Prevalence, psychosocial correlates and service utilization of depressive and anxiety disorders in Hong Kong: the Hong Kong Mental Morbidity Survey (HKMMS).

Abstract:

PURPOSE:Data on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors. METHODS:We analyzed data from the Hong Kong Mental Morbidity Survey (HKMMS) of 5,719 Chinese adults aged 16-75 years in the general Hong Kong population, using the Chinese Revised Clinical Interview Schedule (CIS-R). RESULTS:The weighted prevalence estimate for any past-week CMD was 13.3 %, with mixed anxiety and depressive disorder being the most frequent diagnoses. CMD was positively associated with female gender, being divorced or separated, alcohol misuse, substance dependence, lack of regular physical exercise, and a family history of mental disorder. Among individuals with CMD, only 26 % had consulted mental health services in the past year; less than 10 % consulted general practitioners or family physicians. Lack of mental health service usage was significantly more likely in men and those with lower educational attainment. CONCLUSIONS:Apart from attention to psychosocial risks, health and lifestyle factors are important considerations for mental health promotion. Service utilization for individuals with CMD in Hong Kong remains suboptimal, and would be enhanced by strengthening community primary care.

authors

Lam LC,Wong CS,Wang MJ,Chan WC,Chen EY,Ng RM,Hung SF,Cheung EF,Sham PC,Chiu HF,Lam M,Chang WC,Lee EH,Chiang TP,Lau JT,van Os J,Lewis G,Bebbington P

doi

10.1007/s00127-015-1014-5

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

1379-88

issue

9

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-015-1014-5

journal_volume

50

pub_type

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