With data from 17 WHO World Mental Health Surveys conducted in 15 countries, Dr. Vigo and co-authors examined obstacles to providing or receiving care, the type of care received, and the quality and use of that care in a representative sample of individuals with major depressive disorder (MDD). The results indicate that obtaining a high level of education, having private insurance, and being aged 30-59 years predicted effective treatment coverage for depression. Exploratory results suggest that individuals with severe depression are more likely to receive any services, but less likely to receive adequate services. Additionally, having private insurance increased the likelihood of receiving effective treatment by four times when an individual resided in a low or middle-income country. The authors hope that knowing which specific social determinants predict effective coverage for depression can guide current and future attempts to develop targeted interventions.
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