國家衛生研究院 NHRI:Item 3990099045/5689

NHRI > Institute of Population Health Sciences > Hsing-Yi Chang > Conference Papers/Meeting Abstract > Item 3990099045/5689

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/5689

Title:	Does self-perceived mental health states affect the utilization of health care?
Authors:	Chang, HY;Chen, NS;Chung, WSI;Yaw, TS;Yu, ST;Chuang, YL
Contributors:	Division of Health Services and Preventive Medicine
Abstract:	Purpose: The purpose of this study is to evaluate the effects of self-perceived mental health and other factors on the utilization of heath care system using a national survey data. Data: Data came from the metal health domain of SF-36, collected in 2001 Taiwan National Health Interview Survey and linked with the within 1 year Nation Health Insurance (NHI) records, which has been implemented since March of 1995. Results: There were 6,455 males and 6,525 females 20 years old or above, who provided valid answers to the mental health questions in SF-36, and also signed the consent form allowing us to link their NHI data. Using the average score as the cut-off point, we found that males (OR=1.47; 95% CI, 1.37-1.57), married (OR=1.13; 95% CI, 1.02-1.25), working (OR=1.45; 95% CI, 1.25-1.67), and no problem in ADL (OR=3.14; 95% CI, 2.31-4.28) scored better than average, middle age (45-64 years) scored worse. Those who self-perceived better mental health were less likely to visit the clinics (OR=0.82, CI=0.72, 0.93) than the worse ones controlling for location, family income, sex, education, marital status, self-perceived health, preference of medical care, and health behaviors. Other factors associated with ever-use of clinics within 1 year were family income over 30,000 NT per month, females, married, self-perceived health as poor, convenience of health care, non-smokers, exercise and weight control. In terms of hospitalization or emergency visits, it was not significantly different between the better mental health and the worse.
Date:	2004-11-06
Relation:	The 132th annual meeting of APHA. 2004 Nov 6-10.
Link to:	http://apha.confex.com/apha/132am/techprogram/paper_88095.htm
Appears in Collections:	[Hsing-Yi Chang] Conference Papers/Meeting Abstract

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