Evidence map›Paper›PMID 30878978›Full record

ArticleBMJ open2019

Are perceived barriers to accessing mental healthcare associated with socioeconomic position among individuals with symptoms of depression? Questionnaire-results from the Lolland-Falster Health Study, a rural Danish population study.

Aake Packness, Anders Halling, Erik Simonsen, Frans Boch Waldorff, Lene Halling Hastrup

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Aake PacknessResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Anders HallingCRC, Lund University, Clinical sciences Malmo, Malmö, Sweden.
Erik SimonsenPsychiatric Research Unit, Psychiatry, Region Zealand, Slagelse, Denmark.
Frans Boch WaldorffResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Lene Halling HastrupPsychiatric Research Unit, Psychiatry, Region Zealand, Slagelse, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate if perceived barriers to accessing mental healthcare (MHC) among individuals with symptoms of depression are associated with their socio-economic position (SEP).

designCross-sectional questionnaire-based population survey from the Lolland-Falster Health Study (LOFUS) 2016-17 of 5076 participants.

participantsThe study included 372 individuals, with positive scores for depression according to the Major Depression Inventory (MDI), participating in LOFUS .

interventionsA set of five questions on perceived barriers to accessing professional care for mental health problem was posed to individuals with symptoms of depression (MDI score >20). OUTCOMES: The association between SEP (as measured by educational attainment, employment status and financial strain) and five different types of barriers to accessing MHC were analysed in separate multivariable logistic regression models adjusted for gender and age.

resultsA total of 314 out of 372 (84%) completed the survey questions and reported experiencing barriers to MHC access. Worry about expenses related to seeking or continuing MHC was a considerable barrier for 30% of the individuals responding and, as such, the greatest problem among the five types of barriers. 22% perceived

conclusionIssues associated with

Indexed as

Social ClassAdolescentAdultAgedAged, 80 and overAntidepressive AgentsCross-Sectional StudiesDenmarkDepressionFemaleHealthcare DisparitiesHealth Services AccessibilityHumansLogistic ModelsMaleMiddle AgedAntidepressive Agentsmental healthorganisation of health servicesprimary carepublic health

Identifiers

PMID30878978
PMCPMC6429864

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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.