Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K 66, Atlanta, GA 30341, USA.
Psychiatr Serv. 2010 May;61(5):524-8. doi: 10.1176/ps.2010.61.5.524.
This study examined the prevalence and correlates of use of health professional services for the treatment of mental or emotional problems by using Andersen's Behavioral Model of Health Services Use.
In the 2007 Behavioral Risk Factor Surveillance System 169,546 community-dwelling respondents from 35 states, the District of Columbia, and Puerto Rico answered questions about their sociodemographic characteristics; perceived need; nonspecific psychological distress, as measured with the Kessler-6 scale; and use of professional treatment of mental or emotional problems.
Evaluated need (psychological distress) was significantly associated with receipt of treatment for mental or emotional problems, as were predisposing factors (age, gender, race or ethnicity, marital status, and education), enabling and impeding factors (income, health insurance, and emotional support), and perceived need (number of mentally and physically unhealthy days and self-rated health).
Constituents in the public mental health system should seriously consider that health services utilization is socially patterned and not just an individual behavior.
本研究使用安德森健康服务利用行为模型，调查了精神或情绪问题的治疗性医疗专业服务的使用情况及其相关因素。
在 2007 年行为风险因素监测系统的 169546 名来自 35 个州、哥伦比亚特区和波多黎各的社区居民回答了关于其社会人口统计学特征、感知需求、非特异性心理困扰（采用 Kessler-6 量表衡量）以及精神或情绪问题专业治疗的使用情况等问题。
评估需求（心理困扰）与精神或情绪问题的治疗显著相关，而倾向因素（年龄、性别、种族或民族、婚姻状况和教育程度）、促成因素（收入、健康保险和情感支持）和感知需求（心理和生理不健康天数以及自我评估健康状况）也是如此。
公共精神卫生系统的相关人员应认真考虑，卫生服务的利用是有社会模式的，而不仅仅是个人行为。
