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. 2017 Feb;11(1):63-70.
doi: 10.1016/j.pcd.2016.07.007. Epub 2016 Aug 1.

Help-seeking behaviors for serious psychological distress among individuals with diabetes mellitus: The California Health Interview Survey, 2011-2012

Jinah K Shin  1 , Eduard Poltavskiy  2 , Tae Nyun Kim  3 , Abdullah Hasan  4 , Heejung Bang  5
Affiliations

Help-seeking behaviors for serious psychological distress among individuals with diabetes mellitus: The California Health Interview Survey, 2011-2012

Jinah K Shin et al. Prim Care Diabetes. 2017 Feb.

Abstract

Aim: To investigate patterns of and factors associated with help-seeking behaviors among individuals with diabetes mellitus (DM) and/or serious psychological distress (SPD).

Methods: The analysis was conducted with the California Health Interview Survey (CHIS) 2011-2012 of 40,803 adults. Logistic regression was used to examine the associations between the multiple facilitating/preventing factors and outcome, guided by the Andersen's Health Care Utilization Model.

Results: The prevalence of DM and SPD were 10.9% and 3.4%, respectively, among participants in the survey. The participants with DM were more likely to experience SPD than those without DM (OR 1.46, 95% CI=1.11-1.91, p=0.006). Participants with combined DM and SPD, the most underserved, were less likely to perceive the need for mental health services and less likely to seek help, compared to those with only SPD. Need factors (SPD status and perceived need) were significantly associated with help-seeking behaviors for mental health, along with predisposing factors (age, gender, obesity, race, and employment), and enabling factors (insurance, English proficiency).

Conclusions: Perceptions about need for seeking help seem to play an important role in receiving mental health services in addition to other predisposing or enabling factors. Identification of these factors may improve clinical outcomes related to DM and SPD.

Keywords: Diabetes mellitus; Help-seeking behaviors; Perceived needs; Serious psychological distress.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Perceived barriers among participants who did not seek help for emotional health/use of alcohol or drugs
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