Predictors of health service use within an Indigenous Australian sample for issues related to their mental health: An analysis from the Queensland Urban Indigenous Mental Health Survey.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Predictors of health service use within an Indigenous Australian sample for issues related to their mental health: An analysis from the Queensland Urban Indigenous Mental Health Survey.
Συγγραφείς:	Basit T; Queensland Centre for Mental Health Research, Wacol, Australia.; School of Public Health, The University of Queensland, Herston, Australia.; School of Psychology, The University of Queensland, St. Lucia, Australia., Santomauro D; Queensland Centre for Mental Health Research, Wacol, Australia.; School of Public Health, The University of Queensland, Herston, Australia.; Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA., Zhou X; Queensland Centre for Mental Health Research, Wacol, Australia.; School of Public Health, The University of Queensland, Herston, Australia., Liu Y; School of the Environment, The University of Queensland, Brisbane, Australia.; Department of Geography and Resource Management, The Chinese University of Hong Kong, Hong Kong., Suetani S; Institute for Urban Indigenous Health, Brisbane, QLD, Australia., Frazer Bidjara Nation R; Institute for Urban Indigenous Health, Brisbane, QLD, Australia., Hou XY; Department of Rural Health, Broken Hill University, NSW, Australia.; Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia., Bainbridge Gunggari/Kunja Nations R; Centre of Excellence for Indigenous Futures, The University of Queensland, Brisbane, Australia., Whiteford H; Queensland Centre for Mental Health Research, Wacol, Australia.; School of Public Health, The University of Queensland, Herston, Australia., Ferrari A; Queensland Centre for Mental Health Research, Wacol, Australia.; School of Public Health, The University of Queensland, Herston, Australia.; Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Πηγή:	The Australian and New Zealand journal of psychiatry [Aust N Z J Psychiatry] 2026 Oct; Vol. 60 (10), pp. 967-977. Date of Electronic Publication: 2026 Aug 10.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Sage Country of Publication: England NLM ID: 0111052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1614 (Electronic) Linking ISSN: 00048674 NLM ISO Abbreviation: Aust N Z J Psychiatry Subsets: MEDLINE
Imprint Name(s):	Publication: 2012- : London : Sage Original Publication: [Carlton South, Vic., Australia] : Blackwell Science
Ιατρικοί όροι (MeSH):	Australian Aboriginal and Torres Strait Islander Peoples/statistics & numerical data , Health Services, Indigenous/statistics & numerical data , Mental Disorders/ethnology , Mental Disorders/therapy , Mental Health Services/statistics & numerical data , Patient Acceptance of Health Care/ethnology , Patient Acceptance of Health Care*/statistics & numerical data, Health Services Accessibility/statistics & numerical data ; Queensland/ethnology ; Substance-Related Disorders/ethnology ; Substance-Related Disorders/therapy ; Urban Population/statistics & numerical data ; Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Health Surveys ; Psychological Distress
Περίληψη:	Objective: To explore the associations between sociodemographic and cultural predictors of health service use among Aboriginal and Torres Strait Islander communities (respectfully referred to as Indigenous Australians) in Southeast Queensland with mental health concerns. Method: Queensland Urban Indigenous Mental Health Survey data was analysed to investigate predictors of health service use within an adult sample of Indigenous Australians who experienced (a) elevated psychological distress or (b) a mental disorder or harmful substance use. Sociodemographic, cultural, and mental health predictors were quantified. A series of logistic regression models were used to explore the association between predictors and health service use. Results: For those with elevated psychological distress, male sex, greater self-perceived physical health, and larger social support networks were associated with decreased likelihood of health service access, while greater comorbidity and frequent experiences of racism were associated with increased likelihood. For those experiencing a mental disorder or harmful substance use, greater self-perceived physical health was associated with decreased likelihood of service access, while greater comorbidity was associated with increased likelihood. Age approached significance as a predictor of increased access. Service preference was not a statistically significant predictor in either group. Conclusion: Differences in predictors between those with elevated psychological distress and those with mental disorders or harmful substance use underscore the importance of recognising the heterogeneity within Indigenous Australian populations and tailoring health service planning and delivery approaches accordingly for issues related to mental health.
Competing Interests:	Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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Contributed Indexing:	Keywords: Aboriginal and Torres Strait Islander; mental disorder; psychological distress; service use; substance use
Entry Date(s):	Date Created: 20260811 Date Completed: 20260929 Latest Revision: 20261001
Update Code:	20261001
PubMed Central ID:	PMC13620262
DOI:	10.1177/00048674261471288
PMID:	42576347
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1440-1614
DOI:	10.1177/00048674261471288