Relationships between serious psychological distress and the use of health services in the United States: findings from the Behavioral Risk Factor Surveillance System
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To determine rates of access to and use of health services among adults with Serious Psychological Distress (SPD).
Adults ≥ 18 years in the 2007 BRFSS were stratified based on the presence of SPD, assessed by scores ≥ 13 using the Kessler-6 tool (N = 199,209). Access to and use of general and mental health services were compared for those with scores < 13 and those ≥ 13 using Chi-square analyses and logistic regression models.
Less than half of all adults with SPD indicated receiving mental health treatment. Persons < 65 years and having SPD were significantly less likely to have access to any type of health insurance (0.59 O.R., 0.51–0.68 95% C.I.) compared to persons <65 years without SPD.
These results present a situation which could potentially lead to increased use of emergency departments for possible non-emergent services. Less than half of adults with SPD were receiving mental health treatment and most, regardless of their SPD score, were receiving routine health checkups; presenting an opportunity to identify and treat many mental health issues in the primary care setting.
- Relationships between serious psychological distress and the use of health services in the United States: findings from the Behavioral Risk Factor Surveillance System
International Journal of Public Health
Volume 54, Issue 1 Supplement, pp 23-29
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Serious psychological distress
- Access to care
- Utilization of services
- Mental health
- Health services
- Author Affiliations
- 1. Behavioral Surveillance Branch, Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E. MS K-66, Atlanta, GA, 30341, USA
- 2. Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan
- 3. Substance Abuse and Mental Health Services Administration, Washington, DC, USA
- 4. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA