Full Citation
Title: Moderate to severe psychological distress, disability, and non-receipt of past year visits to a mental health professional
Citation Type: Journal Article
Publication Year: 2016
ISBN:
ISSN:
DOI: 10.1016/j.dhjo.2016.06.002
NSFID:
PMCID:
PMID:
Abstract: Background: Studies of mental health care received by persons with disabilities who make up a significant group of the U.S. popu- lation are limited. Objective: This cross-sectional study examined the relationship between disability and non-receipt of past year visits to a mental health professional among individuals with moderate to severe psychological distress. Methods: Study participants included a nationally representative sample of 5,566 people with moderate to severe psychological distress, extracted from 2011 to 2013 Integrated Health Interview using the 6-item Kessler Psychological Distress Scale. Self-reported disability domains included vision, hearing, mobility, upper body self-care difficulty, learning difficulty, communication difficulty, and cognition difficulty. Results: Sixty-four percent of participants reported a disability. Logistic regression analyses showed that (adjusting for nativity, other mental health conditions, and chronic pain) people aged 18e64 years old with disabilities have significantly lower odds (OR 5 0.52, p ! 0.001) of unmet mental health care services than people without disabilities. However, foreign-born respondents have significantly higher odds (OR 5 2.91; p ! 0.001) of unmet mental health care services than U.S. born Americans. After controlling for gender, other mental health conditions and chronic pain, people aged 65 and above with disabilities have higher non-significant odds (OR 5 1.34, p 5 0.361) of unmet mental health care services than people without disabilities. Additionally, females have significantly higher odds (OR 5 1.63, p 5 0.039) than males. Conclusions: Findings indicate the importance of identifying demographic characteristics associated with an increased risk for psycho- logical distress and increased unmet mental health care services among people with and without disabilities. ! 2016 Elsevier Inc. All rights reserved.
Url: http://dx.doi.org/10.1016/j.dhjo.2016.06.002
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Authors: Houston, Allison; Gomes, Anne-Marie; Naccarato, Toni
Periodical (Full): Disability and Health Journal
Issue: 4
Volume: 9
Pages: 735-40
Data Collections: IPUMS USA
Topics: Health
Countries: United States