Cited by 131Mental Health Treatment and AccessHealth disparities and outcomesPublic Health and Social Inequalities

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Education Level, Income Level and Mental Health Services Use in Canada: Associations and Policy Implications

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Steele, Leah, Dewa, Carolyn, Lin, Elizabeth, Lee, Kenneth·2007·Healthcare Policy | Politiques de Santé

DOI 10.12927/hcpol.2007.19177PMC PMC2645130

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Abstract

BACKGROUND: Investigations of socio-economic gradients in mental health services use in Canada have used different measures of socio-economic status and have shown conflicting results. We explored the relationships between education level, income level and mental health services use among people with a mental illness using data from the Canadian Community Health Survey: Cycle 1.2. METHODS: We included adults who met the criteria for an anxiety or depressive disorder in the past 12 months (n=3,101). We calculated the likelihood of seeking mental healthcare from a psychiatrist, psychologist, family physician or social worker over a period of 12 months by education level. RESULTS: For each additional level of education, individuals were 15% more likely to see a psychiatrist, 12% more likely to see a family doctor, 16% more likely to see a psychologist and 16% more likely to see a social worker. DISCUSSION/CONCLUSION: We found marked inequity in mental health services use by education level that was consistent across service types. Programs aiming to deliver targeted services to consumers who have not completed high school should be developed and evaluated.

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Authors: Steele, L., Dewa, C., Lin, E., & Lee, K.
Affiliations: St. Michael's Hospital (CA)
Centre for Addiction and Mental Health (CA)
ORCID: Dewa, Carolyn
Lin, Elizabeth
Venue: Healthcare Policy | Politiques de Santé
Publisher: Longwoods Publishing
Published: 2007-08-15
Volume: 3
Issue: 1
Pages: 96-106
ISSN: 1715-6572 (ISSN-L)
1715-6580
DOI: 10.12927/hcpol.2007.19177
PMC: PMC2645130
OpenAlex: W2053358532
Cited by: 131
References: 18
Citations by year: 2026: 4 · 2025: 13 · 2024: 13 · 2023: 18 · 2022: 12 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 6 · 2017: 9 · 2016: 7 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 5
FWCI: 2.30
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Healthcare policy (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
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: mental health service utilization, educational attainment, income level, socioeconomic status, mental illness, anxiety disorders, depressive disorders, help-seeking, health disparities, mental health policy, general practitioners, psychiatrists, psychologists, social workers, Canadian Community Health Survey

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Education Level, Income Level and Mental Health Services Use in Canada: Associations and Policy Implications

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