Fikretoglu Deniz, Elhai Jon D, Liu Aihua, Richardson J Don, Pedlar David J
Defense Research and Development Canada, Toronto, Ontario, Canada.
Psychiatr Serv. 2009 Mar;60(3):358-66. doi: 10.1176/ps.2009.60.3.358.
This study examined associations between sociodemographic, military, and psychiatric need variables and past-year mental health service use among active Canadian military members. The likelihood and intensity of services were examined across two provider types--mental health providers and medical providers.
Data were drawn from the first epidemiological survey of mental health in the Canadian Forces, conducted by Statistics Canada in 2002. Survey instruments included the Composite International Diagnostic Interview, which was used to assess mental health and service use.
Of the 8,441 military members who participated in the survey, 14.5% (N=1,220) met criteria for having a mental disorder in the past year. However, of the 8,441 only 9.1% (N=767) contacted a mental health provider in the past year for mental health problems; even fewer (N=539, 6.4%) contacted a medical provider. Across the two provider types, the majority of those seeing a provider reported five or fewer mental health visits in the past year. In univariate and multivariate analyses across the two provider types, psychiatric need variables were consistently associated with both greater service use likelihood and intensity. In multivariate analyses, lower military rank was consistently associated with both greater service use likelihood and intensity.
Of the entire military sample, only a small percentage used mental health services. The observed associations between military and psychiatric need variables and mental health service use in this study should be used by military health care providers and administrators to increase mental health service use among those most at risk of not using services.
本研究探讨了社会人口统计学、军事和精神疾病需求变量与加拿大现役军人过去一年心理健康服务使用情况之间的关联。研究考察了通过两种服务提供者类型（心理健康服务提供者和医疗服务提供者）获得服务的可能性和强度。
数据来自加拿大统计局2002年进行的加拿大军队心理健康首次流行病学调查。调查工具包括综合国际诊断访谈，用于评估心理健康和服务使用情况。
在参与调查的8441名军人中，14.5%（N = 1220）在过去一年符合患有精神障碍的标准。然而，在这8441人中，只有9.1%（N = 767）在过去一年因心理健康问题联系过心理健康服务提供者；联系医疗服务提供者的人更少（N = 539，6.4%）。在这两种服务提供者类型中，大多数寻求服务的人报告在过去一年进行了五次或更少的心理健康就诊。在对这两种服务提供者类型进行的单变量和多变量分析中，精神疾病需求变量始终与更高的服务使用可能性和强度相关。在多变量分析中，较低的军阶始终与更高的服务使用可能性和强度相关。
在整个军事样本中，只有一小部分人使用了心理健康服务。本研究中观察到的军事和精神疾病需求变量与心理健康服务使用之间的关联，军事医疗保健提供者和管理人员应加以利用，以增加那些最有可能不使用服务的人群对心理健康服务的使用。
