Prevalence, psychosocial correlates and service utilization of depressive and anxiety disorders in Hong Kong: the Hong Kong Mental Morbidity Survey ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-02-08

AUTHORS

Linda Chiu-Wa Lam, Corine Sau-Man Wong, Min-Jung Wang, Wai-Chi Chan, Eric Yu-Hai Chen, Roger Man-Kin Ng, Se-Fong Hung, Eric Fuk-Chi Cheung, Pak-Chung Sham, Helen Fung-Kum Chiu, Ming Lam, Wing-Chung Chang, Edwin Ho-Ming Lee, Tin-Po Chiang, Joseph Tak-Fai Lau, Jim van Os, Glyn Lewis, Paul Bebbington

ABSTRACT

PurposeData on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors.MethodsWe analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16–75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R).ResultsThe weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment.ConclusionsApart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care. More... »

PAGES

1379-1388

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00127-015-1014-5

DOI

http://dx.doi.org/10.1007/s00127-015-1014-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032235331

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25660760


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24 schema:description PurposeData on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors.MethodsWe analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16–75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R).ResultsThe weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment.ConclusionsApart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care.
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32 Chinese adults
33 Clinical Interview Schedule
34 ConclusionsApart
35 Hong Kong
36 Hong Kong Mental Morbidity Survey
37 Hong Kong population
38 Kong
39 Kong Mental Morbidity Survey
40 Kong population
41 Mental Morbidity Survey
42 MethodsWe
43 Morbidity Survey
44 PurposeData
45 ResultsThe
46 adults
47 alcohol misuse
48 anxiety
49 anxiety disorders
50 attainment
51 attention
52 care
53 common mental disorders
54 community primary care
55 consideration
56 correlates
57 current study
58 data
59 dependence
60 depressive
61 depressive disorder
62 diagnosis
63 disorder prevalence
64 disorders
65 educational attainment
66 estimates
67 exercise
68 factors
69 family history
70 family physicians
71 female gender
72 frequent diagnosis
73 gender
74 general Hong Kong population
75 general practitioners
76 health
77 health promotion
78 health service usage
79 health service utilization
80 health services
81 healthcare management
82 history
83 important consideration
84 individuals
85 interview schedule
86 lack
87 lifestyle factors
88 low educational attainment
89 management
90 men
91 mental disorder prevalence
92 mental disorders
93 mental health promotion
94 mental health service usage
95 mental health service utilization
96 mental health services
97 misuse
98 mixed anxiety
99 past year
100 past-week CMD
101 patterns
102 physical exercise
103 physicians
104 planning
105 population
106 practitioners
107 prevalence
108 prevalence estimates
109 primary care
110 promotion
111 psychosocial correlates
112 psychosocial risk
113 regular physical exercise
114 risk
115 schedule
116 service usage
117 service utilization
118 services
119 study
120 substance dependence
121 survey
122 usage
123 utilization
124 years
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