Frequencies and predictors of barriers to mental health service use: a longitudinal study of Hurricane Ike survivors

Sarah R. Lowe, David S. Fink, Fran H. Norris, Sandro Galea

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The majority of disaster survivors suffering from psychological symptoms do not receive mental health services. Research on barriers to service use among disaster survivors is limited by a lack of longitudinal studies of representative samples and investigations of predictors of barriers. The purpose of this study was to address these limitations through analysis of a three-wave population-based study of Hurricane Ike survivors (N = 658). Methods: Frequencies of preference, outcome expectancy, resource, and stigma barriers among participants with unmet mental health needs were documented and logistic regression using a generalized estimating equations approach explored predisposing (e.g., age), illness-related (e.g., posttraumatic stress) and enabling (e.g., insurance coverage) factors as predictors of each type of barrier. Results: Preference barriers were most frequently cited at each wave, whereas stigma barriers were least frequently cited. Older age and higher emotional support predicted preference barriers; being a parent of a child under 18-years old at the time of the hurricane, higher generalized anxiety, and lack of insurance predicted resource barriers; and higher posttraumatic stress predicted stigma barriers. Conclusions: These findings suggest that postdisaster practices targeting subpopulations most likely to have barriers to service use may be indicated.

Original languageEnglish
Pages (from-to)99-108
Number of pages10
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume50
Issue number1
DOIs
StatePublished - 1 Jan 2015

Fingerprint

Cyclonic Storms
Mental Health Services
Longitudinal Studies
Survivors
longitudinal study
health service
mental health
Disasters
disaster
insurance coverage
Insurance Coverage
lack
Insurance
resources
insurance
Mental Health
parents
Anxiety
illness
Logistic Models

Keywords

  • Barriers to service use
  • Mental health services
  • Natural disasters
  • Posttraumatic stress
  • Stigma

Cite this

Lowe, Sarah R. ; Fink, David S. ; Norris, Fran H. ; Galea, Sandro. / Frequencies and predictors of barriers to mental health service use : a longitudinal study of Hurricane Ike survivors. In: Social Psychiatry and Psychiatric Epidemiology. 2015 ; Vol. 50, No. 1. pp. 99-108.
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Frequencies and predictors of barriers to mental health service use : a longitudinal study of Hurricane Ike survivors. / Lowe, Sarah R.; Fink, David S.; Norris, Fran H.; Galea, Sandro.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 50, No. 1, 01.01.2015, p. 99-108.

Research output: Contribution to journalArticle

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