The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure: A Cross-Sectional Analysis of a Nationally Representative Sample

Medicine
Muoi T NguyenCourtney Keeler

Abstract

Both clinical diagnoses and self-rated measures of mental illness are associated with a variety of outcomes, including physical well-being, health utilization, and expenditure. However, much of current literature primarily utilizes clinically diagnosed data.This cross-sectional study explores the impact of mental illness and health care expenditure using 2 self-rated measures: self-rated measured of perceived mental health status (SRMH) and Kessler Screening Scale for Psychological Distress (K6).Data from the 2011 Medical Expenditure Panel Survey Household Component, a nationally representative sample of noninstitutionalized individuals (n = 18,295), were analyzed using bivariate χ tests and a 2-part model (logistics regression and generalized linear model regression for the first and second stages, respectively).Although predictive of any health expenditure, SRMH alone was not highly predictive of the dollar value of that health expenditure conditional on any spending. By comparison, the K6 measure was significantly and positively associated with the probability of any health expenditure as well as the dollar value of that spending. Taken together, both the K6 and SRMH measures suggest a positive relationship between poor ment...Continue Reading

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Citations

Jun 6, 2019·International Journal of Mental Health Systems·Yohannes HailemichaelCharlotte Hanlon
Jun 11, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Nina Vadiei, Sandipan Bhattacharjee
Feb 6, 2017·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Jeeva KanesarajahGita D Mishra
Jul 30, 2019·Science Advances·Gregory N BratmanGretchen C Daily
Feb 14, 2020·Review of Economics of the Household·Irina B GrafovaRizie Kumar
Apr 19, 2020·Community Mental Health Journal·Emily B Jones

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