Division of Psychiatry, University College London, London, United Kingdom.
authors: Paul
authors: P
authors: Bebbington
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D005260:Female; D006306:Health Surveys; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D055815:Young Adult
keywords: Epidemiology; Health service utilization; Mental disorders; Mental health; Prevalence