Evidence map›Paper›PMID 31452485›Full record

ArticleEpidemiology and psychiatric sciences2019

Twelve-month mental health service use in six countries of the Americas: A regional report from the World Mental Health Surveys.

G Borges, S Aguilar-Gaxiola, L Andrade, C Benjet, A Cia, R C Kessler, R Orozco, N Sampson, J C Stagnaro, Y Torres and 2 more

Abstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. The 2022 South America report of TheLancet regional health. Americas · 2023
    Review
  14. Article
  15. Article
  16. An initiative to improve mental health practice in primary care in Caribbean countries.Revista panamericana de salud publica = Pan American journal of public health · 2023
    Article
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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

12 authors.

G BorgesInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.ORCID https://orcid.org/0000-0002-3269-0507
S Aguilar-GaxiolaCenter for Reducing Health Disparities, UC Davis Health System, Sacramento, California, USA.
L AndradeNúcleo de Epidemiologia Psiquiátrica - LIM 23, Instituto de Psiquiatria Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
C BenjetInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.
A CiaAnxiety Disorders Center, Buenos Aires, Argentina.
R C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
R OrozcoInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.
N SampsonDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
J C StagnaroDepartamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
Y TorresCenter for Excellence on Research in Mental Health, CES University, Medellin, Colombia.
Maria Carmen VianaDepartment of Social Medicine and Post-Graduate Program in Public Health, Psychiatric Epidemiology Research Center (CEPEP), Federal University of Espírito Santo (UFES), Vitória, Brazil.
M E Medina-MoraInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo provide cross-national data for selected countries of the Americas on service utilization for psychiatric and substance use disorders, the distribution of these services among treatment sectors, treatment adequacy and factors associated with mental health treatment and adequacy of treatment.

methodsData come from data collected from 6710 adults with 12 month mental disorder surveys across seven surveys in six countries in North (USA), Central (Mexico) and South (Argentina, Brazil, Colombia, Peru) America who were interviewed 2001-2015 as part of the World Health Organization (WHO) World Mental Health (WMH) Surveys. DSM-IV diagnoses were made with the WHO Composite International Diagnostic Interview (CIDI). Interviews also assessed service utilization by the treatment sector, adequacy of treatment received and socio-demographic correlates of treatment.

resultsLittle over one in four of respondents with any 12 month DSM-IV/CIDI disorder received any treatment. Although the vast majority (87.1%) of this treatment was minimally adequate, only 35.3% of cases received treatment that met acceptable quality guidelines. Indicators of social-advantage (high education and income) were associated with higher rates of service use and adequacy, but a number of other correlates varied across survey sites.

conclusionsThese results shed light on an enormous public health problem involving under-treatment of common mental disorders, although the problem is most extreme among people with social disadvantage. Promoting services that are more accessible, especially for those with few resources, is urgently needed.

Indexed as

AdolescentAdultAgedAnxiety DisordersArgentinaAttention Deficit Disorder with HyperactivityBipolar DisorderBrazilColombiaDisruptive, Impulse Control, and Conduct DisordersEducational StatusFacilities and Services UtilizationFemaleHealth Services AccessibilityHumansIncomeEpidemiologymental healthservice usetranscultural

Identifiers

PMID31452485
PMCPMC8061239

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LicenceCC BY
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Registered trials

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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.