The aim of this study was to examine factors associated with the use of mental health consultation for depressive symptoms.
We used data from the 2013 Community Health Survey, which included responses from 13,269 individuals who reported that they had experienced depressive symptoms for more than 2 weeks in Korea. We investigated associations between mental health consultation rates for depressive symptoms and sociodemographic, socioeconomic, and health-related factors. Logistic regression analysis was used to examine the significance of associations.
Among participants who report depressive symptoms, 16.0% (n = 2120) undergo mental health consultation. Respondents with a college education or over are more likely to undergo mental health consultation (odds ratio (OR) = 1.49; 95% CI: 1.21–1.84) than respondents with less education. Individuals aged 70 years or above are less likely to receive mental health consultation than those aged between 19 and 29 years. Females exhibit higher mental health consultation rates than males. Respondents who are divorced show greater odds of receiving mental health consultation than respondents who are married and cohabitate with their spouse.
This study indicates that rates of use of mental health consultation services are lower among older adults and men and higher among divorced people. Educational level shows a significant positive association with mental health consultation among Koreans. The results could have implications for mental health policy in many ways in Korea.
Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, Bruffaerts R, De Girolamo G, De Graaf R, Gureje O. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370(9590):841–50. CrossRefPubMedPubMedCentral
World Health Organization. “Depression: let’s talk” says WHO, as depression tops list of causes of ill health. Saudi Med J. 2017;38(5):565.
Rondet C, Parizot I, Cadwallader JS, Lebas J, Chauvin P. Why underserved patients do not consult their general practitioner for depression: results of a qualitative and a quantitative survey at a free outpatient clinic in Paris France. BMC Fam Pract. 2015;16(1):1. CrossRef
Paykel ES. Depression: major problem for public health. Epidemiol Psychiatr Sci. 2006;15(1):4–10.
World Health Organization: The world health report 2001: mental health: new understanding, new hope; 2001.
OECD Publishing: OECD (2016), Society at a Glance 2016: OECD social indicators.
Uchida N, CHONG MY, Tan CH, Nagai H, Tanaka M, LEE MS, Fujii S, YANG SY, Si T, Sim K. International study on antidepressant prescription pattern at 20 teaching hospitals and major psychiatric institutions in East Asia: analysis of 1898 cases from China, Japan, Korea Singapore and Taiwan. Psychiatry Clin Neurosci. 2007;61(5):522–8. CrossRefPubMed
World Health Organization. Investing in mental health evidence for action: World Health Organization; 2013.
Vessey JT, Howard KI. Who seeks psychotherapy? Psychother Theory Res Pract Train. 1993;30(4):546. CrossRef
Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine J, Angermeyer M, Bernert SD, De Girolamo G, Morosini P. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization world mental health surveys. JAMA. 2004;291(21):2581–90. CrossRefPubMed
Ross CE, Wu C-L. The links between education and health. Am Sociol Rev. 1995:719–45.
Chevalier A, Feinstein L. Sheepskin or Prozac: the causal effect of education on mental health. In: IZA discussion paper no 2231; 2006.
Ministry of Health and Welfare. 2017; Available from: http://www.mohw.go.kr/eng/sg/ssg0101mn.jsp?PAR_MENU_ID=1001&MENU_ID=100110. Accessed 22 Sept 2017.
Smith P, Nüsslin F. Benefits to medical physics from the recent inclusion of medical physicists in the international classification of standard occupation (ICSO-08). Med Phys Int J. 2013;1(1).
Mirowsky J, Ross CE. Education, personal control, lifestyle and health a human capital hypothesis. Res Aging. 1998;20(4):415–49. CrossRef
Stansfeld SA, Head J, Marmot M. Explaining social class differences in depression and well-being. Soc Psychiatry Psychiatr Epidemiol. 1997;33(1):1–9. CrossRef
Ross CE, Mirowsky J. Explaining the social patterns of depression: control and problem solving--or support and talking? J Health Soc Behav. 1989:206–19.
Corrigan PW. Mental health stigma as social attribution: implications for research methods and attitude change. Clin Psychol Sci Pract. 2000;7(1):48–67. CrossRef
Amato PR. The consequences of divorce for adults and children. J Marriage Fam. 2000;62(4):1269–87. CrossRef
Gigantesco A, Morosini P. Development, reliability and factor analysis of a self-administered questionnaire which originates from the World Health Organization's composite international diagnostic interview–short form (CIDI-SF) for assessing mental disorders. Clin Pract Epidemiol Ment Health. 2008;4(1):8. CrossRefPubMedPubMedCentral
US Public Health Service. The surgeon General’s call to action to prevent suicide. Washington, DC: author; 1999.
- Factors associated with mental health consultation in South Korea
Sang Ah Lee
- BioMed Central