Mental health service use among South Africans for mood, anxiety and substance use disorders

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dc.contributor.authorSeedat, Soraya
dc.contributor.authorWilliams, David R
dc.contributor.authorHerman, Allen A
dc.contributor.authorMoomal, Hashim
dc.contributor.authorWilliams, Stacey L
dc.contributor.authorJackson, Pamela B
dc.contributor.authorMyer, Landon
dc.contributor.authorStein, Dan J
dc.date.accessioned2017-05-08T07:39:46Z
dc.date.available2017-05-08T07:39:46Z
dc.date.issued2009
dc.date.updated2016-01-08T07:57:39Z
dc.description.abstractBackground. Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans. Design. A nationally representative survey of 4 351 adults. Twelve-month DSM-IV (Diagnostic and Statistical Manual, 4th edition) diagnoses, severity, and service utilisation were determined using the World Health Organization Composite International Diagnostic Interview (CIDI). Twelve-month treatment was categorised by sector and province. South Africans in households and hostel quarters were interviewed between 2002 and 2004 in all nine provinces. Outcome measures. 4 317 respondents 18 years and older were analysed. Bivariate logistic regression models predicted (i) 12-month treatment use of service sectors by gender, and (ii) 12-month treatment use by race by gender. Results. Of respondents with a mental disorder, 25.2% had sought treatment within the previous 12 months; 5.7% had used any formal mental health service. Mental health service use was highest for adults with mood and anxiety disorders, and among those with a mental disorder it varied by province, from 11.4% (Western Cape) to 2.2% (Mpumalanga). More women received treatment, and this was largely attributable to higher rates of treatment in women with mood disorders. Age, income, education and marital status were not significantly associated with mental health service use. Race was associated with the treatment sector accessed in those with a mental disorder. Conclusions. There is a substantial burden of untreated mental disorders in the South African population, across all provinces and even in those with substantial impairment. Greater allocation of resources to mental health services and more community awareness initiatives are needed to address the unmet need.
dc.identifier.apacitationSeedat, S., Williams, D. R., Herman, A. A., Moomal, H., Williams, S. L., Jackson, P. B., ... Stein, D. J. (2009). Mental health service use among South Africans for mood, anxiety and substance use disorders. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24248en_ZA
dc.identifier.chicagocitationSeedat, Soraya, David R Williams, Allen A Herman, Hashim Moomal, Stacey L Williams, Pamela B Jackson, Landon Myer, and Dan J Stein "Mental health service use among South Africans for mood, anxiety and substance use disorders." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24248en_ZA
dc.identifier.citationSeedat, S., Williams, D. R., Herman, A. A., Moomal, H., Williams, S. L., Jackson, P. B., Myer, L., & Stein, D. J. (2009). Mental health service use among South Africans for mood, anxiety and substance use disorders: Mental health. South African Medical Journal, 99(5), 346-352.
dc.identifier.ris TY - Journal Article AU - Seedat, Soraya AU - Williams, David R AU - Herman, Allen A AU - Moomal, Hashim AU - Williams, Stacey L AU - Jackson, Pamela B AU - Myer, Landon AU - Stein, Dan J AB - Background. Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans. Design. A nationally representative survey of 4 351 adults. Twelve-month DSM-IV (Diagnostic and Statistical Manual, 4th edition) diagnoses, severity, and service utilisation were determined using the World Health Organization Composite International Diagnostic Interview (CIDI). Twelve-month treatment was categorised by sector and province. South Africans in households and hostel quarters were interviewed between 2002 and 2004 in all nine provinces. Outcome measures. 4 317 respondents 18 years and older were analysed. Bivariate logistic regression models predicted (i) 12-month treatment use of service sectors by gender, and (ii) 12-month treatment use by race by gender. Results. Of respondents with a mental disorder, 25.2% had sought treatment within the previous 12 months; 5.7% had used any formal mental health service. Mental health service use was highest for adults with mood and anxiety disorders, and among those with a mental disorder it varied by province, from 11.4% (Western Cape) to 2.2% (Mpumalanga). More women received treatment, and this was largely attributable to higher rates of treatment in women with mood disorders. Age, income, education and marital status were not significantly associated with mental health service use. Race was associated with the treatment sector accessed in those with a mental disorder. Conclusions. There is a substantial burden of untreated mental disorders in the South African population, across all provinces and even in those with substantial impairment. Greater allocation of resources to mental health services and more community awareness initiatives are needed to address the unmet need. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Mental health service use among South Africans for mood, anxiety and substance use disorders TI - Mental health service use among South Africans for mood, anxiety and substance use disorders UR - http://hdl.handle.net/11427/24248 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24248
dc.identifier.vancouvercitationSeedat S, Williams DR, Herman AA, Moomal H, Williams SL, Jackson PB, et al. Mental health service use among South Africans for mood, anxiety and substance use disorders. South African Medical Journal. 2009; http://hdl.handle.net/11427/24248.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleMental health service use among South Africans for mood, anxiety and substance use disorders
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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