Back to Search
Start Over
Educational level and the use of mental health services, psychotropic medication and psychotherapy among adults with a history of physician diagnosed mental disorders.
- Source :
- International Journal of Social Psychiatry; Mar2023, Vol. 69 Issue 2, p493-502, 10p
- Publication Year :
- 2023
-
Abstract
- Background: The prevalence of mental disorders is increased among people of low socioeconomic status or educational level, but it remains unclear whether their access to treatment matches their increased need. Aims: Our objective was to examine whether educational level as an indicator of socioeconomic status is associated with use of mental health services, psychotropic medication and psychotherapy in Finland. Method: Cross-sectional data from a follow-up survey of a longitudinal, population-based cohort study were used to form a sample of 3,053 men and women aged 24 to 68 with a current or previous physician diagnosed mental disorder. The prevalence of mental disorders, mental health service use and educational level were assessed with self-report questionnaire. Educational level was determined by the highest educational attainment and grouped into three levels: high, intermediate and low. The associations between educational level and mental health service -related outcomes were assessed with binary logistic regression. Covariates in the fully adjusted model were age, gender and number of somatic diseases. Results: Compared to high educational level, low educational level was associated with higher odds of using antidepressants (OR 1.35, 95% CI [1.09, 1.66]), hypnotics (OR 1.33, 95% CI [1.07, 1.66]) and sedatives (OR 2.17, 95% CI [1.69, 2.78]), and lower odds of using mental health services (OR 0.80, 95% CI [0.65, 0.98]). No associations were found between educational level and use of psychotherapy. Conclusions: The results do not suggest a general socioeconomic status related mismatch. A pharmacological emphasis was observed in the treatment of low educational background participants, whereas overall mental health service use was emphasized among high educational background participants. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL illness treatment
PSYCHIATRIC diagnosis
PSYCHIATRIC epidemiology
PATIENT aftercare
PSYCHIATRIC drugs
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
MEDICAL care use
SOCIOECONOMIC status
SOCIAL classes
DISEASE prevalence
QUESTIONNAIRES
DESCRIPTIVE statistics
PHYSICIANS
LOGISTIC regression analysis
ODDS ratio
EDUCATIONAL attainment
MENTAL health services
PSYCHOTHERAPY
LONGITUDINAL method
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 00207640
- Volume :
- 69
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Journal of Social Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 162243707
- Full Text :
- https://doi.org/10.1177/00207640221111091