Psychosocial Predictors of Mental Health Service Utilization Among Women During their Mid-Sixties

Kerstin Pahl, Judith S. Brook, Chenshu Zhang, David W. Brook

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


This prospective study examined the longitudinal pathways to the utilization of mental health services among women in their mid-sixties. Earlier educational level, psychological symptoms, cigarette use, and physical diseases and later psychological symptoms were examined as predictors of mental health services utilization. The sample consisted of a prospective cohort of women (N = 511) who were followed from young adulthood (mean age = 32) to late midlife (mean age = 65). Using structural equation modeling, the results supported a mediational model showing that earlier low educational level and greater psychological symptoms predicted increased cigarette smoking. Cigarette smoking predicted later physical diseases and symptoms. Physical diseases and symptoms were related to financial difficulty and later psychological symptoms and, ultimately, the use of mental health services by women in the mid-sixties.

Original languageEnglish (US)
Pages (from-to)143-154
Number of pages12
JournalJournal of Behavioral Health Services and Research
Issue number2
StatePublished - Apr 1 2016
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health


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