Does educational background explain inequalities in care service use for mental health problems in the Dutch general population?
Article first published online: 7 FEB 2003
Acta Psychiatrica Scandinavica
Volume 107, Issue 3, pages 178–187, March 2003
How to Cite
ten Have, M., Oldehinkel, A., Vollebergh, W. and Ormel, J. (2003), Does educational background explain inequalities in care service use for mental health problems in the Dutch general population?. Acta Psychiatrica Scandinavica, 107: 178–187. doi: 10.1034/j.1600-0447.2003.00074.x
- Issue published online: 7 FEB 2003
- Article first published online: 7 FEB 2003
- Accepted for publication December 11, 2002
- cohort studies;
- mental disorders;
- mental health services;
- socioeconomic factors
Objective: To investigate whether (1) education predicts the use of care services for mental health problems, independently of mental disorder and functional impairment and (2) education modifies the association between mental disorder and service use.
Method: Predictors of service use were recorded at baseline, and service use itself at 12-month follow-up, in a representative sample (N=7076) of the Dutch population, using the Composite International Diagnostic Interview.
Results: People with more education were less likely to use primary care but more likely to use mental health care. The effects on both types of care remained significant after adjustment for mental disorder and functional impairment. Lower education tended to strengthen the association between mood or anxiety disorder and primary care use.
Conclusion: Further research on inequalities in service use will benefit from additional explanatory analyses and from the inclusion of sociopsychological variables, like cost-benefit considerations in decisions to use services.