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Prevalence of mental distress and use of health services in a rural district in Vietnam.

Giang KB, Dzung TV, Kullgren G, Allebeck P - Glob Health Action (2010)

Bottom Line: Illiteracy and unstable employment status were significantly associated with mental distress among men.Although there was a low prevalence of mental distress, the low use of mental health services indicated that there was a treatment gap in mental health care.Since many people used private services, intervention programs should include private providers to strengthen their capacity to provide mental health care for the community.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Public Health, Hanoi Medical University, Hanoi, Vietnam.

ABSTRACT

Aims: The aims were to estimate the prevalence of mental distress in different socio-demographic groups; and to analyze use of health care services among persons reporting mental distress.

Methods: Face-to-face interviews with the Self-Reporting Questionnaires (SRQ-20) were conducted in a sample of 3,425 persons aged 18-60 years. A two-stage probability sampling design was applied to select study subjects. Persons with more than six positive responses to the SRQ-20 were identified as having mental distress. Prevalence was estimated for different socio-demographic groups, and odds ratios of having mental distress were obtained by multiple logistic regression analyses.

Main findings: The prevalence of mental distress was 5.4% (6.8% in women and 3.9% in men). Illiteracy and unstable employment status were significantly associated with mental distress among men. Nearly half of those with mental distress had no treatment. Among those who took some health care measures, use of private health services was the most common, followed by self-treatment. Only 5% of those with mental distress sought health care at facilities where mental health care services were available.

Conclusions: Although there was a low prevalence of mental distress, the low use of mental health services indicated that there was a treatment gap in mental health care. Since many people used private services, intervention programs should include private providers to strengthen their capacity to provide mental health care for the community.

No MeSH data available.


Related in: MedlinePlus

Percentage of men and women who reported having been in contact with health services among those with mental distress. Distrubtion by SRQ-20 items reported.
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Figure 0002: Percentage of men and women who reported having been in contact with health services among those with mental distress. Distrubtion by SRQ-20 items reported.

Mentions: Fig. 2 presents the use of health services among those reporting mental distress. The proportion of persons visiting health services was calculated for each symptom. People with mental distress sought health care more often because of ‘somatic’ symptoms rather than ‘emotional and feeling’ symptoms. The proportion of persons who had used health services was highest among those who had headache (73 and 81%), uncomfortable feeling in the stomach (29 and 41%), poor digestion (25.8 and 24.4%), or hands shake (17.9 and 12.95%). Women tended to seek health care more frequently than men did, regardless of symptoms.


Prevalence of mental distress and use of health services in a rural district in Vietnam.

Giang KB, Dzung TV, Kullgren G, Allebeck P - Glob Health Action (2010)

Percentage of men and women who reported having been in contact with health services among those with mental distress. Distrubtion by SRQ-20 items reported.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2837473&req=5

Figure 0002: Percentage of men and women who reported having been in contact with health services among those with mental distress. Distrubtion by SRQ-20 items reported.
Mentions: Fig. 2 presents the use of health services among those reporting mental distress. The proportion of persons visiting health services was calculated for each symptom. People with mental distress sought health care more often because of ‘somatic’ symptoms rather than ‘emotional and feeling’ symptoms. The proportion of persons who had used health services was highest among those who had headache (73 and 81%), uncomfortable feeling in the stomach (29 and 41%), poor digestion (25.8 and 24.4%), or hands shake (17.9 and 12.95%). Women tended to seek health care more frequently than men did, regardless of symptoms.

Bottom Line: Illiteracy and unstable employment status were significantly associated with mental distress among men.Although there was a low prevalence of mental distress, the low use of mental health services indicated that there was a treatment gap in mental health care.Since many people used private services, intervention programs should include private providers to strengthen their capacity to provide mental health care for the community.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Public Health, Hanoi Medical University, Hanoi, Vietnam.

ABSTRACT

Aims: The aims were to estimate the prevalence of mental distress in different socio-demographic groups; and to analyze use of health care services among persons reporting mental distress.

Methods: Face-to-face interviews with the Self-Reporting Questionnaires (SRQ-20) were conducted in a sample of 3,425 persons aged 18-60 years. A two-stage probability sampling design was applied to select study subjects. Persons with more than six positive responses to the SRQ-20 were identified as having mental distress. Prevalence was estimated for different socio-demographic groups, and odds ratios of having mental distress were obtained by multiple logistic regression analyses.

Main findings: The prevalence of mental distress was 5.4% (6.8% in women and 3.9% in men). Illiteracy and unstable employment status were significantly associated with mental distress among men. Nearly half of those with mental distress had no treatment. Among those who took some health care measures, use of private health services was the most common, followed by self-treatment. Only 5% of those with mental distress sought health care at facilities where mental health care services were available.

Conclusions: Although there was a low prevalence of mental distress, the low use of mental health services indicated that there was a treatment gap in mental health care. Since many people used private services, intervention programs should include private providers to strengthen their capacity to provide mental health care for the community.

No MeSH data available.


Related in: MedlinePlus