a Division of Biostatistics, Department of Preventive Medicine, Feinberg School of Medicine , Northwestern University , Chicago , IL , USA.
b Department of Economics and Finance, College of Business and Technology , East Tennessee State University , Johnson City , TN , USA.
Aging Ment Health. 2019 Apr;23(4):439-446. doi: 10.1080/13607863.2018.1441262. Epub 2018 Feb 22.
To estimate the prevalence of mental health service use among US adults, examine the associations of mental health service use with health insurance coverage, mental health problems and drug use, and detect health disparities.
This was a cross-sectional study with 5,434 adults receiving mental health service out of 37,424 adult respondents from the 2013 National Survey on Drug Use and Health. Weighted univariate and multiple logistic regression analyses were used to estimate the associations of potential factors with mental health service use.
The overall prevalence of mental health services use was 14.7%. Our results showed that being female, aging, having a major depressive episode, serious psychological distress, and illicit drug or alcohol abuse/dependence were positively associated with mental health service use; whereas being African American, Asian or Hispanic ethnicity, married, and having any form of insurance were negatively associated with mental health service use . Stratified analysis by insurance types showed that Medicaid/CHIP, CHAMPUS, and other insurance were positively associated with mental health service use.
Health insurance coverage, mental health problems, and drug abuse or dependence were associated with mental health service use in US adults. Furthermore, adults with different insurances had disparities in access of mental health service.
估计美国成年人心理健康服务的使用情况，探讨心理健康服务的使用与医疗保险覆盖、心理健康问题和药物使用的关联，并发现健康差异。
这是一项横断面研究，对来自 2013 年全国药物使用和健康调查的 37424 名成年受访者中接受心理健康服务的 5434 名成年人进行了研究。使用加权单变量和多变量逻辑回归分析来评估潜在因素与心理健康服务使用之间的关联。
心理健康服务的总使用率为 14.7%。我们的结果表明，女性、年龄增长、患有重性抑郁发作、严重心理困扰、以及非法药物或酒精滥用/依赖与心理健康服务的使用呈正相关；而非裔美国人、亚洲人或西班牙裔、已婚以及拥有任何形式的保险与心理健康服务的使用呈负相关。按保险类型进行的分层分析表明，医疗补助/儿童健康保险计划（CHIP）、军人健康保险计划（CHAMPUS）和其他保险与心理健康服务的使用呈正相关。
医疗保险覆盖、心理健康问题和药物滥用或依赖与美国成年人心理健康服务的使用有关。此外，不同保险的成年人在获得心理健康服务方面存在差异。
