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Articles   |    
Mental Health Service Use Among Chinese Adults With Mental Disabilities: A National Survey
Ning Li, Ph.D.; Wei Du, Ph.D.; Gong Chen, Ph.D.; Xinming Song, Ph.D.; Xiaoying Zheng, Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.001232012
View Author and Article Information

The authors are affiliated with the Institute of Population Research, Peking University, No. 5 Yiheyuan Rd., Haidian District, Beijing 100871, China. Send correspondence to Dr. Zheng (e-mail: xyzheng@pku.edu.cn).

Copyright © 2013 by the American Psychiatric Association

Abstract

Objective  Mental disability in China has become a significant public health problem. However, few studies have examined utilization of mental health services in China among people with mental disabilities. This study explored patterns of service use and associated socioeconomic factors among Chinese adults with mental disabilities.

Methods  Data from a population-based survey representing approximately 75% of the Chinese population were analyzed. Mental disability was defined as having a mental disorder (cognitive, affective, or behavior disorder) lasting more than one year that limited daily life and social functioning. The study assessed use of any mental health specialty care and use of specific types: medical services only, rehabilitation services only, and medical and rehabilitation services. Standard weighting procedures were used. Population weighted numbers, weighted proportions, and the odd ratios (ORs) were calculated.

Results  A total of 1,909,199 noninstitutionalized adults (weighted N=984,698,518) age 18 and older were interviewed. The weighted prevalence rate of mental disability was .81%. More than 4.2 million adults with a mental disability (52%) had never used a mental health service. Several variables were associated with greater use of mental health services: urban residence (OR=1.65), high school education or higher (OR=1.66), being married (OR=1.12), medical insurance coverage (OR=1.39), and higher annual family income (OR=1.28).

Conclusions  The findings indicate unmet needs for mental health services among Chinese adults with mental disabilities, as well as socioeconomic inequalities in use. Strategies are needed for enhancing community mental health service systems and reducing barriers to mental health service use in China.

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Table 1Characteristics of Chinese adults with a mental disability, by service usea
Table Footer Note

a Source: the second China National Disability Survey, 2006 (weighted total N=984,698,518)

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b Divided by the number of persons in the household

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Table 2Logistic regression model of predictors of use of any mental health service by Chinese adults with a mental disabilitya
Table Footer Note

a Source: the second China National Disability Survey, 2006 (weighted total N=984,698,518)

Table Footer Note

b Divided by the number of persons in the household

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Table 3Logistic regression model of predictors of use of mental health service by Chinese adults with a mental disability, by type of servicea
Table Footer Note

a Source: the second China National Disability Survey, 2006 (weighted total N=984,698,518)

Table Footer Note

b Divided by the number of persons in the household

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