Mental Health and Access to Medical Care in Patients with Chronic Cardiovascular Conditions: An Analysis of the Behavior Risk Factor Surveillance System

Authors

  • Riyad Y. Kherallah, M.D. Baylor College of Medicine
  • Mahmoud Al Rifai, M.D., MPH
  • Jing Liu, M.D.
  • Sina Kianoush, M.D., MPH
  • Arunima Misra, M.D.
  • Salim S. Virani, M.D., Ph.D.

DOI:

https://doi.org/10.17161/kjm.vol15.15745

Abstract

Introduction. Poor mental health is associated with worse outcomes for chronic diseases. It is unclear whether mental illness predisposes to difficulties with healthcare access.

Methods. Using a combined dataset of the 2016-2019 behavioral risk factor surveillance system, we included individuals who reported a chronic cardiovascular condition. Weighted multivariable logistic regression analyses were used to explore the association between domains of mental health and measures of healthcare access including delaying medical care, > 1 year since last routine checkup, lack of a primary care physician (PCP), and cost-related medication nonadherence (CRMNA).

Results. Among 1,747, 397 participants, 27% had a chronic cardiovascular condition, 12% had clinical depression, and 12% had poor mental health. Those with poor mental health (OR 3.20 [3.08 – 3.33]) and clinical depression (OR 2.43 [2.35 – 2.52]) were more likely to report delays in medical care.  Those with greater stress frequency (OR 8.47 [6.84 -10.49] stressed all of the time), lower levels of emotional support received (OR 3.07 [2.21 – 4.26] rarely get needed emotional support), and greater life dissatisfaction (6.66 [4.14 – 10.70] very dissatisfied) reported greater delays in medical care.

Conclusions. Individuals with poor mental health have greater difficulty accessing medical care independent of socioeconomic variables.

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Published

2022-01-11

How to Cite

Kherallah, R., Al Rifai, M., Liu, J., Kianoush, S., Misra, A., & Virani, S. (2022). Mental Health and Access to Medical Care in Patients with Chronic Cardiovascular Conditions: An Analysis of the Behavior Risk Factor Surveillance System . Kansas Journal of Medicine, 15(1), 17–21. https://doi.org/10.17161/kjm.vol15.15745

Issue

Section

Original Research