ArticlePloS one2015
Health service utilization for mental, behavioural and emotional problems among conflict-affected population in Georgia: a cross-sectional study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Pooled it
- A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries.International journal of environmental research and public health · 2018Pooled it
- Mental health and psychosocial support during ongoing armed conflict: position paper of the Global Collaboration on Traumatic Stress.European journal of psychotraumatology · 2026Article
- Traumatic events consequences on the Georgian internally displaced person's mental health: an epidemiological national survey.BMC psychiatry · 2025Article
- Generalized anxiety disorder screening scores are associated with greater treatment need among Veterans with depression.Journal of psychiatric research · 2024Article
- Making an economic argument for investment in global mental health: The case of conflict-affected refugees and displaced people.Global mental health (Cambridge, England) · 2023Review
- Interventions to increase help-seeking for mental health care in low- and middle-income countries: A systematic review.PLOS global public health · 2023Article
- Article
- Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories.Health & social care in the community · 2022Article
- Changes in Mental Health Needs during COVID-19 in the Republic of Georgia: A Longitudinal Follow-up Study.Clinical practice and epidemiology in mental health : CP & EMH · 2022Article
- Understanding Barriers to the Access to Healthcare and Rehabilitation Services: A Qualitative Study with Mothers or Female Caregivers of Children with a Disability in Indonesia.International journal of environmental research and public health · 2021Article
- Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study.Community mental health journal · 2021Review
- Mental health service utilization and perceived barriers to treatment among adult refugees in Germany.European journal of psychotraumatology · 2021Article
- Barriers and facilitators for scaling up mental health and psychosocial support interventions in low- and middle-income countries for populations affected by humanitarian crises: a systematic review.International journal of mental health systems · 2021Review
- Understanding the health needs of internally displaced persons: A scoping review.Journal of migration and health · 2021Article
- Experiences of mental health and functioning among conflict-affected populations: A qualitative study with military veterans and displaced persons in Ukraine.The American journal of orthopsychiatry · 2021Article
- Measuring mental health burden in humanitarian settings: a critical review of assessment tools.Global health action · 2020Review
- The influence of concern about COVID-19 on mental health in the Republic of Georgia: a cross-sectional study.Globalization and health · 2020Article
- Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia.Annals of global health · 2020Review
- Treatment gap and mental health service use among Syrian refugees in Sultanbeyli, Istanbul: a cross-sectional survey.Epidemiology and psychiatric sciences · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundThere is large gap in mental illness treatment globally and potentially especially so in war-affected populations. The study aim was to examine health care utilization patterns for mental, behavioural and emotional problems among the war-affected adult population in the Republic of Georgia.
methodsA cross-sectional household survey was conducted among 3600 adults affected by 1990s and 2008 armed conflicts in Georgia. Service use was measured for the last 12 months for any mental, emotional or behavioural problems. TSQ, PHQ-9 and GAD-7 were used to measure current symptoms of PTSD, depression and anxiety. Descriptive and regression analyses were used.
resultsRespondents were predominantly female (65.0%), 35.8% were unemployed, and 56.0% covered by the government insurance scheme. From the total sample, 30.5% had symptoms of at least one current mental disorder. Among them, 39.0% sought care for mental problems, while 33.1% expressed facing barriers to accessing care and so did not seek care. General practitioners (29%) and neurologists (26%) were consulted by the majority of those with a current mental disorder who accessed services, while use of psychiatric services was far more limited. Pharmacotherapy was the predominant type of care (90%). Female gender (OR 1.50, 95% CI: 1.25, 1.80), middle-age (OR 1.83, 95% CI: 1.48, 2.26) and older-age (OR 1.62, 95% CI: 1.19, 2.21), possession of the state insurance coverage (OR 1.55, 95% CI: 1.30, 1.86), current PTSD symptoms (OR 1.56, 95% CI: 1.29, 1.90) and depression (OR 2.12, 95% CI: 1.70, 2.65) were associated with higher rates of health service utilization, while employed were less likely to use services (OR 0.71, 95% CI: 0.55, 0.89).
conclusionsReducing financial access barriers and increasing awareness and access to local care required to help reduce the burden of mental disorders among conflict-affected persons in Georgia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.