Behavioral Health Outcomes Among Adults: Associations With Individual and Community-Level Economic Conditions

Psychiatric Services : a Journal of the American Psychiatric Association
Laura J DunlapLisa J Colpe

Abstract

This study examined the relationship between state and local economic conditions and serious psychological distress, substance use disorders, and mental health service utilization among adults in the United States. Using data from 21,100 adults who responded to the 2008-2010 National Survey on Drug Use and Health, a nationally representative survey of the U.S. civilian noninstitutionalized population living in households, the study used multivariate methods to examine associations between selected macroeconomic conditions and behavioral health outcomes. Living in states in the top three quartiles for serious mortgage delinquency rate and in counties in the top three quartiles for unemployment rate was associated with a lower likelihood of using mental health services among individuals experiencing serious psychological distress (adjusted relative risk [ARR]=.54, .52, and .73, and ARR=.58, .62, and .71, respectively, versus quartile 1). Individual-level characteristics were the primary predictors associated with higher odds of having substance use disorders or experiencing serious psychological distress, but macroeconomic variables were not statistically significant predictors of these outcomes. Both individual-level socioeconom...Continue Reading

Citations

May 3, 2016·Mental Health and Physical Activity·John A NaslundStephen J Bartels
Nov 14, 2018·Epidemiology and Psychiatric Sciences·M SilvaG Cardoso

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