ArticleEpidemiology and psychiatric sciences2023
Do values and political attitudes affect help-seeking? Exploring reported help-seeking for mental health problems in a general population sample using a milieu framework.
Article in Epidemiology and psychiatric sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Values, belief systems and mental health stigma - a scoping review and synthesis of quantitative evidence.BMC psychiatry · 2026Article
- Determinants of mental health help-seeking in Europe: a systematic review based on the behavioural model of health services use.International journal of mental health systems · 2026Review
- Utilisation of medical services in Germany and Europe - Results of the European Health Interview Survey (EHIS 3, 2018 - 2020).Journal of health monitoring · 2024Article
- Stigmatization of people with mental illness - a matter of milieu-specific worldviews? Results from a population-based survey in Germany.Frontiers in psychiatry · 2024Article
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Authors and funding
9 authors.
Funding
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Abstract
aimsHelp-seeking for mental health problems is facilitated and hindered by several factors at the individual, interpersonal and community level. The most frequently researched factors contributing to differences in help-seeking behaviour are based on classical socio-demographic variables, such as age, gender and education, but explanations for the observed differences are often absent or remain vague. The present study complements traditional approaches in help-seeking research by introducing a milieu approach, focusing on values and political attitudes as a possible explanation for differences in help-seeking for emotional mental health problems.
methodsA representative cross-sectional survey of
resultsMultivariate logistic regression analyses indicated that belonging to a cosmopolitan intellectual milieu group was significantly associated with an increased likelihood of past help-seeking for mental health issues (psychotherapeutic/psychological help-seeking [OR = 2.09, 95% CI: 1.11-3.93,
conclusionsWe discuss how milieu-specific patterns were relevant for explaining differences in mental health service use in addition to socio-demographic factors. It seems promising to consider help-seeking from a milieu perspective to improve disparities in access to and the use of psychotherapy as well as to resource allocation.
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