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首页> 外文期刊>Aging & mental health >Associations of health insurance coverage, mental health problems, and drug use with mental health service use in US adults: an analysis of 2013 National Survey on Drug Use and Health
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Associations of health insurance coverage, mental health problems, and drug use with mental health service use in US adults: an analysis of 2013 National Survey on Drug Use and Health

机译：健康保险覆盖，心理健康问题和药物用药在美国成年人使用的协会：2013年美国药物使用与健康调查分析

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Objective: To estimate the prevalence of mental health service use among US adults, examine the associations of mental health service use with health Insurance coverage, mental health problems and drug use, and detect health disparities. Methods: This was a cross-sectional study with 5,434 adults receiving mental health service out of 37,424 adult respondents from the 2013 National Survey on Drug Use and Health. Weighted univariate and multiple logistic regression analyses were used to estimate the associations of potential factors with mental health service use. Results: The overall prevalence of mental health services use was 14.7%. Our results showed that being female, aging, having a major depressive episode, serious psychological distress, and illicit drug or alcohol abuse/dependence were positively associated with mental health service use; whereas being African American, Asian or Hispanic ethnicity, married, and having any form of insurance were negatively associated with mental health service use . Stratified analysis by insurance types showed that Medicaid/CHIP, CHAMPUS, and other insurance were positively associated with mental health service use. Conclusions: Health insurance coverage, mental health problems, and drug abuse or dependence were associated with mental health service use in US adults. Furthermore, adults with different insurances had disparities in access of mental health service.
机译：目的：估算美国成年人心理健康服务使用的普遍存在，审查心理健康服务用处用，心理健康问题，心理健康问题和吸毒，检测健康差异。方法：这是2013年全国药物使用和健康调查的37,424名成人受访者接受精神卫生服务的5,434名成年人的横截面研究。加权单变量和多元逻辑回归分析用于估算潜在因素的关联与心理健康服务使用。结果：心理健康服务的总体普遍率为14.7％。我们的研究结果表明，女性，老龄化，具有重大抑郁发作，严重的心理困扰和非法药物或酗酒/依赖性与心理健康服务使用呈正相关;与非裔美国人，亚洲人或西班牙裔民族，已婚，并且有任何形式的保险与心理健康服务使用负面相关。保险类型的分层分析表明，医疗补助/芯片，香槟和其他保险与心理健康服务使用呈正相关。结论：健康保险覆盖范围，心理健康问题和药物滥用或依赖与美国成年人的心理健康服务有关。此外，不同保险的成年人在心理健康服务方面有差异。

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