Self-efficacy and mental health help-seeking behavior of World Trade Center Health Registry enrollees, 2015-2016.

Details

• Personal Author:
  Gargano LM ; Garrey SK ; Petrsoric L ; Takemoto E
• Description:
  The September 11th World Trade Center (WTC) disaster resulted in an elevated prevalence of Post-Traumatic Stress Disorder (PTSD) among those directly exposed, yet lower than expected rates of mental health treatment seeking and high levels of reported perceived unmet mental healthcare need were observed in this population in the years following. Self-efficacy, an individual's self-perception of their ability to succeed in specific situations or accomplish a task or goal, may in part explain this discrepancy; however, little is known about its interplay with the help-seeking behaviors of disaster-exposed populations. We used WTC Health Registry data (n = 11,851) to describe the relationship between self-efficacy and three outcomes related to help-seeking behavior: (1) seeking mental health treatment, (2) perceived unmet mental health care needs, and (3) satisfaction with mental health treatment. Multinomial logistic regression models were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CI). We found a dose-response relationship between self-efficacy score and mental health help-seeking: for every one unit increase in self-efficacy score, we observed a 6% increase in the odds of having treatment 4 to 12 months ago (OR = 1.06, CI: 1.03-1.09), a 7% increase in the odds of having had treatment 1 to 2 years ago (OR = 1.07, CI: 1.04, 1.09), and a 10% increase in the odds of having sought treatment 2 or more years ago (OR = 1.10, CI: 1.08, 1.12) compared to those who had sought treatment more recently. An understanding of individual self-efficacy may help improve post-disaster mental health treatment in order to provide more tailored and helpful care. [Description provided by NIOSH]
• Subjects:
  Epidemiology Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks Stress Disorders, Post-Traumatic
• Keywords:
  Author Keywords: Self-efficacy; Mental Health; Help-seeking; September 11th; Disaster Epidemiology; PTSD; Unmet Mental Healthcare Need WTC; World Trade Center; Post-traumatic Stress Disorder; PTSD; Health Care; Mental Health; Epidemiology; Traumatic Incident Stress; Disaster Recovery;
• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  19
• Issue:
  12
• NIOSHTIC Number:
  nn:20065727
• Citation:
  Int J Environ Res Public Health 2022 Jun; 19(12):7113
• Contact Point Address:
  Sascha K. Garrey, World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, New York, NY 11101, USA
• Email:
  sgarrey@health.nyc.gov
• Federal Fiscal Year:
  2022
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9abc9bc775331c6a67c49e36a2cb254f4ef7c453721ff04630511ac18b645a5909ffe93146a5489cd8e67258bc8907776f7bfdabe127583cc7b5d9d1efb83ced
• Download URL:
  https://stacks.cdc.gov/view/cdc/249529/cdc_249529_DS1.pdf
• File Type:
  [PDF - 303.95 KB ]