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Social Psychiatry and Psychiatric Epidemiology

Published in:

01-09-2011 | Original Paper

Triple jeopardy: impact of partner violence perpetration, mental health and substance use on perceived unmet need for mental health care among men

Authors: Sherry Lipsky, Raul Caetano, Peter Roy-Byrne

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 9/2011

Abstract

Objectives

To examine the relationship between intimate partner violence (IPV) perpetration, serious mental illness, and substance use and perceived unmet need for mental health treatment in the past year among men in the general population using the behavioral model for health-care use (Aday and Anderson in Health Serv Res 9:208–220, 1974; Andersen in A behavioral model of families’ use of health services, 1968; Andersen in Med Care 46:647–653, 2008).

Methods

Non-Hispanic black, Hispanic, and non-Hispanic white males aged 18–49 years and cohabiting with a spouse/partner were included in this analysis of the 2002 National Survey on Drug Use and Health. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using logistic regression.

Results

The proportion of men reporting unmet treatment need was greater among IPV perpetrators than nonperpetrators (12.1 vs. 3.4%, respectively). Hazardous drinking, illicit drug use, alcohol and drug abuse/dependence, and SMI were also more common among perpetrators. Perpetrators were twice as likely to report unmet need for treatment after taking predisposing, enabling, and need factors into account (AOR 2.00, CI 1.13–3.55). Alcohol abuse/dependence (AOR 2.96, CI 1.79–4.90), drug abuse/dependence (AOR, 1.79, CI 1.01–3.17), substance abuse treatment (AOR 3.09, CI 1.18–8.09), and SMI (AOR 8.46, CI 5.53–12.94) were independently associated with perceived unmet need for treatment.

Conclusions

These findings suggest that men who perpetrate IPV are at increased risk of perceived unmet need for mental health care. This study also emphasizes the need to identify substance use disorders and mental health problems among IPV perpetrators identified in health, social service, or criminal justice settings. Further research should address barriers to care specific to men who perpetrate IPV beyond economic factors.

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Title: Triple jeopardy: impact of partner violence perpetration, mental health and substance use on perceived unmet need for mental health care among men
Authors: Sherry Lipsky
Raul Caetano
Peter Roy-Byrne
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 9/2011
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-010-0258-3

At a glance: The STEP trials

Springer Medicine

Triple jeopardy: impact of partner violence perpetration, mental health and substance use on perceived unmet need for mental health care among men

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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