{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:21:38Z","timestamp":1790986898487,"version":"4.1.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Mental health is a complex, multidimensional concept that goes beyond clinical diagnoses, including psychological distress, life stress, and well-being. In this study, we aimed to use unsupervised clustering approaches to identify multidimensional mental health profiles that exist in the population, and their associated service-use patterns. The data source was the 2012 Canadian Community Health Survey\u2013Mental Health, linked to administrative health-care data; all Ontario, Canada, adult respondents were included. We used a partitioning around medoids clustering algorithm with Gower\u2019s proximity to identify groups with distinct combinations of mental health indicators and described them according to their sociodemographic and service-use characteristics. We identified 4 groups with distinct mental health profiles, including 1 group that met the clinical threshold for a depressive diagnosis, with the remaining 3 groups expressing differences in positive mental health, life stress, and self-rated mental health. The 4 groups had different age, employment, and income profiles and exhibited differential access to mental health-care services. This study represents the first step in identifying complex profiles of mental health at the population level in Ontario. Further research is required to better understand the potential causes and consequences of belonging to each of the mental health profiles identified.<\/jats:p>\n               <jats:p>This article is part of a Special Collection on Mental Health.<\/jats:p>","DOI":"10.1093\/aje\/kwae030","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T05:33:35Z","timestamp":1712295215000},"page":"976-986","source":"Crossref","is-referenced-by-count":9,"title":["Using unsupervised clustering approaches to identify common mental health profiles and associated mental health-care service-use patterns in Ontario, Canada"],"prefix":"10.1093","volume":"193","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2868-5748","authenticated-orcid":false,"given":"Christa","family":"Orchard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-0764","authenticated-orcid":false,"given":"Elizabeth","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4867-869X","authenticated-orcid":false,"given":"Laura","family":"Rosella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8286-4563","authenticated-orcid":false,"given":"Peter M","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,4,3]]},"reference":[{"issue":"2","key":"2024070914261428800_ref1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1177\/0706743717748926","article-title":"Temporal trends in mental health service utilization across outpatient and acute care sectors: a population-based study from 2006 to 2014","volume":"63","author":"Chiu","year":"2018","journal-title":"Can J Psychiatry."},{"key":"2024070914261428800_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition","author":"American Psychiatric Association","year":"2000"},{"key":"2024070914261428800_ref3","volume-title":"Taking Stock: A Report on the Quality of Mental Health and Addictions Services in Ontario","author":"Brien","year":"2015"},{"key":"2024070914261428800_ref4","volume-title":"The Life and Economic Impact of Major Mental Illnesses in Canada","author":"Smetanin","year":"2011"},{"issue":"3","key":"2024070914261428800_ref5","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1037\/0022-006X.73.3.539","article-title":"Mental illness and\/or mental health? 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