Xie Xin, Wang Nianyang, Chu Jun
Department of Economics and Finance, College of Business and Technology, East Tennessee State University, Johnson City, TN, USA.
Department of Health Policy and Management, School of Public Health, University of Maryland, College Park, MD, USA.
J Ment Health. 2022 Apr;31(2):203-211. doi: 10.1080/09638237.2021.1922652. Epub 2021 May 19.
Little is known about the associations of social experiences with mental health service use.
This study aimed to classify social experiences variables in the past year and examine the associations of selected variables in social experiences with mental health service use among US adolescents.
A total of 13,038 adolescents (aged 12 to 17), of which 2208 received mental health services, were from the 2018 National Survey on Drug Use and Health. Multivariate logistic regression (MLR) analysis was conducted.
The overall prevalence of mental health service use was 16.1%. 44 variables on social experiences were grouped into 10 disjoint clusters and one variable from each cluster was selected for MLR analysis. Being female, African American, Hispanics, insured and having depression in the past year were associated with increased odds of mental health service use. Negative feelings about going to school, having a serious fight at school/work, active involvement in substance use help programs, knowledge of drug prevention, negative perceptions about the role of religious beliefs on life decisions were positively associated with mental health service use.
Mental health service use is associated with feelings about school and peers, perceptions about drug use, and involvement in activities.
关于社会经历与心理健康服务使用之间的关联，人们了解甚少。
本研究旨在对过去一年的社会经历变量进行分类，并检验美国青少年社会经历中选定变量与心理健康服务使用之间的关联。
共有13038名青少年（年龄在12至17岁之间）参与了2018年全国药物使用和健康调查，其中2208人接受了心理健康服务。进行了多变量逻辑回归（MLR）分析。
心理健康服务使用的总体患病率为16.1%。44个社会经历变量被分为10个不相交的类别，并从每个类别中选择一个变量进行MLR分析。女性、非裔美国人、西班牙裔、有保险以及过去一年患有抑郁症与心理健康服务使用几率增加相关。对上学有负面情绪、在学校/工作中发生严重争吵、积极参与药物使用帮助项目、了解毒品预防、对宗教信仰在生活决策中的作用有负面看法与心理健康服务使用呈正相关。
心理健康服务使用与对学校和同伴的感受、对药物使用的认知以及参与活动有关。
