scholarly journals Mental Health Status, Health Care Utilisation, and Service Satisfaction among Immigrants in Montreal: An Epidemiological Comparison

2016 ◽  
Vol 62 (8) ◽  
pp. 570-579 ◽  
Author(s):  
Rob Whitley ◽  
JiaWei Wang ◽  
Marie-Josee Fleury ◽  
Aihua Liu ◽  
Jean Caron

Objective: To examine variations between immigrants and nonimmigrants in 1) prevalence of common mental disorders and other mental health variables; 2) health service utilisation for emotional problems, mental disorders, and addictions, and 3) health service satisfaction. Methods: This article is based on a longitudinal cohort study conducted from May 2007 to the present: the Epidemiological Catchment Area Study of Montreal South-West (ZEPSOM). Participants were followed up at 4 time points (T1, n = 2433; T4, n = 1095). Core exposure variables include immigrant status (immigrant vs. nonimmigrant), duration of residence, and region of origin. Key outcome variables included mental health status, health service utilisation, and health service satisfaction. Data were analysed both cross-sectionally and longitudinally. Results: Immigrants had been in Canada for 20 years on average. Immigrants had significantly lower rates of high psychological distress (32.6% vs. 39.1%, P = 0.016), alcohol dependence (1.4% vs. 3.9%, P =0.010), depression (5.2% vs. 9.2%, P = 0.008), and various other mental disorders. They had significantly higher scores of mental well-being (48.9 vs. 47.1 score, P = 0.014) and satisfaction with social (34.0 vs. 33.4 score, P = 0.021) and personal relationships (16.7 vs. 15.6 score, P < 0.001). Immigrants had significantly lower rates of health service utilisation for emotional problems, mental disorders, and addictions and significantly higher rates of health service satisfaction at all time points. Asian and African immigrants had particularly low rates of utilisation and high rates of satisfaction. Conclusions: Immigrants had better overall mental health than nonimmigrants.

Author(s):  
Saleha Shafie ◽  
Mythily Subramaniam ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Rajeswari Sambasivam ◽  
...  

Abstract This study aimed to establish lifetime mental health service utilisation among the general population of Singapore. The sociodemographic correlates of those seeking help from different service provider groups and changes in lifetime mental health service utilisation between 2010 and 2016 among those with mental disorders were also explored. A population-based cross-sectional epidemiological household survey of the Singapore resident population aged 18 years and above was conducted from 2016 to 2018, using the World Mental Health Composite International Diagnostic Interview (CIDI) version 3.0. Data from two cross-sectional population-based studies were used for comparison of lifetime mental health service utilisation in 2010 (n = 6616) and 2016 (n = 6126). Chi square test and multiple logistic regression were used to analyse the data. A total of 6126 respondents completed the study in 2016. Overall 9.3% of the total sample, 32.0% of those with mental disorders, and 5.7% of those not meeting criteria for mental disorders, ever sought help for their mental health issues in their lifetime, from any treatment service sectors. Several sociodemographic characteristics were found to be correlated with different service provider groups. There was no change in mental health service utilisation between 2010 and 2016 for all mental disorders included in this study, with the exception of a significant increase in help sought from professionals in social services, among those with alcohol abuse. Even though the overall help-seeking rates are low, it is encouraging that those seeking help did so from mental health professionals and professionals working in the social services.


Author(s):  
Jane M Burns ◽  
Tracey A Davenport ◽  
Lauren A Durkin ◽  
Georgina M Luscombe ◽  
Ian B Hickie

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022647 ◽  
Author(s):  
Natasha Ruth Saunders ◽  
Michael Lebenbaum ◽  
Hong Lu ◽  
Therese A Stukel ◽  
Marcelo Luis Urquia ◽  
...  

ObjectiveTo describe trends in mental health service use of youth by immigration status and characteristics.DesignPopulation-based longitudinal cohort study from 1996 to 2012 using linked health and administrative datasets.SettingOntario, Canada.ParticipantsYouth 10–24 years, living in Ontario, Canada.ExposureThe main exposure was immigration status (recent immigrants vs long-term residents). Secondary exposures were region of origin and refugee status.Main outcome measureMental health hospitalisations, emergency department (ED) visits and outpatient visits within consecutive 3-year time periods. Poisson regression models estimated rate ratios (RR).ResultsOver 2.5 million person years per period were included. Rates of recent immigrant mental health service utilisation were at least 40% lower than long-term residents (p<0.0001).Mental health hospitalisation and ED visit rates increased in long-term residents (hospitalisations, RR 1.09 (95% CI 1.08 to 1.09); ED visits, RR 1.15 (1.14 to 1.15)) and recent immigrants (hospitalisations RR 1.05 (1.03 to 1.07); ED visits, RR 1.08 (1.05 to 1.11)). Mental health outpatient visit rates increased in long-term residents (RR 1.03 (1.03 to 1.03)) but declined in recent immigrant (RR 0.94 (0.93 to 0.95)). Comparable divergent trends in acute care and outpatient service use were observed among refugees and across most regions of origin. Recent immigrant acute care use was driven by longer-term refugees (hospitalisations RR 1.12 (1.03 to 1.21); ED visits RR 1.11 (1.02 to 1.20)).ConclusionsMental health service utilisation was lower among recent immigrants than long-term residents. While acute care use is increasing at a faster rate among long-term residents than recent immigrants, the decrease in outpatient mental health visits in immigrants highlights a potential emerging disparity in access to preventative care.


Author(s):  
Clara Maestre-Miquel ◽  
Ana López-de-Andrés ◽  
Zichen Ji ◽  
Javier de Miguel-Diez ◽  
Arturo Brocate ◽  
...  

Background: To assess gender differences in the prevalence of self-reported mental disorders, psychological distress and psychotropic drug consumption, and to identify sociodemographic and health-related variables associated with these conditions in the male and female population (aged ≥ 18 years). Methods: A cross-sectional study was carried on 22,141 subjects aged 18 and over, using data from the Spanish National Health Interview Survey 2017. Results: We found an overall prevalence of mental disorders, psychological distress and psychotropic drug consumption of 13.8%, 18.3% and 13.9%, respectively. After multivariable adjustment, women showed significantly increased probabilities of 1.74-fold for mental disorders, 1.26-fold for psychological distress and 1.26-fold for psychotropic drug consumption compared to men. Variables such as gender, age, nationality, marital status, educational level, self-rated health, the presence of different chronic disorders, alcohol consumption and smoking habit were independently associated with mental disorders, psychological distress and psychotropic drug consumption. Several variables showed a differential effect on mental health status and psychotropic drug consumption according to gender. Conclusions: Women suffer from mental disorders, experience psychological distress and consume psychotropic drugs significantly more than men in Spain. Possible explanations for these results may be related to differences in emotional processing, willingness to report diseases and even intrinsic biological traits. Screening for mental health status and psychotropic drug consumption should be considered, particularly in Spanish women, younger adults and individuals who are not married, are obese, have poor self-rated health, suffer from chronic diseases or have a smoking habit.


2019 ◽  
Author(s):  
masood taheri ◽  
Mahnaz Afshari ◽  
saeede alidoost ◽  
Hassan Abolghasem Gorji ◽  
Amir Rakhshan

Abstract Background Cancer is one of the most common non-communicable diseases and the second cause of death in Iran. The progress in medical technologies and treatment plans has caused the patients to live longer; however, these patients are confronted with psychological challenges and their mental health is influenced because of different reasons. This study is carried out to investigate the mental health status of the cancer patients in the Center for Specific Diseases. Methods The present research is a cross-sectional, descriptive, and analytic study carried out in 2018 in Tehran province, Iran. In the present study, the mental health of the cancer patients referring to the Center for Specific Diseases in Tehran was evaluated in one setting, and no intervention was provided. The research population included 124 cancer patients of Tehran referring to the Center for Specific Diseases. Results the overall prevalence of psychiatric disorders in patients under study was 50%. The highest sensitivity to mental disorders in each of the variables was related to men (52.7%), patients aging 40-55 (45.7%), married (51.5%), unemployed (62.5%), and illiterate patients (80%). The findings of this study indicated that there is no statistically significant relationship between the prevalence of psychiatric disorders among patients with cancer and the variables in the study. Conclusions The results of this study indicated a high prevalence of depression disorder among cancer patients. Psychosocial stresses caused by cancer cause mental disorders, including depression in patients.


Sign in / Sign up

Export Citation Format

Share Document