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Mental Health and Access to Medical Care in Patients with Chronic Cardiovascular Conditions: An Analysis of the

Riyad Y Kherallah1, Mahmoud Al Rifai1,2, Jing Liu1,2

  • 1Department of Medicine, Baylor College of Medicine, Houston, TX.

Kansas Journal of Medicine
|February 2, 2022
PubMed

Insights

Individuals with poor mental health experience significant challenges accessing medical care. This includes delays in treatment and medication nonadherence, highlighting a critical gap in healthcare access for this population.

Area of Science:

  • Public Health
  • Health Services Research
  • Mental Health Research

Background:

  • Poor mental health is linked to adverse chronic disease outcomes.
  • The relationship between mental illness and healthcare access remains under-explored.

Purpose of the Study:

  • To investigate the association between mental health status and healthcare access difficulties.
  • To determine if mental illness independently predicts barriers to medical care.

Main Methods:

  • Utilized a large dataset (2016-2019 Behavioral Risk Factor Surveillance System).
  • Focused on individuals with chronic cardiovascular conditions.
  • Employed weighted multivariable logistic regression to analyze mental health domains and healthcare access measures.

Main Results:

  • Poor mental health (OR 3.20) and clinical depression (OR 2.43) significantly increased the likelihood of delaying medical care.
  • High stress, low emotional support, and life dissatisfaction were strongly associated with delayed care.
  • These associations persisted independently of socioeconomic factors.

Conclusions:

  • Poor mental health is a significant independent predictor of difficulties in accessing medical care.
  • Mental health status critically impacts an individual's ability to obtain timely and necessary healthcare.
  • Findings underscore the need for integrated mental and physical healthcare strategies.
Abstract

Keywords:
cardiovascular diseasedepressive disorderhealth surveysmedication adherencemental health

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