Sunderland Adam, Findlay Leanne C
Health Analysis Division, Statistics Canada, Ottawa, Ontario, K1A 0T6.
Health Rep. 2013 Sep;24(9):3-9.
Past research and national survey data on Canadians' perceived need for mental health care (MHC) have focused on unmet needs overall, and have not considered specific types of MHC needs or the extent to which needs are met.
Using data from the 2012 Canadian Community Health Survey-Mental Health, this article describes the prevalence of perceived MHC needs for information, medication, counselling and other services. The degree to which each type of need was met is explored. Associations between risk factors for having MHC needs and the extent to which needs were met are investigated.
In 2012, an estimated 17% of the population aged 15 or older reported having had an MHC need in the past 12 months. Two-thirds (67%) reported that their need was met; for another 21%, the need was partially met; and for 12%, the need was unmet. The most commonly reported need was for counselling, which was also the least likely to be met. Distress was identified as a predictor of perceived MHC need status.
Many Canadians are estimated to have MHC needs, particularly for counselling. People with elevated levels of distress are significantly more likely to have unmet and partially met MHC needs than to have fully met MHC needs, regardless of the presence of mental or substance disorders.
过去关于加拿大人对心理健康护理(MHC)感知需求的研究和全国调查数据主要关注总体上未满足的需求,未考虑MHC需求的具体类型或需求得到满足的程度。
利用2012年加拿大社区健康调查-心理健康的数据,本文描述了对信息、药物、咨询和其他服务的MHC感知需求的患病率。探讨了每种需求类型得到满足的程度。研究了有MHC需求的风险因素与需求得到满足程度之间的关联。
2012年,估计15岁及以上人口中有17%报告在过去12个月内有MHC需求。三分之二(67%)的人报告其需求得到满足;另有21%的人的需求得到部分满足;12%的人的需求未得到满足。最常报告的需求是咨询,而咨询需求也是最不可能得到满足的。痛苦被确定为MHC感知需求状况的一个预测因素。
估计许多加拿大人有MHC需求,尤其是对咨询的需求。无论是否存在精神或物质障碍,痛苦程度较高的人其MHC需求未得到满足和部分得到满足的可能性显著高于需求得到充分满足的可能性。