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Delay of first treatment of mental and substance use disorders in Mexico

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Listed:
  • Borges, G.
  • Wang, P.S.
  • Medina-Mora, M.E.
  • Lara, C.
  • Chiu, W.T.

Abstract

Objectives. We studied failure and delay in making initial treatment contact after the first onset of a mental or substance use disorder in Mexico as a first step to understanding barriers to providing effective treatment in Mexico. Methods. Data were from the Mexican National Comorbidity Survey (2001-2002), a representative, face-to-face household survey of urban residents aged 18 to 65 years. The age of onset for disorders was compared with the age of first professional treatment contact for each lifetime disorder (as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). Results. Many people with lifetime disorders eventually made treatment contact, although the proportions varied for mood (69.9%), anxiety (53.2%), and substance use (22.1%) disorders. Delays were long: 10 years for substance use disorders, 14 years for mood disorders, and 30 years for anxiety disorders. Failure and delay in making initial treatment contact were associated with earlier ages of disorder onset and being in older cohorts. Conclusions. Failure to make prompt initial treatment contact is an important reason explaining why there are unmet needs for mental health care in Mexico. Meeting these needs will likely require expansion and optimal allocation of resources as well as other interventions.

Suggested Citation

  • Borges, G. & Wang, P.S. & Medina-Mora, M.E. & Lara, C. & Chiu, W.T., 2007. "Delay of first treatment of mental and substance use disorders in Mexico," American Journal of Public Health, American Public Health Association, vol. 97(9), pages 1638-1643.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.090985_9
    DOI: 10.2105/AJPH.2006.090985
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    Cited by:

    1. Sarbhan Singh & Rafdzah Ahmad Zaki & Nik Daliana Nik Farid & Kushilpal Kaur, 2022. "The Determinants of Mental Health Literacy among Young Adolescents in Malaysia," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    2. María Elena Medina-Mora & Alma Delia Genis-Mendoza & Jorge Ameth Villatoro Velázquez & Marycarmen Bustos-Gamiño & Clara Fleiz Bautista & Beatriz Camarena & José Jaime Martínez-Magaña & Humberto Nicoli, 2023. "The Prevalence of Symptomatology and Risk Factors in Mental Health in Mexico: The 2016–17 ENCODAT Cohort," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    3. Zarger, Melissa M. & Rich, Brendan A., 2016. "Predictors of treatment utilization among adolescents with social anxiety disorder," Children and Youth Services Review, Elsevier, vol. 71(C), pages 191-198.

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