Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access
Objectives: In 2002, Canada undertook its first national survey on mental health and well-being, including detailed questioning on service use. Mental disorders may affect more than 1 person in 5, according to past regional and less comprehensive mental health surveys in Canada, and most do not seek...
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crsagepubl:10.1177/070674370505001007 2024-06-23T07:54:49+00:00 Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access Vasiliadis, Helen-Maria Lesage, Alain Adair, Carol Boyer, Richard 2005 http://dx.doi.org/10.1177/070674370505001007 http://journals.sagepub.com/doi/pdf/10.1177/070674370505001007 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license The Canadian Journal of Psychiatry volume 50, issue 10, page 614-619 ISSN 0706-7437 1497-0015 journal-article 2005 crsagepubl https://doi.org/10.1177/070674370505001007 2024-06-11T04:32:25Z Objectives: In 2002, Canada undertook its first national survey on mental health and well-being, including detailed questioning on service use. Mental disorders may affect more than 1 person in 5, according to past regional and less comprehensive mental health surveys in Canada, and most do not seek help. Individual determinants play a role in health resource use for mental health (MH) reasons. This study aimed to provide prevalence rates of health care service use for MH reasons by province and according to service type and to examine determinants of MH service use in Canada and across provinces. Methods: We assessed the prevalence rate (95% confidence interval [CI]) of past-year health service use for MH reasons, and we assessed potential determinants cross-sectionally, using data collected from the Statistics Canada Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). We estimated models of resource use with logistic regression (using odds ratios and 95%CIs). Results: The prevalence of health service use for MH reasons in Canada was 9.5% (95%CI, 9.1% to 10.0%). The highest rates, on average, were observed in Nova Scotia (11.3%; 95%CI, 9.6% to 13.0%) and British Columbia (11.3%; 95%CI, 10.1% to 12.6%). The lowest rates were observed in Newfoundland and Labrador (6.7%; 95%CI, 5.3% to 8.0%) and Prince Edward Island (7.5%; 95%CI, 5.8% to 9.3%). In Canada, the general medical system was the most used for MH reasons (5.4%; 95%CI, 5.1% to 5.8%) and the voluntary network sector was the least used (1.9%; 95%CI, 1.7% to 2.1%). No difference was observed in the rate of service use between specialty MH (3.5%; 95%CI, 3.2% to 3.8%) and other professional providers (4.0%; 95%CI, 3.7% to 4.3%). In multivariate analyses, after adjusting for age and sex, the presence of a mental disorder was a consistent predictor of health service use for MH across the provinces. Conclusions: There is up to a twofold difference in the type of service used for MH reasons across provinces. The primary care general medical ... Article in Journal/Newspaper Newfoundland Prince Edward Island SAGE Publications British Columbia ENVELOPE(-125.003,-125.003,54.000,54.000) Canada Newfoundland The Canadian Journal of Psychiatry 50 10 614 619 |
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Objectives: In 2002, Canada undertook its first national survey on mental health and well-being, including detailed questioning on service use. Mental disorders may affect more than 1 person in 5, according to past regional and less comprehensive mental health surveys in Canada, and most do not seek help. Individual determinants play a role in health resource use for mental health (MH) reasons. This study aimed to provide prevalence rates of health care service use for MH reasons by province and according to service type and to examine determinants of MH service use in Canada and across provinces. Methods: We assessed the prevalence rate (95% confidence interval [CI]) of past-year health service use for MH reasons, and we assessed potential determinants cross-sectionally, using data collected from the Statistics Canada Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). We estimated models of resource use with logistic regression (using odds ratios and 95%CIs). Results: The prevalence of health service use for MH reasons in Canada was 9.5% (95%CI, 9.1% to 10.0%). The highest rates, on average, were observed in Nova Scotia (11.3%; 95%CI, 9.6% to 13.0%) and British Columbia (11.3%; 95%CI, 10.1% to 12.6%). The lowest rates were observed in Newfoundland and Labrador (6.7%; 95%CI, 5.3% to 8.0%) and Prince Edward Island (7.5%; 95%CI, 5.8% to 9.3%). In Canada, the general medical system was the most used for MH reasons (5.4%; 95%CI, 5.1% to 5.8%) and the voluntary network sector was the least used (1.9%; 95%CI, 1.7% to 2.1%). No difference was observed in the rate of service use between specialty MH (3.5%; 95%CI, 3.2% to 3.8%) and other professional providers (4.0%; 95%CI, 3.7% to 4.3%). In multivariate analyses, after adjusting for age and sex, the presence of a mental disorder was a consistent predictor of health service use for MH across the provinces. Conclusions: There is up to a twofold difference in the type of service used for MH reasons across provinces. The primary care general medical ... |
format |
Article in Journal/Newspaper |
author |
Vasiliadis, Helen-Maria Lesage, Alain Adair, Carol Boyer, Richard |
spellingShingle |
Vasiliadis, Helen-Maria Lesage, Alain Adair, Carol Boyer, Richard Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
author_facet |
Vasiliadis, Helen-Maria Lesage, Alain Adair, Carol Boyer, Richard |
author_sort |
Vasiliadis, Helen-Maria |
title |
Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
title_short |
Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
title_full |
Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
title_fullStr |
Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
title_full_unstemmed |
Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access |
title_sort |
service use for mental health reasons: cross-provincial differences in rates, determinants, and equity of access |
publisher |
SAGE Publications |
publishDate |
2005 |
url |
http://dx.doi.org/10.1177/070674370505001007 http://journals.sagepub.com/doi/pdf/10.1177/070674370505001007 |
long_lat |
ENVELOPE(-125.003,-125.003,54.000,54.000) |
geographic |
British Columbia Canada Newfoundland |
geographic_facet |
British Columbia Canada Newfoundland |
genre |
Newfoundland Prince Edward Island |
genre_facet |
Newfoundland Prince Edward Island |
op_source |
The Canadian Journal of Psychiatry volume 50, issue 10, page 614-619 ISSN 0706-7437 1497-0015 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/070674370505001007 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
50 |
container_issue |
10 |
container_start_page |
614 |
op_container_end_page |
619 |
_version_ |
1802647085762215936 |