Cited by 152Mental Health Treatment and AccessHealth disparities and outcomesPublic Health and Social Inequalities

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Socioeconomic Status and Self-Reported Barriers to Mental Health Service Use

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Steele, Leah, Dewa, Carolyn, Lee, Kenneth·2007·The Canadian Journal of Psychiatry

DOI 10.1177/070674370705200312

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Abstract

Objective: Socially disadvantaged individuals are at high risk for having their mental health service needs unmet. We explored the relations among education level, income level, and self-reported barriers to mental health service use for individuals with a mental illness, using data from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). Methods: Our sample group comprised the 8.3% of adult respondents who met the CCHS 1.2 criteria for an anxiety or affective disorder in the past 12 months ( n = 3101). We examined the association between education and income levels and self-reported accessibility, availability, or acceptability barriers to mental health care. Results: Accessibility, availability, and acceptability barriers were reported by 3%, 5%, and 16% of our sample, respectively. Individuals with a high school diploma were less likely than individuals without a high school diploma to report acceptability barriers to care (odds ratio 0.65; 95% confidence interval, 0.45 to 0.93). Higher-income individuals were less likely than lower-income individuals to report acceptability barriers to care (odds ratio 0.69; 95% confidence interval, 0.50 to 0.96). Employment, distress level, age, and family structure were also associated with acceptability barriers. Conclusion: Issues related to acceptability explain most of the unmet need for mental health services. Program planners should consider the development of targeted approaches to service delivery and outreach for low-income, working individuals who have not completed high school.

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Authors: Steele, L., Dewa, C., & Lee, K.
Affiliations: St. Michael's Hospital (CA)
Centre for Addiction and Mental Health (CA)
ORCID: Dewa, Carolyn
Venue: The Canadian Journal of Psychiatry
Publisher: SAGE Publications
Published: 2007-03
Volume: 52
Issue: 3
Pages: 201-206
ISSN: 0706-7437 (ISSN-L)
1497-0015
DOI: 10.1177/070674370705200312
OpenAlex: W71472000
Cited by: 152
References: 13
Citations by year: 2026: 4 · 2025: 14 · 2024: 10 · 2023: 4 · 2022: 13 · 2021: 7 · 2020: 10 · 2019: 6 · 2018: 10 · 2017: 11 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 8 · 2012: 6
FWCI: 9.65
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Canadian Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Centre for Addiction and Mental Health
Ontario Ministry of Health and Long-Term Care
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Keywords: socioeconomic status, mental health service utilization, barriers to care, access barriers, educational attainment, income level, anxiety disorders, mood disorders, unmet mental health needs, low-income adults, employment, family structure
MeSH terms: Adult, Anxiety Disorders, Mental Disorders, Canada, Cross-Sectional Studies, Depressive Disorder, Employment, Family, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Surveys and Questionnaires, Socioeconomic Factors

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Socioeconomic Status and Self-Reported Barriers to Mental Health Service Use

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