Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study
Background: Understanding discrepancies in mental health and substance use treatment utilization can help identify inequities in access to health services. We investigate mental health and substance use treatment utilization as function of demographic and social determinants, as well as pre-existing...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Global Epidemiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590113323000123 |
| _version_ | 1797798650153271296 |
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| author | Jaskiran Dhinsa Andres Roman-Urrestarazu Robin van Kessel Keith Humphreys |
| author_facet | Jaskiran Dhinsa Andres Roman-Urrestarazu Robin van Kessel Keith Humphreys |
| author_sort | Jaskiran Dhinsa |
| collection | DOAJ |
| description | Background: Understanding discrepancies in mental health and substance use treatment utilization can help identify inequities in access to health services. We investigate mental health and substance use treatment utilization as function of demographic and social determinants, as well as pre-existing mental health and substance use disorders. Methods: In this repeated cross-sectional study, we used the 2017–2019 National Survey on Drug Use and Health data on US adults above age 18. Two logistic regression models were conducted, using predictors of age, gender, race/Hispanicity, sexual identity, education, insurance, family income, and past year mental health and substance use disorders, with outcomes of mental health or substance use treatment utilization. Weighted estimates of substance use disorders and insurance types and Pearson's correlation tests of vulnerability among age, gender, and treatment type were reported. Findings: Racial minorities, uninsured populations, sexual minorities, and females had lower odds of receiving mental health treatment, while older populations, lower income groups, and dual eligible enrollees had higher odds. Individuals with substance use disorders but no mental illness had higher odds of receiving mental health treatment. Those utilizing mental health treatment were mostly of high income, privately insured, and using cannabis, cocaine, and opioids. Older populations, men, and Medicaid only enrollees had higher odds of receiving substance use disorder treatment, whereas racial minorities had lower odds. Distribution of income, insurance type, and substance use were more widespread than mental health treatment. Interpretation: Mental health treatment can be used as an avenue for substance use treatment, particularly opioid use disorders. It is important to target vulnerable populations, like racial minorities and uninsured populations to improve access to mental health and substance use treatment. |
| first_indexed | 2024-03-13T04:07:01Z |
| format | Article |
| id | doaj.art-1ff6c0bd9a784d2d84297b2294e159d2 |
| institution | Directory Open Access Journal |
| issn | 2590-1133 |
| language | English |
| last_indexed | 2024-03-13T04:07:01Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Global Epidemiology |
| spelling | doaj.art-1ff6c0bd9a784d2d84297b2294e159d22023-06-21T06:59:02ZengElsevierGlobal Epidemiology2590-11332023-12-015100109Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional studyJaskiran Dhinsa0Andres Roman-Urrestarazu1Robin van Kessel2Keith Humphreys3Department of Public Health and Primary Care, University of Cambridge, Cambridge, United KingdomCambridge Public Health, University of Cambridge, Cambridge, United Kingdom; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Corresponding author at: Autism Research Centre – ARC, University of Cambridge, Douglas House, 18b Trumpington Road, Cambridge, CB2 8AH, United Kingdom.LSE Health, Department of Health Policy, London School of Economics and Political Science, London, United Kingdom; Department of International Health, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, NetherlandsDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United StatesBackground: Understanding discrepancies in mental health and substance use treatment utilization can help identify inequities in access to health services. We investigate mental health and substance use treatment utilization as function of demographic and social determinants, as well as pre-existing mental health and substance use disorders. Methods: In this repeated cross-sectional study, we used the 2017–2019 National Survey on Drug Use and Health data on US adults above age 18. Two logistic regression models were conducted, using predictors of age, gender, race/Hispanicity, sexual identity, education, insurance, family income, and past year mental health and substance use disorders, with outcomes of mental health or substance use treatment utilization. Weighted estimates of substance use disorders and insurance types and Pearson's correlation tests of vulnerability among age, gender, and treatment type were reported. Findings: Racial minorities, uninsured populations, sexual minorities, and females had lower odds of receiving mental health treatment, while older populations, lower income groups, and dual eligible enrollees had higher odds. Individuals with substance use disorders but no mental illness had higher odds of receiving mental health treatment. Those utilizing mental health treatment were mostly of high income, privately insured, and using cannabis, cocaine, and opioids. Older populations, men, and Medicaid only enrollees had higher odds of receiving substance use disorder treatment, whereas racial minorities had lower odds. Distribution of income, insurance type, and substance use were more widespread than mental health treatment. Interpretation: Mental health treatment can be used as an avenue for substance use treatment, particularly opioid use disorders. It is important to target vulnerable populations, like racial minorities and uninsured populations to improve access to mental health and substance use treatment.http://www.sciencedirect.com/science/article/pii/S2590113323000123 |
| spellingShingle | Jaskiran Dhinsa Andres Roman-Urrestarazu Robin van Kessel Keith Humphreys Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study Global Epidemiology |
| title | Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study |
| title_full | Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study |
| title_fullStr | Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study |
| title_full_unstemmed | Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study |
| title_short | Understanding predictors of mental health and substance use treatment utilization among US adults: A repeated cross-sectional study |
| title_sort | understanding predictors of mental health and substance use treatment utilization among us adults a repeated cross sectional study |
| url | http://www.sciencedirect.com/science/article/pii/S2590113323000123 |
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