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Mental health service utilization and its associated social factors among elderly people with a mental disability in China: A national population-based survey.

Authors
  • Guo, Chao1, 2, 3
  • Li, Ning1
  • Chen, Gong1, 2
  • Zheng, Xiaoying1, 2
  • 1 1 Institute of Population Research/WHO Collaborating Center on Reproductive Health and Population Science, Peking University, China. , (China)
  • 2 2 APEC Health Science Academy; Peking University, China. , (China)
  • 3 3 Freeman Spogli Institute for International Studies, Stanford University, USA.
Type
Published Article
Journal
Scandinavian journal of public health
Publication Date
Mar 01, 2019
Volume
47
Issue
2
Pages
215–220
Identifiers
DOI: 10.1177/1403494817722705
PMID: 28784028
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study explored patterns of service use and associated socioeconomic factors among Chinese elders with mental disabilities. Data from the second China National Sample Survey on Disability (CNSSD) were used in this study. Univariate and multivariate logistic regression models were used to calculate the odds ratios and 95% confidence intervals for factors associated with utilization of mental health services among Chinese elderly people with a mental disability. Among elderly people with a mental disability in the CNSSD, 46.35% had used mental health services. Urban residence, higher education level, being married, medical insurance coverage, and higher annual family income per capita were associated with more utilization of mental health services. This study revealed a low level of mental health service utilization among the Chinese population with mental disorders or a mental disability. Strategies to improve the insurance coverage of mental healthcare, to increase public awareness of mental disorders, and to reduce regional inequality of mental health resources are warranted.

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