抑郁症和/或焦虑症患者医疗保健使用的影响因素。

IF 1.5 4区 医学 Q3 NURSING
Young Ji Lee, Joshua Palmer, Alice Curtis Cline, Heeyoung Lee
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引用次数: 0

摘要

背景:本分析旨在检验焦虑和/或抑郁患者服务利用率的预测因素。对焦虑和抑郁进行快速、适当的治疗可以减轻疾病负担,改善社会功能。目前,只有不到一半的焦虑和抑郁共病患者接受了推荐的治疗。目的:本分析旨在通过分析以患者为中心的内在因素,确定预测焦虑和/或抑郁患者使用心理健康治疗的因素。方法:本研究采用2019年国家健康访谈调查(NHIS)数据进行横断面队列分析。样本量为7156名18至64岁的成年人,家庭收入≤联邦贫困水平的100%。我们使用多变量逻辑回归分析来确定预测该人群护理利用率的因素。感兴趣的变量包括患者健康问卷-8(PHQ-8)和广泛性焦虑障碍-7(GAD-7)的得分、服务利用率、社会功能水平、有通常的护理来源以及以前的心理健康护理利用率。其他协变量包括年龄、性别、种族、原籍国、教育程度、婚姻状况和保险范围。结果:21%的受访者表示使用了心理健康服务。预测护理利用率的因素包括年龄较大、女性、社会功能有限、有通常的护理来源和保险范围。结论:在获得快速和适当的焦虑和/或抑郁护理方面存在重大障碍。战略应侧重于减少年轻人、男性和未投保/投保不足者的障碍。将心理健康服务纳入初级保健的策略可以增加接受服务的焦虑和/或抑郁患者的比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Influencing the Health Care Utilization Among People With Depression and/or Anxiety Symptoms.

Background: This analysis aimed to examine the factors predictive of service utilization among patients with anxiety and/or depression. Quick and appropriate treatment for anxiety and depression can reduce disease burden and improve social functioning. Currently, less than half of the population with comorbid anxiety and depression receives the recommended treatment.

Aims: This analysis aims to identify factors predictive of utilizing mental health treatment for those with anxiety and/or depression by analyzing intrinsic, patient-centered factors.

Methods: This study is a cross-sectional cohort analysis using National Health Interview Survey (NHIS) 2019 data. The sample size is 7,156 adults aged 18 to 64 with family incomes ≤100% of the federal poverty level. We used multivariate logistic regression analysis to identify factors predictive of care utilization in this population. Variables of interest include scores on Patient Health Questionnaire-8 (PHQ-8) and Generalized Anxiety Disorder-7 (GAD-7), service utilization, level of social functioning, having a usual source for care, and previous mental health care utilization. Additional covariates were age, gender, race, country of origin, education, marital status, and insurance coverage.

Results: Twenty-one percent of respondents reported using mental health services. Factors predictive of care utilization were older age, female gender, limited social functioning, having a usual source of care, and insurance coverage.

Conclusion: There are significant barriers to receiving quick and appropriate care for anxiety and/or depression. Strategies should focus on reducing barriers for young adults, men, and the uninsured/underinsured. Strategies for integrating mental health services into primary care could increase the percentage of people with anxiety and/or depression who receive services.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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