IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v66y2020i6p600-606.html
   My bibliography  Save this article

Barriers to access to mental health services among Colombia outpatients

Author

Listed:
  • Adalberto Campo-Arias
  • Guillermo A Ceballos-Ospino
  • Edwin Herazo

Abstract

Background: Access barriers are all situations or conditions that limit seeking, receiving or enjoying benefits offered by the health system. This set of situations translates into underutilization of the services offered. In Colombia, there is little information about barriers to accessing medical care in general, and even less in the specific field of mental health. Aim: To determine the barriers to accessing psychiatric care in outpatients in Santa Marta, Colombia. Methods: The authors designed a cross-sectional study with a non-probability sample of adult patients who consulted between August and December 2018. The barriers to access were measured with a 20-item version of the Barriers to Access to Care Evaluation (BACE) scale. Results: A total of 247 patients participated; they were between 18 and 82 years (mean ( M ) = 47.5, standard deviation ( SD ) = 13.9). A total of 69 (27.9%) patients classified as having major attitudinal barriers; 62 (25.1%) patients, major barriers related to stigma-discrimination; and 41 (16.6%) patients, major instrumental barriers. Concerning the associated variables, age less than 45 years was related to major attitudinal barriers (odds ratio (OR) = 2.9, 95% confidence interval (CI) 1.6-5.5), major barriers related to stigma-discrimination (OR = 3.8, 95% CI 2.0-7.2) and major instrumental barriers (OR = 2.7, 95% CI 1.3-5.3). Men reported major instrumental barriers more frequently than women (OR = 2.8, 95% CI 1.3-5.8). Conclusion: The major attitudinal, related to stigma-discrimination and instrumental barriers to access frequently delay a consultation with mental health services. Actions are necessary to reduce barriers to accessing mental health care.

Suggested Citation

  • Adalberto Campo-Arias & Guillermo A Ceballos-Ospino & Edwin Herazo, 2020. "Barriers to access to mental health services among Colombia outpatients," International Journal of Social Psychiatry, , vol. 66(6), pages 600-606, September.
    • Handle: RePEc:sae:socpsy:v:66:y:2020:i:6:p:600-606
    DOI: 10.1177/0020764020925105
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764020925105
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764020925105?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nagendra P Luitel & Mark J D Jordans & Brandon A Kohrt & Sujit D Rathod & Ivan H Komproe, 2017. "Treatment gap and barriers for mental health care: A cross-sectional community survey in Nepal," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    2. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    3. Yang, Lawrence Hsin & Kleinman, Arthur & Link, Bruce G. & Phelan, Jo C. & Lee, Sing & Good, Byron, 2007. "Culture and stigma: Adding moral experience to stigma theory," Social Science & Medicine, Elsevier, vol. 64(7), pages 1524-1535, April.
    4. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    5. Meyer, I.H., 2003. "Prejudice as stress: Conceptual and measurement problems," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 262-265.
    6. Moritz E Wigand & Nathalie Oexle & Tamara Waldmann & Tobias Staiger & Thomas Becker & Nicolas Rüsch, 2019. "Predictors of help-seeking in unemployed people with mental health problems," International Journal of Social Psychiatry, , vol. 65(7-8), pages 543-547, November.
    7. Phelan, Jo C. & Link, Bruce G. & Dovidio, John F., 2008. "Stigma and prejudice: One animal or two?," Social Science & Medicine, Elsevier, vol. 67(3), pages 358-367, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fareeda Abo-Rass & Sarah Abu-Kaf & Ora Nakash, 2022. "Barriers to Mental Health Service Use among Palestinian-Arab Women in Israel: Psychological Distress as Moderator," IJERPH, MDPI, vol. 19(19), pages 1-12, October.
    2. Cesar Ivan Aviles Gonzalez & Doris Marina Cerchiaro Fernandez & Martha Esther Guerra Munoz & Robert Romero Ramirez & Yessika Madelaine Abarca Arias & Maria Veronica Brasesco & Gian Mario Migliaccio & , 2024. "Mental Health Professionals’ Perception of Respect for Human Rights and Organizational Well-Being in Three Countries of South America," IJERPH, MDPI, vol. 21(2), pages 1-12, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Xu-Hong Li & Tian-Ming Zhang & Yuen Yum Yau & Yi-Zhou Wang & Yin-Ling Irene Wong & Lawrence Yang & Xiao-li Tian & Cecilia Lai-Wan Chan & Mao-Sheng Ran, 2021. "Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong," International Journal of Social Psychiatry, , vol. 67(6), pages 622-631, September.
    2. Timmermans, Stefan & Tietbohl, Caroline, 2018. "Fifty years of sociological leadership at Social Science and Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 209-215.
    3. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).
    4. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    5. Koschorke, Mirja & Padmavati, R. & Kumar, Shuba & Cohen, Alex & Weiss, Helen A. & Chatterjee, Sudipto & Pereira, Jesina & Naik, Smita & John, Sujit & Dabholkar, Hamid & Balaji, Madhumitha & Chavan, An, 2014. "Experiences of stigma and discrimination of people with schizophrenia in India," Social Science & Medicine, Elsevier, vol. 123(C), pages 149-159.
    6. Antonio Baldassarre & Gabriele Giorgi & Federico Alessio & Lucrezia Ginevra Lulli & Giulio Arcangeli & Nicola Mucci, 2020. "Stigma and Discrimination (SAD) at the Time of the SARS-CoV-2 Pandemic," IJERPH, MDPI, vol. 17(17), pages 1-29, August.
    7. Easter, Michele M., 2012. "“Not all my fault”: Genetics, stigma, and personal responsibility for women with eating disorders," Social Science & Medicine, Elsevier, vol. 75(8), pages 1408-1416.
    8. Francisco Liébana-Cabanillas & Nidhi Singh & Zoran Kalinic & Elena Carvajal-Trujillo, 2021. "Examining the determinants of continuance intention to use and the moderating effect of the gender and age of users of NFC mobile payments: a multi-analytical approach," Information Technology and Management, Springer, vol. 22(2), pages 133-161, June.
    9. Yoon, Junghyun & Lee, Hee Yong & Dinwoodie, John, 2015. "Competitiveness of container terminal operating companies in South Korea and the industry–university–government network," Transportation Research Part A: Policy and Practice, Elsevier, vol. 80(C), pages 1-14.
    10. Md. Mominur Rahman & Bilkis Akhter, 2021. "The impact of investment in human capital on bank performance: evidence from Bangladesh," Future Business Journal, Springer, vol. 7(1), pages 1-13, December.
    11. Usunier, Jean-Claude, 1998. "Oral pleasure and expatriate satisfaction: an empirical approach," International Business Review, Elsevier, vol. 7(1), pages 89-110, February.
    12. Abdul Kadar Muhammad Masum & Md Abul Kalam Azad & Loo-See Beh, 2015. "Determinants of Academics' Job Satisfaction: Empirical Evidence from Private Universities in Bangladesh," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-15, February.
    13. Sharma, Vivek & Bhat, Dada Ab Rouf, 2020. "An empirical study exploring the relationship among human capital innovation, service innovation, competitive advantage and employee productivity in hospitality services," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 9(2), pages 1-14..
    14. Deepak, 2016. "Antecedent Value of Professional Commitment and Job Involvement in Determining Job Satisfaction," Management and Labour Studies, XLRI Jamshedpur, School of Business Management & Human Resources, vol. 41(2), pages 154-164, May.
    15. Abernethy, Margaret A. & Vagnoni, Emidia, 2004. "Power, organization design and managerial behaviour," Accounting, Organizations and Society, Elsevier, vol. 29(3-4), pages 207-225.
    16. Marianela Denegri & María Baeza & Natalia Salinas-Oñate & Verónica Peñaloza & Horacio Miranda & Ligia Orellana, 2014. "Materialism in Pedagogy Students in Chile," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 117(2), pages 505-521, June.
    17. Terason Sid, 2021. "Predicting Sports Facility Revisit Intentions Based on Experience and Mediating Effects of Perceived Value," Polish Journal of Sport and Tourism, Sciendo, vol. 28(3), pages 35-41, September.
    18. Amy Roberts & Gregory S. Ching, 2021. "The Ebb and Flow of Study Abroad: A Comparative Analysis of PRC and International Students in Taiwan," Sustainability, MDPI, vol. 13(11), pages 1-18, May.
    19. Tomislav Letnik & Katja Hanžič & Giuseppe Luppino & Matej Mencinger, 2022. "Impact of Logistics Trends on Freight Transport Development in Urban Areas," Sustainability, MDPI, vol. 14(24), pages 1-18, December.
    20. Zhihui Wang & Liangzhen Nie & Eila Jeronen & Lihua Xu & Meiai Chen, 2023. "Understanding the Environmentally Sustainable Behavior of Chinese University Students as Tourists: An Integrative Framework," IJERPH, MDPI, vol. 20(4), pages 1-17, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:66:y:2020:i:6:p:600-606. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.