Rural disability, self-reliance, and the utilization of mental health services.

Autor: Santore L; University of Montana Rural Institute, Research and Training Center on Disability in Rural Communities, Missoula, MT, 59812, USA. Electronic address: Luke.Santore@mso.umt.edu., Ipsen C; University of Montana Rural Institute, Research and Training Center on Disability in Rural Communities, Missoula, MT, 59812, USA., Gimm G; George Mason University College of Public Health, Department of Health Administration and Policy, Fairfax, VA, 22030, USA.
Jazyk: angličtina
Zdroj: Disability and health journal [Disabil Health J] 2024 Nov 26, pp. 101761. Date of Electronic Publication: 2024 Nov 26.
DOI: 10.1016/j.dhjo.2024.101761
Abstrakt: Background: The intersection of rurality, disability, self-reliance values, and utilization rates of mental health services (MHS) is under-researched.
Objective: To better understand the differences between unmet need and no perceived need for MHS between noncore, micropolitan, and metropolitan adults with disabilities.
Methods: We conducted logistic regression analyses of the 2022 National Survey on Health and Disability (NSHD) to identify associations between demographic characteristics and odds of reporting unmet need for MHS or no perceived need for MHS.
Results: Living in a noncore area, being male, lower educational attainment, older age, vision disability, and ambulatory disability were significantly associated with increased odds of reporting no perceived need for MHS. Being LGBTQIA+, poor transportation access, and cognitive disability were significantly associated with decreased odds of reporting no perceived need for MHS. Cognitive disability, cohabitation, and poor transportation access were significantly associated with increased odds of reporting unmet need for MHS. Conversely, being male, having some college and/or a two-year degree were significantly associated with decreased odds of reporting unmet need for MHS. There were not significant differences in unmet need for MHS across rural indicators.
Conclusion: No perceived need of MHS is an underexplored factor among rural and urban adults with disabilities. Solutions include policies to expand MHS access, tailored public health outreach, and provider communication training.
Competing Interests: Conflict of interest Dr. Catherine Ipsen and Dr. Gilbert Gimm currently serve on the Editorial Board of the Disability and Health Journal. Other than the potential conflict of interest stated above, the authors declare that the research was conducted with no commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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