Barriers to treatment for mental disorders in six countries of the Americas: a regional report from the World Mental Health Surveys

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dc.contributor.affiliationInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailric_oz@imp.edu.mx (R. Orozco)
dc.creatorOrozco, Ricardoes_ES
dc.creatorVigo, Danieles_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAndrade, Laura H.es_ES
dc.creatorCia, Alfredoes_ES
dc.creatorHwang, Irvinges_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorRafful, Claudiaes_ES
dc.creatorSampson, Nancyes_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, María Carmenes_ES
dc.creatorMedina-Mora, María-Elenaes_ES
dc.date2022
dc.date.accessioned2024-09-26T17:16:35Z
dc.date.accessioned2026-03-27T15:30:23Z
dc.date.available2024-09-26T17:16:35Z
dc.date.issued2022
dc.date.published2022
dc.descriptionBackground: Mental health treatment is scarce and little resources are invested in reducing the wide treatment gap that exists in the Americas. The regional barriers are unknown. We describe the barriers for not seeking treatment among those with mental and substance use disorders from six (four low- and middle-income and two high-income) countries from the Americas. Regional socio-demographic and clinical correlates are assessed. Methods: Respondents (n = 4648) from seven World Mental Health surveys carried out in Argentina, Brazil, Colombia, Mexico, Peru, and the United States, who met diagnostic criteria for a 12-month mental disorder, measured with the Composite International Diagnostic Interview, and who did not access treatment, were asked about treatment need and, among those with need, structural and attitudinal barriers. Country-specific deviations from regional estimates were evaluated through logistic models. Results: In the Americas, 43% of those that did not access treatment did not perceive treatment need, while the rest reported structural and attitudinal barriers. Overall, 27% reported structural barriers, and 95% attitudinal barriers. The most frequent attitudinal barrier was to want to handle it on their own (69.4%). Being female and having higher severity of disorders were significant correlates of greater perceived structural and lower attitudinal barriers, with few country-specific variations. Limitations: Only six countries in the Americas are represented; the cross-sectional nature of the survey precludes any causal interpretation. Conclusions: Awareness of disorder or treatment need in various forms is one of the main barriers reported in the Americas and it specially affects persons with severe disorders.es_ES
dc.formatPDFes_ES
dc.identifierJC22DIEP22es_ES
dc.identifier.doi10.1016/j.jad.2022.02.031
dc.identifier.eissn1573-2517
dc.identifier.issn0165-0327
dc.identifier.urihttps://doi.org/10.1016/j.jad.2022.02.031
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345908/
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8056
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation303:273-285
dc.relation.jnabreviadoJ AFFECT DISORD
dc.relation.journalJournal of Affective Disorders
dc.rightsAcceso Cerradoes_ES
dc.subject.kwLatin america
dc.subject.kwMental disorders
dc.subject.kwHealth services accessibility
dc.subject.kwTreatment Refusal
dc.titleBarriers to treatment for mental disorders in six countries of the Americas: a regional report from the World Mental Health Surveyses_ES
dc.typeArtículoes_ES

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