How the relationship of attitudes toward mental health treatment and service use differs by age, gender, ethnicity/race and education
- 17 November 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Social psychiatry. Sozialpsychiatrie. Psychiatrie sociale
- Vol. 46 (1), 45-57
- https://doi.org/10.1007/s00127-009-0168-4
Abstract
Background Promoting help-seeking for mental health problems can result in improved treatment rates. For the most impact, social marketing interventions need to be tailored to targeted demographic subgroups. We investigated the influence of interactions between attitudes toward treatment and age, gender, ethnicity/race and education for both general medical and specialty care. Method Cross-sectional data from the 2001–2003 National Comorbidity Survey Replication (NCS-R) were analyzed using multivariate models adjusted for the sampling design and controlled for relevant clinical and sociodemographic factors. Results Greater comfort talking to a professional was associated with greater past-year specialty care across all demographic groups, while strongest for non-Latino whites and not evident for those 50–64 years old. For all demographic groups, reported willingness to seek professional help was associated with general medical care. However, for specialty care the association was much stronger for men compared to women. For African Americans, but not non-Latino whites, the perceived efficacy of mental health treatment improved the likelihood of past-year specialty use. Conclusion Our analyses suggest both the importance of understanding demographic differences in relevant attitudes and potential directions for marketing campaigns.Keywords
This publication has 64 references indexed in Scilit:
- Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health TreatmentAmerican Journal of Community Psychology, 2008
- Beliefs About Depression and Depression Treatment Among Depressed VeteransMedical Care, 2008
- Are African Americans Really Less Willing to Use Health Care?Social Problems, 2005
- Public Beliefs About the Helpfulness of Interventions for Depression: Effects on Actions Taken When Experiencing Anxiety and Depression SymptomsAustralian & New Zealand Journal of Psychiatry, 2000
- Cultural mistrust, opinions about mental illness, and Black students' attitudes toward seeking psychological help from White counselors.Journal of Counseling Psychology, 1994
- An orientation toward help-seeking for emotional problemsSocial Science & Medicine (1982), 1990
- Demographic Differences in Adolescents' Health Concerns and Perceptions of Helping AgentsJournal of Clinical Child Psychology, 1990
- Best Subsets Logistic RegressionBiometrics, 1989
- Fear of psychological treatment and its relation to mental health service avoidance.Professional Psychology: Research and Practice, 1989
- The relationship between demographic factors and attitudes toward mental health servicesJournal of Community Psychology, 1987