title: Associations between comorbid health conditions and the use of mental health services among adults with bipolar disorder.
abstract: Using a nationally representative sample, this study examined to what extent the number of comorbid health conditions was associated with various mental health service utilization among people with bipolar disorder. The results of logistic regression models indicate that a greater number of comorbid medical conditions were associated with higher odds of using specialty mental health service, while they were not associated with utilization of services provided by general health care providers. The type of bipolar disorder, functional impairment, and marital status were found to be associated with the use of a specialty service, while ethnicity was the only covariate significantly related to general health care use.
authors.affiliation: a School of Social Welfare , Soongsil University , Seoul , South Korea.
authors.forename: Sungkyu
authors.initials: S
authors.lastname: Lee
authors.affiliation: b School of Social Welfare and Center for Mental Health Research and Innovation , University of Kansas , Lawrence , Kansas , USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Matejkowski
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000628:therapy*; D000068105:Bipolar and Related Disorders / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015995:Prevalence; D014481:United States / Q000453:epidemiology
keywords: Bipolar disorder; comorbid medical conditions; medical comorbidity; mental health service use