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. 2025 Feb 9;19:6. doi: 10.1186/s13033-024-00658-2

Table 2.

Barriers to receiving 12-month treatment and timely treatment

Barriers to treatmenta Barriers to timely treatmentb Significance of difference between proportional barriers to treatment and to timely treatment
Among all respondents Among respondents with at least one barrier Among all respondents Among respondents with at least one barrier
% (SE) % (SE) % (SE) % (SE) X21/5
I. Types of barriers
 Low perceived severity 52.9 (1.2) 62.0 (1.2) 83.4 (1.2) 85.4 (1.2) 199.8*
 Financial 32.9 (1.1) 38.6 (1.2) 36.8 (1.5) 37.7 (1.5) 3.8
 Other enabling factors 40.2 (1.2) 47.1 (1.4) 51.0 (1.6) 52.2 (1.7) 28.1*
 Low perceived treatment effectiveness 44.8 (1.2) 52.6 (1.3) 49.4 (1.7) 50.6 (1.7) 3.8
 Perceived Stigma 20.6 (0.9) 24.2 (1.1) 37.0 (1.7) 37.9 (1.8) 62.8*
II. Number of barriers
 0c 14.8 (0.9) 2.3 (0.5) 137.3*
 1 35.9 (1.2) 42.1 (1.3) 24.0 (1.6) 24.5 (1.6)
 2 16.4 (0.8) 19.2 (0.9) 23.6 (1.6) 24.2 (1.5)
 3 14.7 (0.9) 17.3 (1.1) 22.6 (1.4) 23.2 (1.3)
 4 12.7 (0.8) 14.9 (0.9) 18.8 (1.3) 19.3 (1.3)
 5 5.5 (0.5) 6.5 (0.6) 8.6 (0.9) 8.8 (0.9)
(n) (2,444) (2,096) (926) (898)

Low perceived severity thinking that the problem would get better on its own or the problem not very bothersome, a/o wanting to handle problem on own, Financial reporting insurance would not pay for treatment a/o concerns about not being about to afford treatment, Other enabling factors reporting nonfinancial barriers in the domain of enabling factors involving either having problems with things like transportation or scheduling that made it hard to get to treatment, being unsure about where to go or who to see, thinking that treatment would take too much time or be inconvenient, a/o not being able to get an appointment, Low perceived treatment effectiveness reporting either not being satisfied with available treatments, not thinking treatment will work, a/o having been in treatment in the past and not finding it helpful, Perceived stigma reporting either concern about what people would think if they found out the patient was in treatment a/o worry about being involuntarily committed to a hospital % proportion of respondents in the column who reported the barrier, SE design-based standard error of %

aPooled across all WMH surveys among respondents with perceived need who did not receive any 12-month treatment and were asked about reasons. Note that those with perceived need for less than 4 weeks were not asked reasons for not seeking treatment (n = 1,027). Another 70 respondents missing a response on the duration question were also excluded

bPooled across all WMH surveys in the subsample of respondents with perceived need for treatment who received 12-month treatment with a delay and were asked about reasons for the delay

cRespondents with 0 reasons either responded “No” to all reasons (n = 307 of those receiving no treatment; 23 among those with delayed treatment) or were missing on all reasons (n = 41 of those who received no treatment and n = 5 of those with delayed treatment)