Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study
Objective To evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.Design A cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).Setting The sur...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/12/e041371.full |
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| author | Mary A De Vera Alyssa Howren J Antonio Aviña-Zubieta Deborah Da Costa Joseph H Puyat Hui Xie |
| author_facet | Mary A De Vera Alyssa Howren J Antonio Aviña-Zubieta Deborah Da Costa Joseph H Puyat Hui Xie |
| author_sort | Mary A De Vera |
| collection | DOAJ |
| description | Objective To evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.Design A cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).Setting The survey was administered across Canada’s 10 provinces using multistage cluster sampling.Participants The study sample consisted of individuals reporting depression, anxiety or bipolar disorder.Study variables and analysis The explanatory variable was self-reported doctor-diagnosed arthritis, and outcomes were perceived need for mental healthcare and use of mental health support. We computed overall and gender-stratified multivariable binomial logistic regression models adjusted for age, gender, race/ethnicity, income and geographical region.Results Among 1774 individuals with a mental disorder in the study sample, 436 (20.4%) reported having arthritis. Arthritis was associated with increased odds of having a perceived need for mental healthcare (adjusted OR (aOR) 1.71, 95% CI 1.06 to 2.77). In the gender-stratified models, this association was increased among men (aOR 2.69, 95% CI 1.32 to 5.49) but not women (aOR 1.48, 95% CI 0.78 to 2.82). Evaluation of the association between arthritis and use of mental health support resulted in an aOR of 1.50 (95% CI 0.89 to 2.51). Individuals with arthritis tended to use medications and professional services as opposed to non-professional support.Conclusion Comorbid arthritis among individuals with a mental disorder was associated with an increased perceived need for mental healthcare, especially in men, underscoring the importance of understanding the role of masculinity in health seeking. Assessing the mental health of patients with arthritis continues to be essential for clinical care. |
| format | Article |
| id | doaj-art-6b2afb97a54e4a2bbca7c99a9be4a2e6 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6b2afb97a54e4a2bbca7c99a9be4a2e62025-08-20T02:26:37ZengBMJ Publishing GroupBMJ Open2044-60552020-12-01101210.1136/bmjopen-2020-041371Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional studyMary A De Vera0Alyssa Howren1J Antonio Aviña-Zubieta2Deborah Da Costa3Joseph H Puyat4Hui Xie5Arthritis Research Canada, Vancouver, BC, CanadaCollaboration for Outcomes Research and Evaluation, Vancouver, British Columbia, Canadaassociate professorResearch Institute of the McGill University Health Centre, Montreal, Québec, CanadaCentre for Applied Research in Mental Health and Addiction, Simon Fraser University, Vancouver, British Columbia, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, CanadaObjective To evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.Design A cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).Setting The survey was administered across Canada’s 10 provinces using multistage cluster sampling.Participants The study sample consisted of individuals reporting depression, anxiety or bipolar disorder.Study variables and analysis The explanatory variable was self-reported doctor-diagnosed arthritis, and outcomes were perceived need for mental healthcare and use of mental health support. We computed overall and gender-stratified multivariable binomial logistic regression models adjusted for age, gender, race/ethnicity, income and geographical region.Results Among 1774 individuals with a mental disorder in the study sample, 436 (20.4%) reported having arthritis. Arthritis was associated with increased odds of having a perceived need for mental healthcare (adjusted OR (aOR) 1.71, 95% CI 1.06 to 2.77). In the gender-stratified models, this association was increased among men (aOR 2.69, 95% CI 1.32 to 5.49) but not women (aOR 1.48, 95% CI 0.78 to 2.82). Evaluation of the association between arthritis and use of mental health support resulted in an aOR of 1.50 (95% CI 0.89 to 2.51). Individuals with arthritis tended to use medications and professional services as opposed to non-professional support.Conclusion Comorbid arthritis among individuals with a mental disorder was associated with an increased perceived need for mental healthcare, especially in men, underscoring the importance of understanding the role of masculinity in health seeking. Assessing the mental health of patients with arthritis continues to be essential for clinical care.https://bmjopen.bmj.com/content/10/12/e041371.full |
| spellingShingle | Mary A De Vera Alyssa Howren J Antonio Aviña-Zubieta Deborah Da Costa Joseph H Puyat Hui Xie Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study BMJ Open |
| title | Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study |
| title_full | Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study |
| title_fullStr | Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study |
| title_full_unstemmed | Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study |
| title_short | Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study |
| title_sort | impact of arthritis on the perceived need and use of mental healthcare among canadians with mental disorders nationally representative cross sectional study |
| url | https://bmjopen.bmj.com/content/10/12/e041371.full |
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