PDF(Pubmed)
Abstract：
UNASSIGNED: This analysis aimed to examine the factors predictive of service utilization among patients with anxiety and/or depression. Quick and appropriate treatment for anxiety and depression can reduce disease burden and improve social functioning. Currently, less than half of the population with comorbid anxiety and depression receives the recommended treatment.
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.
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.
摘要：
■本分析旨在研究焦虑和/或抑郁症患者的服务利用预测因素。对焦虑和抑郁的快速和适当的治疗可以减轻疾病负担并改善社会功能。目前,只有不到一半的焦虑和抑郁共病人群接受推荐治疗.
■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。
■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。
