期刊
GENERAL HOSPITAL PSYCHIATRY
卷 43, 期 -, 页码 38-45出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2016.09.001
关键词
Posttraumatic stress; Treatment utilization; Epidemiology; Health disparities
类别
资金
- National Institute of Mental Health (NIMH) [K23 MH096029-01A1]
Objective: Posttraumatic stress disorder (PTSD) is a chronic psychiatric condition associated with significant disability that often remains untreated. Sociodemographic and family-level factorsmay serve as predictors of unmet treatment need, identifying groups thatwouldmost benefit frompolicies aimed at increasing access to themental health care system. Method: Data from the nationally representative Collaborative Psychiatric Epidemiologic Surveys were used to identify predictors of mental health treatment utilization, bothwith a mental health specialist andwith a general health practitioner, and self-reported unmet treatment need among individuals who endorsed past-year PTSD. We defined unmet treatment need as self-reporting a mental health problem and not accessing mental health care in the general or specialty mental health care system. Results: Among 600 participants, predictors of unmet treatment need included being non-Latino black [odds ratio (OR) 2.11, 95% confidence interval (CI) 1.25-3.54], having a high school education versus some college (OR 2.45, 95% CI 1.34-4.48), and being employed or unemployed versus not being in the workforce (OR 1.74, 95% CI 1.00-3.02 and OR 4.95, 95% CI 1.60-15.34, respectively). Recursive partitioning identified younger age and being married as predictors of low treatment utilization. Conclusions: Future research should elucidate barriers to accessing treatment among those with PTSD in these underserved groups. (C) 2016 Elsevier Inc. All rights reserved.
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