Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*.
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| Title: | Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*. |
|---|---|
| Authors: | Andrade, Laura, Viana, Maria, Tófoli, Luis, Wang, Yuan-Pang |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Jan2008, Vol. 43 Issue 1, p45-53. 9p. 3 Charts. |
| Subjects: | Mental health of Latin Americans, Mental health services, Mental illness treatment, Personality disorders, Behavior Disorders Identification Scale, Psychiatric research, Pathological psychology, Psychodiagnostics |
| Geographic Terms: | Brazil |
| Abstract: | Recent population-based studies in Latin American and the Caribbean (LAC) countries brought evidence of the growing burden of mental illness in this region. The objective of this study is to examine determinants of health service utilization by individuals with psychiatric disorders in a defined area in the city of São Paulo, Brazil. Data were derived from São Paulo Catchment Area Study (SP-ECA), a cross-sectional household prevalence survey, based on a representative adult sample ( N = 1,464) living in two defined boroughs. The psychiatric diagnosis was assessed through the CIDI 1.1 interview, yielding ICD-10 diagnoses. The past-month use of health services—for general medical (GM) care and mental health (MH) care sectors—was investigated in their relationship with sociodemographic features, insurance coverage, GM conditions, and psychiatric morbidity. Nearly one-third (32.2%) of the total sample used health services in the last month: 29.0% attended GM care and 7.8% used MH care. Logistic regression models showed that being female, older than 60 years, having private insurance coverage, and presence of psychiatric morbidity increased the level GM care seeking in the total sample. For those with 12-month psychiatric disorders, the determinants for GM sector use were female gender, age 45–59 years old, and private insurance coverage, whereas separated, divorced, or widowed women had the highest odds (OR 9.9; 95% CI: 2.7–36.5) for using MH service. Low-income people were less likely to seek MH services. The major contribution of this article is to underscore the impact of MH on health care systems, in a LAC country where service use information is scarce. The main finding is that inequalities in the access to MH care occurred, with low-income people having less likelihood of receiving treatment for their mental disorder. Access to health service in this catchment area reflected the great degree of deregulation and lack of integration. Additional efforts should address the barriers to the utilization of MH services in Brazil, including social inequities in the access to care. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 28000734 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Andrade%2C+Laura%22">Andrade, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Viana%2C+Maria%22">Viana, Maria</searchLink><br /><searchLink fieldCode="AR" term="%22Tófoli%2C+Luis%22">Tófoli, Luis</searchLink><br /><searchLink fieldCode="AR" term="%22Wang%2C+Yuan-Pang%22">Wang, Yuan-Pang</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jan2008, Vol. 43 Issue 1, p45-53. 9p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+health+of+Latin+Americans%22">Mental health of Latin Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness+treatment%22">Mental illness treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+disorders%22">Personality disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Disorders+Identification+Scale%22">Behavior Disorders Identification Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+research%22">Psychiatric research</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychodiagnostics%22">Psychodiagnostics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Recent population-based studies in Latin American and the Caribbean (LAC) countries brought evidence of the growing burden of mental illness in this region. The objective of this study is to examine determinants of health service utilization by individuals with psychiatric disorders in a defined area in the city of São Paulo, Brazil. Data were derived from São Paulo Catchment Area Study (SP-ECA), a cross-sectional household prevalence survey, based on a representative adult sample ( N = 1,464) living in two defined boroughs. The psychiatric diagnosis was assessed through the CIDI 1.1 interview, yielding ICD-10 diagnoses. The past-month use of health services—for general medical (GM) care and mental health (MH) care sectors—was investigated in their relationship with sociodemographic features, insurance coverage, GM conditions, and psychiatric morbidity. Nearly one-third (32.2%) of the total sample used health services in the last month: 29.0% attended GM care and 7.8% used MH care. Logistic regression models showed that being female, older than 60 years, having private insurance coverage, and presence of psychiatric morbidity increased the level GM care seeking in the total sample. For those with 12-month psychiatric disorders, the determinants for GM sector use were female gender, age 45–59 years old, and private insurance coverage, whereas separated, divorced, or widowed women had the highest odds (OR 9.9; 95% CI: 2.7–36.5) for using MH service. Low-income people were less likely to seek MH services. The major contribution of this article is to underscore the impact of MH on health care systems, in a LAC country where service use information is scarce. The main finding is that inequalities in the access to MH care occurred, with low-income people having less likelihood of receiving treatment for their mental disorder. Access to health service in this catchment area reflected the great degree of deregulation and lack of integration. Additional efforts should address the barriers to the utilization of MH services in Brazil, including social inequities in the access to care. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-007-0263-3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 45 Subjects: – SubjectFull: Mental health of Latin Americans Type: general – SubjectFull: Mental health services Type: general – SubjectFull: Mental illness treatment Type: general – SubjectFull: Personality disorders Type: general – SubjectFull: Behavior Disorders Identification Scale Type: general – SubjectFull: Psychiatric research Type: general – SubjectFull: Pathological psychology Type: general – SubjectFull: Psychodiagnostics Type: general – SubjectFull: Brazil Type: general Titles: – TitleFull: Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Andrade, Laura – PersonEntity: Name: NameFull: Viana, Maria – PersonEntity: Name: NameFull: Tófoli, Luis – PersonEntity: Name: NameFull: Wang, Yuan-Pang IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 43 – Type: issue Value: 1 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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