Mental Health Service Utilization Among Natural Disaster Survivors With Perceived Need for Services

被引:11
作者
Lowe, Sarah R. [1 ]
Norris, Fran H. [2 ,3 ]
Galea, Sandro [4 ]
机构
[1] Montclair State Univ, Dept Psychol, Montclair, NJ 07043 USA
[2] Geisel Sch Med Dartmouth, Dept Psychiat, Hanover, NH USA
[3] Natl Ctr PTSD, White River Jct, VT USA
[4] Boston Univ, Dept Epidemiol, Boston, MA 02215 USA
关键词
POSTTRAUMATIC-STRESS-DISORDER; HURRICANE-KATRINA; ADULTS; CARE; QUESTIONNAIRE; DEPRESSION; COMMUNITY;
D O I
10.1176/appi.ps.201500027
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: This study explored predisposing, illness-related, and enabling factors as predictors of mental health service use among disaster survivors with perceived need for services. Methods: Participants (N=658) were part of a three-wave, population-based study of Hurricane Ike survivors. At each wave, participants were asked whether they perceived having a need for mental health services, for example, information about stress reactions and medication for emotional problems. Those with perceived need were asked about use of eight services, such as a psychiatrist or physician, to address needs. Generalized estimating equations examined predisposing, illness-related, and enabling factors as predictors of service use among participants with perceived need (N=304). Results: More general stressors (predisposing factor) and insurance coverage (enabling factor) predicted service use among participants with perceived need. Conclusions: The results suggest that expanded access to services that do not require insurance coverage could better address survivors' mental health needs after a disaster.
引用
收藏
页码:354 / 357
页数:4
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