Using Community-Level Mental Health Surveillance Data to Examine the Relationship of Depression Prevalence to Social Determinants of Health and Access to Mental Health Services
Publication: Canadian Journal of Community Mental Health
26 March 2013
Abstract
The effect of social determinants of health on depression prevalence and treatment access was examined using community survey and administrative data on mental health service users in the Calgary Health Region (CHR). Consistent with national prevalence data, depression was significantly associated with female gender, younger age, and health risk factors such as smoking, hypertension, and obesity. The prevalence of depression causing interference in daily functioning across 19 social districts (subregions within the CHR) was significantly related to community-level indicators of single-parent status, low-income families, and low educational achievement in each district. Disparities in treatment access were also found with persons living in the most impoverished districts having the lowest rates of accessing professional mental health services.
Résumé
L'impact des déterminants sociaux de la santé sur la prévalence de la dépression et l'accès aux soins a été examinée à l'aide de données provenant d'une enquête communautaire et des données administratives relevant des utilisateurs et utilisatrices des services de santé mentale dans la Calgary Health Region (région de santé de Calgary, CHR). Conformément aux données nationales sur la prévalence, la dépression a été significativement associée au sexe féminin, à la jeunesse et aux facteurs de risque qui influencent la santé, comme le tabagisme, l'hypertension et l'obésité. La prévalence d'une dépression qui nuit au fonctionnement quotidien dans 19 quartiers (sous-régions de la CHR) a été liée à quelques indicateurs au niveau de la communauté: familles monoparentales, familles à faible revenu et faible niveau d’éducation dans chaque quartier. Des disparités par rapport à l'accès au traitement ont également été trouvées chez les personnes vivant dans les quartiers les plus pauvres ayant les taux d'accès à des services professionnels de la santé mentale les plus faibles.
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Canadian Journal of Community Mental Health
Volume 32 • Number 1 • March 2013
Pages: 43 - 57
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Version of record online: 26 March 2013
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CurrieShawn R., FiestKirsten, and GuynLindsay. 2013. Using Community-Level Mental Health Surveillance Data to Examine the Relationship of Depression Prevalence to Social Determinants of Health and Access to Mental Health Services. Canadian Journal of Community Mental Health.
32(1): 43-57. https://doi.org/10.7870/cjcmh-2013-005
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