Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems

Volkert, Jana; Andreas, Sylke; Härter, Martin; Dehoust, Maria Christina; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike; Ronch, Chiara Da; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh Y.; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans‐Ulrich; Schulz, Holger

doi:10.1017/s1041610217002526

Cited by 31 publications

(25 citation statements)

References 31 publications

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“…This study found that participants with an educational level of high school or below had a higher intention to use adult preventive health services than did participants with an educational level of university or above. This is unusual, given the results of a recent study showing that individuals with a low educational level utilize preventive health services less often (Hammond, Matthews, & Corbie‐Smith, ; Volkert, Andreas, et al, ), but the findings of this study are consistent with those of Dhingra, Zack, Strine, Pearson, and Balluz (), who found that individuals with an educational level of high school or below utilize preventive health services more often than do those with higher qualifications. Future studies may want to consider exploring whether this is because participants with higher educational levels are more confident in their own health care behavior or have a greater ability to purchase private insurance; the use of private insurance provides adult preventive health services that are more comprehensive, leaving the free adult preventive health services provided by the National Health Insurance unutilized; or participants with an educational level of high school or below tend to use free adult preventive health services due to economic reasons.…”

Section: Discussionsupporting

confidence: 86%

Factors associated with the intention to use adult preventive health services in Taiwan

Hsieh

Lee

Chen

et al. 2019

Public Health Nursing

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Objective: This research aimed to examine the factors associated with the intention to use adult preventive health services in Taiwan. Design and Sample:Using Andersen's behavioral model, we employed a cross-sectional descriptive design to investigate 500 samples from four communities in southern Taiwan. Measures:We used a self-reported survey to assess participants' intention to use adult preventive health services, and the predisposing, enabling, and need factors influencing their intention.Results: Intention to use adult preventive health services was more significantly explained by predisposing and enabling factors than by need factors. In addition, a lack of fixed medical facilities (enabling factor) and Taiwanese origin (predisposing factor) were associated with decreased odds of intention to use adult preventive health services. An educational level of high school or below (predisposing factor), higher amounts of exercise (predisposing factor), and lower barriers to use preventive health services (predisposing factor) were associated with increased odds of intention to use adult preventive health services. Conclusion:The findings can assist public health nurses in identifying high-risk groups with lower intentions of using adult preventive health services. Additionally, community-based health education program can be developed to increase people's intention to use adult preventive health services. K E Y W O R D SAndersen's behavioral model, immigrants, intention, preventive health services, Taiwan

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Section: Discussionsupporting

confidence: 86%

Factors associated with the intention to use adult preventive health services in Taiwan

Hsieh

Lee

Chen

et al. 2019

Public Health Nursing

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“…In general, what emerges is the need for attention to the vulnerable segment of the population, such as the elderly, and the importance of taking into account the variables that influence in a negative way the QoL and the LoF. Setting up specific mental health services for elderly people and the implementation of collaborative liaison between mental health, social and community and primary care health services [54] in order to provide specific and person-centered intervention for those showing low levels of QoL or disability is mandatory in European countries.…”

Section: Discussionmentioning

confidence: 99%

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Grassi

Caruso

Ronch

et al. 2020

Health Qual Life Outcomes

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Background: An ageing population worldwide needs to investigate quality of life (QoL) and level of functioning (LoF) in the elderly and its associated variables. We aimed to study the relationship between Quality of Life (QoL) and Level of Functioning (LoF) in an elderly population in Europe. Method: As part of the Ment_Dis65+ European Project, 3142 community-dwelling adults aged 65-84 years in six countries were assessed by using the adaptation for the elderly of the Composite International Diagnostic Interview (CIDI65+) to provide psychiatric diagnosis according to the International Classification of Diseases (10th edition) (ICD-10 Classification of Mental and Behavioural Disorders). Socio-demographic and clinical interviews, and two selfreport tools, the World Health Organization QoL assessment (WHO QoL BREF), to assess QoL, and the WHO Disability Assessment Schedule-II (WHODAS-II), to assess LoF, were also administered. Results: Most subjects reported good levels of QoL (56.6%) and self-rated health (62%), with no or mild disability (58.8%). There was a linear decrease of the QoL and the LoF by increase of age. Elderly with ICD-10 mental disorder (e.g. somatoform, affective and anxiety disorders) had poorer QoL and lower LoF. There were a number of predictors of lower levels of QoL and disability, including both socio-demographic variables (e.g. male gender, increase in age, poor financial situation, retirement, reduced number of close significant others), ICD-10 psychiatric diagnosis (mainly anxiety, somatoform disorders) and presence of medical disorders (mainly heart and respiratory diseases).

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“…Although tentative, these results might be explained by the cultural aspects and related to the traditional gender roles assigned to women that encourage a greater societal permissiveness and the ability to express their fears and emotions. Women express their emotions more than men and are more likely to turn to mental health services when they have an anxiety problem [55]. Women use mental health services 50% more than men [55].…”

Section: Discussionmentioning

confidence: 99%

“…Women express their emotions more than men and are more likely to turn to mental health services when they have an anxiety problem [55]. Women use mental health services 50% more than men [55].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Characterization of Specific Phobia Disorder in People over 65 Years Old in a Madrid Community Sample (Spain) and its Relationship to Quality of Life

Ausín

Muñoz

Castellanos

et al. 2020

IJERPH

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The prevalence of anxiety disorders over the last year among seniors ranged from 3.6% to 17.2%. The most prevalent disorders are specific phobias. Data are needed concerning the consequences of specific phobia disorder on the level of functioning and quality of life of older people, the age of onset of specific phobia disorder, and the duration of episodes. In total, 555 community-dwelling people aged between 65 and 84 years who lived in Madrid (Spain) were assessed (Composite International Diagnostic Interview for people over 65 years (CIDI65+), WHO Disability Assessment Schedule (WHODAS II), Health of the Nation Outcome Scales for Older Adults (HoNOS65+), World Health Organization Quality of Life Brief (WHOQOL-BREF). Prevalence rates and odds ratio, t-tests, binary logistic regression, and point-biserial correlations were calculated. A total of 12.07% of the sample suffered a specific phobia disorder over the last year. The average age at onset of the specific phobia was 38.78 (sd = 21.61) years. The mean duration of the phobia was approximately 20 (sd = 20) years. A significant effect of the specific phobia was found for the current levels of functioning and quality of life: WHOQOL-BREF total score (p < 0.05), WHODAS II overall score (p < 0.01), and HoNOS65+ total score (p < 0.001). Having specific phobia disorder decreased the level of functioning and negatively affected the quality of life. These data suggest the need for primary healthcare professionals to include the detection of specific phobia disorders in their protocols because people do not receive treatment for this problem, and they might carry it throughout their lives.

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Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems

Abstract: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.

Cited by 31 publications

References 31 publications

Factors associated with the intention to use adult preventive health services in Taiwan

Factors associated with the intention to use adult preventive health services in Taiwan

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Prevalence and Characterization of Specific Phobia Disorder in People over 65 Years Old in a Madrid Community Sample (Spain) and its Relationship to Quality of Life

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