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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
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Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems
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Journal Article
Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems
2018
Overview
ABSTRACTBackgroundEmpirical 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. MethodsAs 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. ResultsOverall, 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%). ConclusionUnderutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.
Publisher
Cambridge University Press,Elsevier Inc
Subject
/ Adults
/ Aged
/ aging
/ Anxiety
/ Culture
/ Female
/ Health Services Misuse - prevention & control
/ Health Services Misuse - statistics & numerical data
/ Humans
/ Male
/ Mental Disorders - epidemiology
/ Mental Disorders - psychology
/ Mental Health - statistics & numerical data
/ Mental Health Services - statistics & numerical data
/ services
/ Studies
