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Barriers to treatment for mental disorders in six countries of the Americas: A regional report from the World Mental Health Surveys

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dc.contributor.author Orozco, Ricardo
dc.contributor.author Vigo, Daniel
dc.contributor.author Benjet, Corina
dc.contributor.author Borges, Guilherme
dc.contributor.author Aguilar-Gaxiola, Sergio
dc.contributor.author Andrade, Laura H.
dc.contributor.author Cia, Alfredo
dc.contributor.author Hwang, Irving
dc.contributor.author Kessler, Ronald C.
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Posada-Villa, José
dc.contributor.author Rafful, Claudia
dc.contributor.author Sampson, Nancy
dc.contributor.author Stagnaro, Juan Carlos
dc.contributor.author Torres, Yolanda
dc.contributor.author Viana, Maria Carmen
dc.contributor.author Medina-Mora, Maria-Elena
dc.date.accessioned 2022-06-01T13:53:55Z
dc.date.available 2022-06-01T13:53:55Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11712
dc.description.abstract Background: Mental health treatment is scarce and little resources are invested in reducing the wide treatment gap that exists in the Americas. The regional barriers are unknown. We describe the barriers for not seeking treatment among those with mental and substance use disorders from six (four low- and middle-income and two high-income) countries from the Americas. Regional socio-demographic and clinical correlates are assessed. Methods: Respondents (n = 4648) from seven World Mental Health surveys carried out in Argentina, Brazil, Colombia, Mexico, Peru, and the United States, who met diagnostic criteria for a 12-month mental disorder, measured with the Composite International Diagnostic Interview, and who did not access treatment, were asked about treatment need and, among those with need, structural and attitudinal barriers. Country-specific deviations from regional estimates were evaluated through logistic models. Results: In the Americas, 43% of those that did not access treatment did not perceive treatment need, while the rest reported structural and attitudinal barriers. Overall, 27% reported structural barriers, and 95% attitudinal barriers. The most frequent attitudinal barrier was to want to handle it on their own (69.4%). Being female and having higher severity of disorders were significant correlates of greater perceived structural and lower attitudinal barriers, with few country-specific variations. Limitations: Only six countries in the Americas are represented; the cross-sectional nature of the survey precludes any causal interpretation. Conclusions: Awareness of disorder or treatment need in various forms is one of the main barriers reported in the Americas and it specially affects persons with severe disorders. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Journal of Affective Disorders
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Latin america en_US
dc.subject Mental disorders en_US
dc.subject Health services accessibility en_US
dc.subject Treatment Refusal en_US
dc.title Barriers to treatment for mental disorders in six countries of the Americas: A regional report from the World Mental Health Surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.jad.2022.02.031
dc.relation.issn 1573-2517


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