Community Mental Health Journal

, Volume 55, Issue 1, pp 161–167 | Cite as

Factors of Mental Health Service Utilization by Community-Dwelling Adults in Shanghai, China

  • Keying Zhao
  • Yanling He
  • Qingzhi Zeng
  • Lu YeEmail author
Brief Report


This study investigated the utilization of Mental Health Services (MHS) and associated predisposing, enabling, and need factors among residents of Shanghai, China. It used a cross-sectional design and a structured questionnaire. We selected 3502 residents aged 18 years and older through multi-stage, stratified random sampling; trained mental health personnel interviewed them. Multivariate logistic regression analysis explored the predictors of MHS utilization. Among respondents, approximately 21.4% reported depressive symptoms, whereas only 4.7% had utilized MHS. The factors that were significantly related to MHS utilization were the predisposing factors of gender, marital status, occupation, and mental health knowledge; the enabling factors of perceived need for mental health help, regular mental health resources, and government salvage objects; and the need factors of moderate and severe depressive symptoms. Underutilization of MHS in Shanghai is pervasive and worrisome. Interventions in the culture and environment to improve public mental health knowledge are crucial.


China Community Depression Mental health service utilization 



The study was supported by grants from the Three-year Action Program of Shanghai Municipality Strengthening Construction of Public Mental Health System (Grant No. GWVI-5) and the Shanghai Mental Health Center.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.School of Public Health, Key Lab of Health Technology Assessment, National Health CommissionFudan UniversityShanghaiChina
  2. 2.School of Public HealthKunming Medical UniversityKunmingChina
  3. 3.Shanghai Mental Health Center, Shanghai Jiao Tong University School of MedicineShanghaiChina

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