ArticleSocial psychiatry and psychiatric epidemiology2017
Impact of socioeconomic position and distance on mental health care utilization: a nationwide Danish follow-up study.
Article in Social psychiatry and psychiatric epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between social class and the impact of treatment for mental health problems: a systematic review and narrative synthesis.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- Online remote behavioural intervention for tics in 9- to 17-year-olds: the ORBIT RCT with embedded process and economic evaluation.Health technology assessment (Winchester, England) · 2023Trial
- Fidelity of Delivery and Contextual Factors Influencing Children's Level of Engagement: Process Evaluation of the Online Remote Behavioral Intervention for Tics Trial.Journal of medical Internet research · 2021Trial
- Does primary care level psychotherapy associate with later use of long-term psychotherapy - longitudinal register-based cohort study among Finnish occupationally active individuals.International journal of mental health systems · 2026Article
- Access to Technology-Mediated Community Mental Health Care Among Low-Socioeconomic Status Consumers With Serious Mental Illness: Qualitative Study.JMIR formative research · 2026Article
- Examining Demographic Characteristics of Firearm Owners Currently Engaged in Mental Health Treatment.Journal of clinical psychology · 2026Article
- Follow-up attendance and documented reasons for non-attendance in child and adolescent mental health care: a retrospective analysis.Frontiers in psychiatry · 2026Article
- Prevalence and determinants of common mental health illnesses among reproductive-aged women in Bangladesh: Evidence from Demographic and Health Surveys data 2022.PLOS mental health · 2026Article
- Predictors of recent mental health service utilization among firearm-owning US service members with high levels of psychological distress.Suicide & life-threatening behavior · 2025Article
- Exploring socio-economic inequalities in mental healthcare utilization in adults with self-reported psychological distress: a survey-registry linked cohort design.Epidemiology and psychiatric sciences · 2025Article
- Patterns of psychiatric healthcare use during pandemic times among boys and girls with pre-existing diagnoses: a Norwegian nationwide primary and specialist healthcare registry study.BMC psychiatry · 2025Article
- Are the estimated needs for mental health care among adolescents from different socioeconomic backgrounds met equally in Sweden? A longitudinal survey-registry linkage study.European child & adolescent psychiatry · 2024Article
- The role of mesolevel characteristics of the health care system and socioeconomic factors on health care use - results of a scoping review.International journal for equity in health · 2024Article
- Geospatial investigations in Colombia reveal variations in the distribution of mood and psychotic disorders.Communications medicine · 2024Article
- "Getting people access to services is also getting them access to a phone": Clarifying digital divide dynamics and their consequences in Community Mental Health Care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Sociodemographic Factors as Predictors of the Duration of Long-term Psychotherapy: Evidence from a Finnish Nationwide Register Study.Administration and policy in mental health · 2024Article
- Identifying Social Determinants and Measuring Socioeconomic Inequalities in the Use of Four Different Mental Health Services by Australian Adolescents Aged 13-17 Years: Results from a Nationwide Study.Healthcare (Basel, Switzerland) · 2023Article
- Scaling-up Child and Youth Mental Health Services: Assessing Coverage of a County-Wide Prevention and Early Intervention Initiative During One Fiscal Year.Administration and policy in mental health · 2023Article
- Treatment indications and potential off-label use of antidepressants among older adults: A population-based descriptive study in Denmark.International journal of geriatric psychiatry · 2022Article
- Association of travel time with mental health service use in primary health care according to contact type - a register-based study in Kainuu, Finland.BMC health services research · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the impact of socioeconomic position (SEP) and distance to provider on outpatient mental health care utilization among incident users of antidepressants.
methodA nationwide register-based cohort study of 50,374 person-years.
resultsPersons in low SEP were more likely to have outpatient psychiatrist contacts [odds ratio (OR) 1.25; confidence interval (CI) 1.17-1.34], but less likely to consult a co-payed psychologist (OR 0.49; CI 0.46-0.53) and to get mental health service from a GP (MHS-GP) (OR 0.81; CI 0.77-0.86) compared to persons in high SEP after adjusting for socio-demographics, comorbidity and car ownership. Furthermore, persons in low SEP who had contact to any of these therapists tended to have lower rates of visits compared to those in high SEP. When distance to services increased by 5 km, the rate of visits to outpatient psychiatrist tended to decrease by 5% in the lowest income group (IRR 0.95; CI 0.94-0.95) and 1% in the highest (IRR 0.99; CI 0.99-1.00). Likewise, contact to psychologists decreased by 11% in the lowest income group (IRR 0.89; CI 0.85-0.94), whereas rate of visits did not interact.
conclusionPatients in low SEP have relatively lower utilization of mental health services even when services are free at delivery; co-payment and distance to provider aggravate the disparities in utilization between patients in high SEP and patients in low SEP.
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