Kessler R C, Reuter J A, Greenley J R
Soc Forces. 1979 Dec;58(2):557-71. doi: 10.1093/sf/58.2.557.
Previous research has shown that both symptoms and sociocultural factors are related to use of psychiatric outpatient facilities. However, the utility of using treatment rates from these facilities to make etiological inferences depends on whether sociocultural effects on utilization are trivial or substantial. In this paper data are presented for one such inference, that women are more in need of treatment than men. We find that observed sex differences in the use of a student psychiatric clinic are due both to differential propensities to seek help for problems and also to differential numbers of problems, both of which are higher among women than men. However, the differential propensity to seek help is found to be by far the more important of these two effects.
先前的研究表明,症状和社会文化因素都与精神科门诊设施的使用有关。然而,利用这些设施的治疗率进行病因推断的效用取决于社会文化对利用率的影响是微不足道还是相当大。本文提供了一个这样的推断数据,即女性比男性更需要治疗。我们发现,在学生精神科诊所的使用中观察到的性别差异,既归因于寻求问题帮助的不同倾向,也归因于问题数量的差异,而这两者在女性中都高于男性。然而,在这两种影响中,寻求帮助的不同倾向被发现是迄今为止更重要的。