title: Predicting Women's Utilization of Primary Care Mental Health Services in Mexico City.
abstract: OBJECTIVE
  To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization.
  
  
  METHODS
  We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model.
  
  
  RESULTS
  Women referred to a mental health provider (MHP; odds ratio [OR] = 10.81, 95% CI = 3.59-32.51), whose coping mechanisms included talking to a MHP (OR = 5.53, 95% CI = 2.10-14.53), whose primary worry is loneliness (OR = 8.15, 95% CI = 1.20-55.10), and those who follow doctor's orders; were more likely to seek PCMHS (OR = 0.28, 95% CI = 0.09-0.92).
  
  
  CONCLUSIONS
  Primary care providers play a fundamental role in women's decisions to seek PCMHS. Proper referrals to PCMHS should be encouraged.
authors.affiliation: 1 Harvard University, Cambridge, MA, USA.
authors.forename: Karla
authors.initials: K
authors.lastname: Mendoza
authors.affiliation: 2 University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Arianna
authors.initials: A
authors.lastname: Ulloa
authors.affiliation: 3 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico.
authors.forename: Nayelhi
authors.initials: N
authors.lastname: Saavedra
authors.affiliation: 3 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico.
authors.forename: Jorge
authors.initials: J
authors.lastname: Galván
authors.affiliation: 3 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico.
authors.forename: Shoshana
authors.initials: S
authors.lastname: Berenzon
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016015:Logistic Models; D008132:Loneliness; D008603:Mental Health; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008800:Mexico; D008875:Middle Aged; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D016387:Women's Health; D055815:Young Adult
keywords: Mexican women; mental health services; primary care; service utilization