Padgett D K, Patrick C, Burns B J, Schlesinger H J
School of Social Work, New York University, New York City 10003.
J Ment Health Adm. 1994 Fall;21(4):347-60. doi: 10.1007/BF02521354.
Factors affecting ethnic differences in women's use of outpatient mental health services were analyzed to determine whether lower use by black and Hispanic women occurred when socioeconomic and other factors are controlled. Employing the Andersen and Newman model of health use, insurance claims of 1.2 million federal employees insured by Blue Cross/Blue Shield in 1983 were analyzed to identify significant predictors of use. Results revealed that black and Hispanic women had lower probabilities and amounts of use when compared to white women even after controlling for a number of variables. Further research is needed to examine cultural and gender-related factors that may underlie ethnic differences; attitudinal factors and service system barriers are also implicated. Such findings have policy implications in the current climate of health care reform for which efforts are needed to increase access to care for ethnic minority women and other underserved populations.
对影响女性使用门诊心理健康服务的种族差异因素进行了分析，以确定在控制社会经济和其他因素后，黑人女性和西班牙裔女性的使用率是否较低。采用安徒生和纽曼的健康利用模型，对1983年由蓝十字/蓝盾承保的120万联邦雇员的保险理赔进行了分析，以确定使用的重要预测因素。结果显示，即使在控制了多个变量之后，与白人女性相比，黑人和西班牙裔女性使用心理健康服务的概率和数量仍然较低。需要进一步研究，以探讨可能是种族差异基础的文化和性别相关因素；态度因素和服务系统障碍也有影响。这些发现在当前的医疗改革环境中具有政策意义，需要努力增加少数族裔女性和其他服务不足人群获得医疗服务的机会。
