UNASSIGNED: This analysis aims to identify factors predictive of utilizing mental health treatment for those with anxiety and/or depression by analyzing intrinsic, patient-centered factors.
UNASSIGNED: This study is a cross-sectional cohort analysis using National Health Interview Survey (NHIS) 2019 data. The sample size is 7,156 adults aged 18 to 64 with family incomes ≤100% of the federal poverty level. We used multivariate logistic regression analysis to identify factors predictive of care utilization in this population. Variables of interest include scores on Patient Health Questionnaire-8 (PHQ-8) and Generalized Anxiety Disorder-7 (GAD-7), service utilization, level of social functioning, having a usual source for care, and previous mental health care utilization. Additional covariates were age, gender, race, country of origin, education, marital status, and insurance coverage.
UNASSIGNED: Twenty-one percent of respondents reported using mental health services. Factors predictive of care utilization were older age, female gender, limited social functioning, having a usual source of care, and insurance coverage.
UNASSIGNED: There are significant barriers to receiving quick and appropriate care for anxiety and/or depression. Strategies should focus on reducing barriers for young adults, men, and the uninsured/underinsured. Strategies for integrating mental health services into primary care could increase the percentage of people with anxiety and/or depression who receive services.
■本分析旨在通过分析内在因素来确定对焦虑和/或抑郁患者使用心理健康治疗的预测因素,以患者为中心的因素。
■本研究是使用国家健康访谈调查(NHIS)2019年数据进行的横断面队列分析。样本量为7,156名18至64岁的成年人,家庭收入≤联邦贫困水平的100%。我们使用多变量逻辑回归分析来确定该人群中护理利用的预测因素。感兴趣的变量包括患者健康问卷-8(PHQ-8)和广泛性焦虑症-7(GAD-7)的评分,服务利用率,社会功能水平,有一个通常的护理来源,和以前的精神卫生保健利用。其他协变量是年龄,性别,种族,原产国,教育,婚姻状况,和保险范围。
■21%的受访者表示使用心理健康服务。预测护理利用率的因素是年龄较大,女性性别,有限的社会功能,有通常的护理来源,和保险范围。
■接受焦虑和/或抑郁的快速和适当护理存在重大障碍。战略应侧重于减少年轻人的障碍,男人,以及未投保/未投保的人。将精神卫生服务纳入初级保健的策略可以增加焦虑和/或抑郁症患者接受服务的比例。