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Barriers to Mental Health Care in US Military Veterans
Barriers to Mental Health Care in US Military Veterans
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211151046
- ISBN
- 9798382321257
- DDC
- 362
- 저자명
- Lewis, Connor.
- 서명/저자
- Barriers to Mental Health Care in US Military Veterans
- 발행사항
- [Sl] : Yale University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 55 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
- 주기사항
- Advisor: Pietrzak, Robert.
- 학위논문주기
- Thesis (M.D.)--Yale University, 2024.
- 초록/해제
- 요약Objectives: The aims of this study were to analyze data from a nationally representative sample of US veterans to: (1) Determine the prevalence of barriers to mental health care among current US veterans spanning numerous conflicts and generations of service and who have no history of mental health treatment; and (2) Identify predisposing, enabling, and needs factors associated with barriers to care. Aims were examined in both the full sample of veterans and a subsample of veterans who screened positive for a psychiatric disorder.Methods: Descriptive statistics were computed to summarize the prevalence of endorsed barriers to care. A series of multivariable binary logistic regression analyses were performed to identify independent predisposing, enabling, and need variables associated with endorsement of any stigma, instrumental barrier to care, and negative belief about mental healthcare. Relative importance analyses were utilized to determine the variance in endorsement of any stigma, instrumental barrier to care, and negative belief about mental healthcare item explained by each significant independent variable.Results: In the full sample, 33.7% endorsed any barrier to care, with 22.2% endorsing any instrumental barrier to care, 19.1% any perceived stigma item, and 13.9% any negative belief about mental healthcare. The endorsement of all barriers to care were greater in the subsample with psychiatric need: 47.1% endorsed any barrier to care, with 38.7% endorsing any instrumental barrier to care, 28.8% any perceived stigma item, and 22.0% any negative belief about mental healthcare. Several correlates were identified for each barrier to care, with differences in the strength and direction of association for each correlate. Lower purpose in life, grit, and received social support were most consistently associated with barriers to care.Conclusion: Results of this study provide the first known data on the prevalence and key predisposing, enabling, and need-based correlates of barriers to mental health care in a current, nationally representative sample of U.S. veterans. Results can be used to inform resource allocation, as well as prevention, psychoeducation, and treatment efforts to help reduce barriers to care and promote engagement with mental health care services in this population.
- 일반주제명
- Mental health
- 일반주제명
- Medicine
- 일반주제명
- Military studies
- 키워드
- Stigma
- 키워드
- Veterans
- 키워드
- Psychoeducation
- 기타저자
- Yale University Yale School of Medicine
- 기본자료저록
- Dissertations Abstracts International. 85-11A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008250123s2024 us c eng d■001000017160594
■00520250211151046
■006m o d
■007cr#unu||||||||
■020 ▼a9798382321257
■035 ▼a(MiAaPQ)AAI31140784
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a362
■1001 ▼aLewis, Connor.
■24510▼aBarriers to Mental Health Care in US Military Veterans
■260 ▼a[Sl]▼bYale University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a55 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-11, Section: A.
■500 ▼aAdvisor: Pietrzak, Robert.
■5021 ▼aThesis (M.D.)--Yale University, 2024.
■520 ▼aObjectives: The aims of this study were to analyze data from a nationally representative sample of US veterans to: (1) Determine the prevalence of barriers to mental health care among current US veterans spanning numerous conflicts and generations of service and who have no history of mental health treatment; and (2) Identify predisposing, enabling, and needs factors associated with barriers to care. Aims were examined in both the full sample of veterans and a subsample of veterans who screened positive for a psychiatric disorder.Methods: Descriptive statistics were computed to summarize the prevalence of endorsed barriers to care. A series of multivariable binary logistic regression analyses were performed to identify independent predisposing, enabling, and need variables associated with endorsement of any stigma, instrumental barrier to care, and negative belief about mental healthcare. Relative importance analyses were utilized to determine the variance in endorsement of any stigma, instrumental barrier to care, and negative belief about mental healthcare item explained by each significant independent variable.Results: In the full sample, 33.7% endorsed any barrier to care, with 22.2% endorsing any instrumental barrier to care, 19.1% any perceived stigma item, and 13.9% any negative belief about mental healthcare. The endorsement of all barriers to care were greater in the subsample with psychiatric need: 47.1% endorsed any barrier to care, with 38.7% endorsing any instrumental barrier to care, 28.8% any perceived stigma item, and 22.0% any negative belief about mental healthcare. Several correlates were identified for each barrier to care, with differences in the strength and direction of association for each correlate. Lower purpose in life, grit, and received social support were most consistently associated with barriers to care.Conclusion: Results of this study provide the first known data on the prevalence and key predisposing, enabling, and need-based correlates of barriers to mental health care in a current, nationally representative sample of U.S. veterans. Results can be used to inform resource allocation, as well as prevention, psychoeducation, and treatment efforts to help reduce barriers to care and promote engagement with mental health care services in this population.
■590 ▼aSchool code: 0265.
■650 4▼aMental health
■650 4▼aMedicine
■650 4▼aMilitary studies
■653 ▼aStigma
■653 ▼aVeterans
■653 ▼aMental health care
■653 ▼aMental health treatment
■653 ▼aPsychoeducation
■690 ▼a0347
■690 ▼a0750
■690 ▼a0564
■71020▼aYale University▼bYale School of Medicine.
■7730 ▼tDissertations Abstracts International▼g85-11A.
■790 ▼a0265
■791 ▼aM.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160594▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
