Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems
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Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems. / Volkert, Jana; Andreas, Sylke; Härter, Martin; Dehoust, Maria Christina; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike J; Da Ronch, Chiara; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh Y; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans-Ulrich; Schulz, Holger.
in: INT PSYCHOGERIATR, Jahrgang 30, Nr. 7, 07.2018, S. 1027-1037.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems
AU - Volkert, Jana
AU - Andreas, Sylke
AU - Härter, Martin
AU - Dehoust, Maria Christina
AU - Sehner, Susanne
AU - Suling, Anna
AU - Ausín, Berta
AU - Canuto, Alessandra
AU - Crawford, Mike J
AU - Da Ronch, Chiara
AU - Grassi, Luigi
AU - Hershkovitz, Yael
AU - Muñoz, Manuel
AU - Quirk, Alan
AU - Rotenstein, Ora
AU - Santos-Olmo, Ana Belén
AU - Shalev, Arieh Y
AU - Strehle, Jens
AU - Weber, Kerstin
AU - Wegscheider, Karl
AU - Wittchen, Hans-Ulrich
AU - Schulz, Holger
PY - 2018/7
Y1 - 2018/7
N2 - ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly.METHODS: As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses.RESULTS: Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. "I can deal with my problem on my own" (90%).CONCLUSION: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.
AB - ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly.METHODS: As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses.RESULTS: Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. "I can deal with my problem on my own" (90%).CONCLUSION: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.
KW - Journal Article
UR - https://www.cambridge.org/core/journals/international-psychogeriatrics/article/predisposing-enabling-and-need-factors-of-service-utilization-in-the-elderly-with-mental-health-problems/C37A624A27BB0582AC37E6745CE91B6E
U2 - 10.1017/S1041610217002526
DO - 10.1017/S1041610217002526
M3 - SCORING: Journal article
C2 - 29198254
VL - 30
SP - 1027
EP - 1037
JO - INT PSYCHOGERIATR
JF - INT PSYCHOGERIATR
SN - 1041-6102
IS - 7
ER -