Correlates of Mental Health Service Utilization in Married Women in Tehran 2011

Masuod Ahmadzad-Asl; Farnoush Davoudi; Homa Mohammad Sadeghi; Noshin Khademolreza; Noushin Zarei; Morteza Naserbakht; Marziyeh Nojomi; Maryam Rasoulian

IJ Psychiatry and Behavioral Sciences

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Correlates of Mental Health Service Utilization in Married Women in Tehran 2011

Author(s):

Masuod Ahmadzad-Asl¹,

Farnoush Davoudi²,

Homa Mohammad Sadeghi¹,

Noshin Khademolreza³,

Noushin Zarei¹,

Morteza Naserbakht⁴,

Marziyeh Nojomi⁵,

Maryam Rasoulian^6,*

1Resident of psychiatry, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran

2Resident of Community Medicine, Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

3Psychiatrist, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran

4Specialist of Community Medicine, Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Tehran, Iran

5Professor of Community Medicine. Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

6Mental Health Research Center, Tehran psychiatry institute, Tehran University of Medical Sciences, Sattarkhan Ave., Niayesh St., Mansuri St., No.1, Tehran Psychiatry Institute, Tehran, Iran

IJ Psychiatry and Behavioral Sciences:Vol. 7, issue 1; 51-60

Published online:Jun 30, 2013

Article type:Research Article

Received:Jun 16, 2012

Accepted:Feb 26, 2013

How to Cite:Masuod Ahmadzad-AslFarnoush DavoudiHoma Mohammad SadeghiNoshin KhademolrezaNoushin ZareiMorteza NaserbakhtMarziyeh NojomiMaryam Rasoulianet al.Correlates of Mental Health Service Utilization in Married Women in Tehran 2011.Iran J Psychiatry Behav Sci.7(1):51-60.

Abstract

Objective: There are disparities in mental health services (MHS) utilization within and between populations and several factors are studied as its potential correlates. Identifying those correlates would help health policy makers to adjust service provision with characteristics of their community. To evaluate demographic, socioeconomic and system correlates of MHS utilization among married women from Tehran, Iran.

Methods: A household survey of 615 married women residents of 22 municipal districts of Tehran selected via a cluster sampling method. All subjects were asked about health services utilization during last one and 12 months as well as need and access for MHS, demographic and socioeconomic factors. Independent correlates of MHS use were determined with logistic regression analysis.

Results: Total 615 women, mean±SE age and duration of marital life of 42.6±0.9 and 22±0.8 years, respectively were selected, rate of MHS utilization during last one and 12 months were 5.2% and 10.1% respectively. 23.6% of women reported having mental illness and 19.3% and 17.9% had need for MHS and access to outpatient health services, respectively. Logistic regression models showed that need for MHS (OR:5.25, 95%CI:2.7-10.1), access to outpatient services (OR:2.17, 95%CI:1.04-4.52), smoking (OR:3.4, 95%CI:1.16-10.2) and crowding index (OR:0.69, 95%CI:0.48- 0.99).

Conclusions: Rate of MHS utilization in women are low considering the near to estimated rate of perceived illness. Bridging the gap between perceived illness and need for services, then providing better access to services in areas with higher crowding index and higher rates of smoking in residents should considered in any mental health promotion programs.

Declaration of interest: None.

Citation: Ahmadzad-Asl M, Davoudi F, MohammadSadeghi H, Khademolreza N, Zarei N, Naserbakht M, et al. Correlates of mental health service utilization in married women in Tehran 2011. Iran J Psychiatry Behav Sci 2013; 7(1): 51-60.

Keywords

Access to Services

Health Services Utilization

Mental Health

Perceived Need

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