Article

State-based differences in the prevalence and characteristics of untreated persons with serious psychological distress.

Centers for Disease Control and Prevention, 4770 Buford Highway N.E., Atlanta, GA 30341, USA.
International Journal of Public Health (Impact Factor: 1.99). 05/2009; 54 Suppl 1:9-15. DOI: 10.1007/s00038-009-0001-6
Source: PubMed

ABSTRACT To examine the state-based prevalence of serious psychological distress (SPD) and its treatment using the Kessler-6 scale.
SPD and treatment data were obtained from 202,114 respondents in the 2007 Behavioral Risk Factor Surveillance System Mental Illness and Stigma Module in 35 states, the District of Columbia, and Puerto Rico.
Approximately 4.0 % of persons in the 35 states, the District of Columbia, and Puerto Rico had SPD. The prevalence estimates ranged from 2.3 % in Iowa to 6.6 % in Mississippi. Among persons with SPD, 53.4 % were currently untreated, ranging from 33.3 % in Alaska to 67.0 % in Hawaii.
Mental health parity and a multidimensional approach to healthcare with extensive referrals between mental and physical healthcare is warranted.

0 Bookmarks
 · 
62 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In New York City, the age-adjusted prevalence of nonspecific psychological distress (NPD) among Hispanics is twice that of non-Hispanic whites; nationally, there is little Hispanic-white disparity. We aimed to explain the pattern of disparity in New York City. Data came from the 2006 National Health Interview Survey and 2006 Community Health Survey in New York City. Respondents with scores higher than 12 on the K6, a brief scale used to screen for mental health disorders, were defined as having NPD. Multivariate analyses controlled for Hispanic ancestry, socioeconomic status (education, employment, and income), nativity, language of interview, and health characteristics. In New York City, the disparity between Hispanics and whites was fully explained after accounting for the disproportionate concentration of low socioeconomic status among Hispanics (odds ratio for NPD, 0.81; 95% confidence interval, 0.60-1.11). These factors also partially accounted for differences between Hispanics in New York City and the United States, but the prevalence of NPD overall in New York City remained elevated relative to the United States. Elevated NPD prevalence among New York City Hispanics was primarily attributable to large disparities in socioeconomic status; differences between New York City and the United States remained but were not specific to Hispanics. Interventions in New York City aimed at addressing racial/ethnic disparities in health may overlap with those addressing socioeconomic inequalities. Further study into the higher overall prevalence of NPD in New York City will be necessary to inform the design and targeting of interventions.
    Preventing chronic disease 02/2012; 9:E52. · 1.96 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Psychological distress not only has substantial health and social consequences, but is also associated with emergency department (ED) use. Previous studies have typically used cross-sectional data to focus on the relation between serious psychological distress and dichotomized ED utilization measures, without assessing the volume of ED use or examining nonserious levels of psychological distress. The objective of this study was to explore the association between ED utilization volume and the full spectrum of psychological distress.
    Academic Emergency Medicine 05/2014; 21(5):510-519. · 2.20 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: PURPOSE: Serious psychological distress (SPD) is an understudied health topic. When studied, estimates for minority groups are compared to that of non-Hispanic whites. Non-Hispanic whites are heterogeneous, and comprise individuals from Europe, North Africa or the Middle East. The objectives of this study are to estimate and compare the sex- and age-adjusted prevalence of SPD first by nativity status and then by region of birth (Europe, Middle East and Russia) while controlling for potential confounders. METHODS: The sample consisted of 196,483 participants, 18 years of age or older in the National Health Interview Survey (2000-2010). To measure SPD, Kessler's K6 Likert scale was used. Individuals with scores greater than or equal to 13 were considered to have SPD. RESULTS: The age- and sex- adjusted prevalence of SPD was 3 % for foreign-born non-Hispanic whites. Of this, estimates were 6 % for those from the Middle East, 3 % for Europe and 2 % for Russia (p = 0.00). In the fully adjusted multivariable model, foreign-born non-Hispanic whites from the Middle East were more likely (OR = 1.76; 95 % CI = 1.01, 3.04) to report SPD when compared to US-born non-Hispanic whites. Within the foreign-born population, non-Hispanic whites from the Middle East were more than twice as likely to report SPD (OR = 2.43; 95 % CI = 1.15, 5.14) compared to foreign-born non-Hispanic whites from Europe after controlling for confounders. CONCLUSIONS: This study's findings will help researchers understand which subgroups within non-Hispanic whites suffer most from SPD, which will facilitate tailored prevention intervention efforts.
    Social Psychiatry 05/2013; · 2.05 Impact Factor

Full-text

Download
33 Downloads
Available from
May 21, 2014