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Social determinants of mental health service utilization in Switzerland

Author

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  • Michelle Dey

    (University of Melbourne)

  • Anthony Francis Jorm

    (University of Melbourne)

Abstract

Objectives To investigate whether mental health services utilization in Switzerland is equitably distributed (i.e., predicted only by the need of a person). Methods Data on 17,789 participants of the Swiss Health Survey 2012 (≥15 years) was analysed. Logistic regression analyses were conducted to predict: having been in treatment for a psychological problem; having used psychotropic medication; having had medical treatment for depression; and having visited a psychologist or psychotherapist. Need (depression severity and risky alcohol consumption) and socio-demographic variables were used as independent variables. Results Depression severity was the strongest predictor for using mental health services. In contrast, risky alcohol consumption was not associated with an increased likelihood of using mental health services. After adjusting for need, the following groups were less likely to use (some of) the mental health services: males, young people, participants who (almost) work full-time, single/unmarried, non-Swiss people and those living in rural areas. Education and income were not significantly associated with the outcomes in the adjusted analyses. Conclusions Some socio-demographic subgroups are less likely to use mental health services despite having the same need.

Suggested Citation

  • Michelle Dey & Anthony Francis Jorm, 2017. "Social determinants of mental health service utilization in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 85-93, January.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:1:d:10.1007_s00038-016-0898-5
    DOI: 10.1007/s00038-016-0898-5
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    References listed on IDEAS

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    1. Bijl, R.V. & Ravelli, A., 2000. "Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and incidence study," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 602-607.
    2. Rhodes, Anne E. & Goering, Paula N. & To, Teresa & Williams, J. Ivan, 2002. "Gender and outpatient mental health service use," Social Science & Medicine, Elsevier, vol. 54(1), pages 1-10, January.
    3. Petra Dermota & Jen Wang & Michelle Dey & Gerhard Gmel & Joseph Studer & Meichun Mohler-Kuo, 2013. "Health literacy and substance use in young Swiss men," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 939-948, December.
    4. Kuntsche, E. & Rehm, J. & Gmel, G., 2004. "Characteristics of binge drinkers in Europe," Social Science & Medicine, Elsevier, vol. 59(1), pages 113-127, July.
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    Cited by:

    1. Peng Xu & Junfeng Jiang, 2020. "Individual Capital Structure and Health Behaviors among Chinese Middle-Aged and Older Adults: A Cross-Sectional Analysis Using Bourdieu’s Theory of Capitals," IJERPH, MDPI, vol. 17(20), pages 1-18, October.
    2. Straiton, Melanie L. & Liefbroer, Aart C. & Hollander, Anna-Clara & Hauge, Lars Johan, 2022. "Outpatient mental health service use following contact with primary health care among migrants in Norway: A national register study," Social Science & Medicine, Elsevier, vol. 294(C).

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