title: [Determining Factors in the Access to Mental Health Services by the Adult Colombian Population].
abstract: BACKGROUND
  Access to mental health services by people with mental disorders has traditionally been limited, and is associated with attitudinal, social, and structural variables.
  
  
  OBJECTIVE
  To analyse the factors that determine access to mental health services by the adult population (18-44 years old) in Colombia, from the results obtained in the 2015 National Mental Health Survey.
  
  
  METHODS
  Analysis of variables of access to attention in mental health care for adults. The reasons for not consulting were classified as barriers of behavioural supply and demand. To analyse the factors associated with access to mental health services in the Colombian adult population, the use of health services in the last 12 months for emotional, nervous or mental health problems was taken into account, as well as associated variables such as demographic characteristics, occupational activity, affiliation to social security, and health status variables. The relationships between these variables were estimated using bivariate multinomial logistic regression models.
  
  
  RESULTS
  Rural residence, being married, and having a chronic disease were associated with the decision to consult or not to consult the doctor.
  
  
  CONCLUSIONS
  Further studies should be conducted to evaluate the situation as regards mental health care access, as well as to determine the potential factors associated with these limitations.
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Lina María
authors.initials: LM
authors.lastname: González
authors.affiliation: Instituto de Salud Pública, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Rolando Enrique
authors.initials: RE
authors.lastname: Peñaloza
authors.affiliation: Instituto de Salud Pública, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: María Alexandra
authors.initials: MA
authors.lastname: Matallana
authors.affiliation: Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.
authors.forename: Fabián
authors.initials: F
authors.lastname: Gil
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia; Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia. Electronic address: cgomez_restrepo@yahoo.com.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez-Restrepo
authors.affiliation: Instituto de Salud Pública, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Angela Patricia Vega
authors.initials: AP
authors.lastname: Landaeta
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003105:Colombia; D005260:Female; D006297:Health Services Accessibility; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012424:Rural Population; D014505:Urban Population; D055815:Young Adult
keywords: Acceso universal a servicios de salud; Health services accessibility; Mental disorders; Mental health; Salud mental; Trastornos mentales