Socioeconomic Status and Self-Reported Barriers to Mental Health Service Use

Leah S. Steele · Carolyn S. Dewa

152 citations0/0 files storedThe Canadian Journal of Psychiatry

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Mental Health Treatment and Access Health disparities and outcomes Public Health and Social Inequalities

Abstract

OBJECTIVE: Socially disadvantaged individuals are at high risk for having their mental health service needs unmet. We explored the relations among education level, income level, and self-reported barriers to mental health service use for individuals with a mental illness, using data from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). METHODS: Our sample group comprised the 8.3% of adult respondents who met the CCHS 1.2 criteria for an anxiety or affective disorder in the past 12 months (n = 3101). We examined the association between education and income levels and self-reported accessibility, availability, or acceptability barriers to mental health care. RESULTS: Accessibility, availability, and acceptability barriers were reported by 3%, 5%, and 16% of our sample, respectively. Individuals with a high school diploma were less likely than individuals without a high school diploma to report acceptability barriers to care (odds ratio 0.65; 95% confidence interval, 0.45 to 0.93). Higher-income individuals were less likely than lower-income individuals to report acceptability barriers to care (odds ratio 0.69; 95% confidence interval, 0.50 to 0.96). Employment, distress level, age, and family structure were also associated with acceptability barriers. CONCLUSION: Issues related to acceptability explain most of the unmet need for mental health services. Program planners should consider the development of targeted approaches to service delivery and outreach for low-income, working individuals who have not completed high school.

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References

2003Screening for Serious Mental Illness in the General Population 2002Perceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders 2000Recent care of common mental disorders in the united states 2004Socioeconomic Position and Major Mental Disorders 2005The Canadian Community Health Survey: Mental Health and Well-Being 2000Income Differences in Persons Seeking Outpatient Treatment for Mental Disorders

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