{"title":"2019-2023年农村和非农村地区精神卫生保健利用趋势","authors":"Bryce J. Stanley PhD","doi":"10.1111/jrh.70074","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>The recent increase in mental health care providers offering telehealth may improve access by reducing travel costs, particularly for those in rural areas. This paper seeks to understand how mental health care utilization changed from 2019 to 2023 for rural and nonrural areas.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study uses data from the National Health Interview Survey for 2019 and 2021-2023 (n = 118,652). To adjust the utilization rates for sociodemographic factors, a probit model with survey weights is used. For each year, the adjusted percentage of rural and nonrural populations receiving any mental health care in the past year is reported. Changes in demographic characteristics of those receiving care are also discussed.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>This study finds that both rural and nonrural populations experienced large increases in adjusted mental health care utilization rates from 2019 to 2023. Utilization rates in rural areas grew 3.72 percentage points, from 9.35% (95% CI: 8.85-9.84) in 2019 to 13.07% (95% CI: 12.86-13.28) in 2023. For nonrural areas, utilization rates increased 4.40 percentage points, from 12.06% (95% CI: 11.79-12.74) in 2019 to 16.46% (95% CI: 15.82-17.11) in 2023.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Rural populations utilize less mental health care than nonrural populations, but both saw a substantial increase from 2019 to 2023. While telehealth may particularly benefit rural areas, these data suggest a larger increase in utilization for nonrural respondents. Future work is needed to better understand remote mental health care and rural populations.</p>\n </section>\n </div>","PeriodicalId":50060,"journal":{"name":"Journal of Rural Health","volume":"41 3","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jrh.70074","citationCount":"0","resultStr":"{\"title\":\"Trends in mental health care utilization in rural and nonrural areas, 2019-2023\",\"authors\":\"Bryce J. Stanley PhD\",\"doi\":\"10.1111/jrh.70074\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>The recent increase in mental health care providers offering telehealth may improve access by reducing travel costs, particularly for those in rural areas. This paper seeks to understand how mental health care utilization changed from 2019 to 2023 for rural and nonrural areas.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This study uses data from the National Health Interview Survey for 2019 and 2021-2023 (n = 118,652). To adjust the utilization rates for sociodemographic factors, a probit model with survey weights is used. For each year, the adjusted percentage of rural and nonrural populations receiving any mental health care in the past year is reported. Changes in demographic characteristics of those receiving care are also discussed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Findings</h3>\\n \\n <p>This study finds that both rural and nonrural populations experienced large increases in adjusted mental health care utilization rates from 2019 to 2023. Utilization rates in rural areas grew 3.72 percentage points, from 9.35% (95% CI: 8.85-9.84) in 2019 to 13.07% (95% CI: 12.86-13.28) in 2023. For nonrural areas, utilization rates increased 4.40 percentage points, from 12.06% (95% CI: 11.79-12.74) in 2019 to 16.46% (95% CI: 15.82-17.11) in 2023.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Rural populations utilize less mental health care than nonrural populations, but both saw a substantial increase from 2019 to 2023. While telehealth may particularly benefit rural areas, these data suggest a larger increase in utilization for nonrural respondents. Future work is needed to better understand remote mental health care and rural populations.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50060,\"journal\":{\"name\":\"Journal of Rural Health\",\"volume\":\"41 3\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jrh.70074\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Rural Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jrh.70074\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rural Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jrh.70074","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Trends in mental health care utilization in rural and nonrural areas, 2019-2023
Purpose
The recent increase in mental health care providers offering telehealth may improve access by reducing travel costs, particularly for those in rural areas. This paper seeks to understand how mental health care utilization changed from 2019 to 2023 for rural and nonrural areas.
Methods
This study uses data from the National Health Interview Survey for 2019 and 2021-2023 (n = 118,652). To adjust the utilization rates for sociodemographic factors, a probit model with survey weights is used. For each year, the adjusted percentage of rural and nonrural populations receiving any mental health care in the past year is reported. Changes in demographic characteristics of those receiving care are also discussed.
Findings
This study finds that both rural and nonrural populations experienced large increases in adjusted mental health care utilization rates from 2019 to 2023. Utilization rates in rural areas grew 3.72 percentage points, from 9.35% (95% CI: 8.85-9.84) in 2019 to 13.07% (95% CI: 12.86-13.28) in 2023. For nonrural areas, utilization rates increased 4.40 percentage points, from 12.06% (95% CI: 11.79-12.74) in 2019 to 16.46% (95% CI: 15.82-17.11) in 2023.
Conclusion
Rural populations utilize less mental health care than nonrural populations, but both saw a substantial increase from 2019 to 2023. While telehealth may particularly benefit rural areas, these data suggest a larger increase in utilization for nonrural respondents. Future work is needed to better understand remote mental health care and rural populations.
期刊介绍：
The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.
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