Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Psychiatry Res. 2017 Apr;250:204-209. doi: 10.1016/j.psychres.2017.01.051. Epub 2017 Jan 21.
Despite the positive effect of community-based mental health centers, the utilization of professional mental health services appears to be low. Therefore, we analyzed the relationship between regional recognition of mental health centers and utilization of professional mental health services.
We used data from the Community Health Survey (2014) and e-provincial indicators. Only those living in Seoul, who responded that they were either feeling a lot of stress or depression, were included in the study. Multiple logistic regression analysis using generalized estimating equations was performed to examine both individual- and regional-level variables associated with utilization of professional mental health services.
Among the 7338 participants who reported depression or stress, 646 (8.8%) had consulted a mental health professional for their symptoms. A higher recognition rate of mental health centers was associated with more utilization of professional mental health services (odds ratio [OR]=1.05, 95% confidence interval [CI]=1.03-1.07).
Accessibility to professional mental health services could be improved depending on the general population's recognition and attitudes toward mental health centers. Therefore, health policy-makers need to plan appropriate strategies for changing the perception of mental health services and informing the public about both the benefits and functions of mental health centers.
尽管社区心理健康中心具有积极影响，但专业心理健康服务的利用率似乎较低。因此，我们分析了区域对心理健康中心的认知与专业心理健康服务利用之间的关系。
我们使用了 2014 年社区卫生调查（Community Health Survey）和省级电子指标的数据。仅纳入那些居住在首尔、表示自己感到压力很大或抑郁的受访者。采用广义估计方程的多变量逻辑回归分析，检验了与专业心理健康服务利用相关的个体和区域变量。
在报告抑郁或压力的 7338 名参与者中，有 646 人（8.8%）因症状咨询了心理健康专业人员。对心理健康中心的认知度越高，利用专业心理健康服务的可能性就越大（比值比[OR]=1.05，95%置信区间[CI]=1.03-1.07）。
专业心理健康服务的可及性可以根据普通民众对心理健康中心的认知和态度来提高。因此，卫生政策制定者需要制定适当的策略，改变对心理健康服务的看法，并向公众宣传心理健康中心的益处和功能。
