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Chronic Illness
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Self-reported chronic mental health problems and mental health service use in Spain

Manuel Girón

Departament de Medicina Clinica, Universitat Miguel Hernàndez, Ctra. de València km 87. 03550 Sant Joan d'Alacant, Spain, giron{at}icali.es

Andreu Nolasco

Departamento de Enfermeria Comunitaria, Unidad de Investigación en Análisis de la Mortalidad y Estadisticas Sanitarias, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, Apdo 99, 03080 Sant Vicent del Raspeig, Spain

Pamela Pereyra-Zamora

Becària d'Investigació, Departamento de Enfermeria Comunitaria, Unidad de Investigación en Análisis de la Mortalidad y Estadisticas Sanitarias, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, 03080 Sant Vicent del Raspeig, Spain

Mikel Munarriz

Unitat de Salut Mental, Centre de Salut de Burriana, Cra. de Nules s/n, 12530 Burriana, Spain

José Salazar

Centro de Salud Mental de Paterna, 46098 Paterna, Spain

Rafael Tabarés

Unidad Docente de Psiquiatria y Psicologia Medica, Departament de Medicina, Universitat de València, Avd. Blasco Ibañez 17, 46010 València, Spain, CIBERSAM, Instituto de Salud Carlos , Madrid, Spain

Joaquín Moncho-Vasallo

Departamento de Enfermeria Comunitaria, Unidad de Investigación en Análisis de la Mortalidad y Estadisticas Sanitarias, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, 03080 Sant Vicent del Raspeig, Spain

Manuel Gómez-Beneyto

Catedrático de Psiquiatria, Unidad Docente de Psiquiatria y Psicologia Medica, Departament de Medicina, Universitat de València, Avd. Blasco Ibañez 17, 46010 València, Spain, CIBERSAM, Instituto de Salud Carlos , Madrid, Spain

Objectives: To determine the prevalence of self-reported chronic mental health problems (MHPs) and mental health service use and their determinants, among the Spanish population over 14 years of age.

Methods: Data from the 1999 Spanish Survey on Disabilities, Deficiencies, and State of Health were used. The survey is a cross-sectional study based on a multi-stage stratified sample of all the non-institutionalized Spanish population aged over 14 years (n=59,101, 11% non-responders). Multivariate logistic regression analysis were used.

Results: 10.7% of the Spanish population suffer from an MHP. The highest prevalences were found in women, divorced/separated persons, those with a lower level of education and income, and those suffering from a chronic somatic problem. The number of days of daily activity lost was 2-fold greater among those with an MHP than among those with a chronic somatic problem. Greater use of mental health services was associated with loss of daily activity, having a higher level of education, invalidity or disability. The probability of MHP being referred from primary to mental healthcare is reduced if somatic comorbidity is present.

Conclusion: MHPs have a high prevalence and a significant repercussion on the patient’s life. An inverse relationship was found between certain risk factors for MHPs and the use of services, which suggests inequality. Problems of accessibility are identified.

Key Words: Disability • Mental health • Mental health services • Prevalence • Risk factors utilization

This version was published on September 1, 2009

Chronic Illness, Vol. 5, No. 3, 197-208 (2009)
DOI: 10.1177/1742395309341901
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