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Title: Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys
Authors: Evans-Lacko, S
Aguilar-Gaxiola, S
Al-Hamzawi, A
Alonso, J
Benjet, C
Bruffaerts, R
Chiu, W T
Florescu, S
de Girolamo, G
Gureje, O
Haro, J M
He, Y
Hu, C
Karam, E G
Kawakami, N
Lee, S
Lund, C
Kovess-Masfety, V
Levinson, D
Navarro-Mateu, F
Pennell, B E
Sampson, N A
Scott, K M
Tachimori, H
Ten Have, M
Viana, M C
Williams, D R
Wojtyniak, B J
Zarkov, Z
Kessler, R C
Chatterji, S
Thornicroft, G
Affiliations: Faculty of Medicine 
Keywords: Education
WMH surveys
Mental disorders
Mental health service use
Population studies
Issue Date: 2018
Publisher: National Library of Medicine
Part of: Psychological Medicine
Volume: 48
Issue: 9
Start page: 1560
End page: 1571
The treatment gap between the number of people with mental disorders and the number treated represents a major public health challenge. We examine this gap by socio-economic status (SES; indicated by family income and respondent education) and service sector in a cross-national analysis of community epidemiological survey data.

Data come from 16,753 respondents with 12-month DSM-IV disorders from community surveys in 25 countries in the WHO World Mental Health Survey Initiative. DSM-IV anxiety, mood, or substance disorders and treatment of these disorders were assessed with the WHO Composite International Diagnostic Interview (CIDI).

Only 13.7% of 12-month DSM-IV/CIDI cases in lower-middle-income countries, 22.0% in upper-middle-income countries, and 36.8% in high-income countries received treatment. Highest-SES respondents were somewhat more likely to receive treatment, but this was true mostly for specialty mental health treatment, where the association was positive with education (highest treatment among respondents with highest education and a weak association of education with treatment among other respondents) but non-monotonic with income (somewhat lower treatment rates among middle-income respondents and equivalent among those with high and low incomes).
ISSN: 00332917
DOI: 10.1017/S0033291717003336
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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