对寻求专业心理健康服务的态度上的种族/族裔差异。
Racial/ethnic differences in attitudes toward seeking professional mental health services.
作者信息
Diala C C, Muntaner C, Walrath C, Nickerson K, LaVeist T, Leaf P
机构信息
Department of Mental Hygiene, Johns Hopkins University, 111 Market Pl, Room 3059, Baltimore, MD 21202, USA.
出版信息
Am J Public Health. 2001 May;91(5):805-7. doi: 10.2105/ajph.91.5.805.
Abstract
OBJECTIVES
This study examined racial/ethnic differences in attitudes toward seeking mental health services.
METHODS
Data from the National Comorbidity Survey, which administered a structured diagnostic interview to a representative sample of the US population (N = 8098), were analyzed. Multiple logistic regression was used, and data were stratified by need for mental health services.
RESULTS
African Americans with depression were more likely than Whites with depression to "definitely go" (odds ratio [OR] = 1.8, P < .001) seek mental health services. African Americans with severe psychiatric disorders were less likely to be "somewhat embarrassed if friends knew they sought care" (OR = 0.3, P < .001) than were their White counterparts.
CONCLUSIONS
African Americans reported more positive attitudes toward seeking mental health services than did Whites.
摘要
目的
本研究调查了在寻求心理健康服务的态度上的种族/民族差异。
方法
分析了来自全国共病调查的数据，该调查对美国人口的代表性样本（N = 8098）进行了结构化诊断访谈。使用了多元逻辑回归，并根据心理健康服务需求对数据进行了分层。
结果
患有抑郁症的非裔美国人比患有抑郁症的白人更有可能“肯定会去”（优势比[OR]=1.8，P<.001）寻求心理健康服务。患有严重精神疾病的非裔美国人比白人更不容易“如果朋友知道他们寻求治疗会有点尴尬”（OR = 0.3，P<.001）。
结论
非裔美国人对寻求心理健康服务的态度比白人更积极。
相似文献
1
Racial/ethnic differences in attitudes toward seeking professional mental health services.对寻求专业心理健康服务的态度上的种族/族裔差异。
Am J Public Health. 2001 May;91(5):805-7. doi: 10.2105/ajph.91.5.805.
2
Racial differences in attitudes toward professional mental health care and in the use of services.对专业心理健康护理的态度及服务使用方面的种族差异。
Am J Orthopsychiatry. 2000 Oct;70(4):455-64. doi: 10.1037/h0087736.
3
Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites.拉丁裔、非裔美国人和非拉丁裔白人在使用专业心理健康服务方面的不平等现象。
Psychiatr Serv. 2002 Dec;53(12):1547-55. doi: 10.1176/appi.ps.53.12.1547.
4
Mental health service utilization by African Americans and Whites: the Baltimore Epidemiologic Catchment Area Follow-Up.非裔美国人和白人对心理健康服务的利用情况：巴尔的摩流行病学集水区随访研究
Med Care. 1999 Oct;37(10):1034-45. doi: 10.1097/00005650-199910000-00007.
5
Ethnicity as a moderator of how parents' attitudes and perceived stigma influence intentions to seek child mental health services.种族作为父母态度和感知到的污名如何影响寻求儿童心理健康服务意愿的调节因素。
Cultur Divers Ethnic Minor Psychol. 2015 Oct;21(4):613-8. doi: 10.1037/cdp0000047. Epub 2015 Apr 20.
6
A comparison of influences on attitudes towards mental health service use in an African-American and White community.非裔美国人和白人社区中影响对心理健康服务使用态度的比较。
J Natl Black Nurses Assoc. 2004 Dec;15(2):17-22.
7
Mental health treatment seeking among older adults with depression: the impact of stigma and race.老年人抑郁症患者寻求心理健康治疗：污名化和种族的影响。
Am J Geriatr Psychiatry. 2010 Jun;18(6):531-43. doi: 10.1097/JGP.0b013e3181cc0366.
8
How the relationship of attitudes toward mental health treatment and service use differs by age, gender, ethnicity/race and education.不同年龄、性别、族裔/种族和教育程度的人对心理健康治疗和服务的态度和使用的关系如何不同。
Soc Psychiatry Psychiatr Epidemiol. 2011 Jan;46(1):45-57. doi: 10.1007/s00127-009-0168-4. Epub 2009 Nov 17.
9
Treatment-seeking for depression by black and white Americans.美国黑人和白人因抑郁症寻求治疗的情况。
Soc Sci Med. 1987;24(3):187-96. doi: 10.1016/0277-9536(87)90046-3.
10
Professional Service Use for a Serious Personal Problem: Comparing Older African Americans, Black Caribbeans, and Non-Hispanic Whites Using the National Survey of American Life.针对严重个人问题的专业服务使用情况：利用美国生活全国调查对老年非裔美国人、加勒比黑人及非西班牙裔白人进行比较
J Aging Health. 2015 Aug;27(5):755-74. doi: 10.1177/0898264314559894. Epub 2014 Dec 30.
引用本文的文献
1
Frequency of Black and American Indian/Alaskan Native US Residents Screened for Firearm Access.接受枪支使用情况筛查的美国黑人及美国印第安/阿拉斯加原住民居民的频率。
J Racial Ethn Health Disparities. 2025 Mar 10. doi: 10.1007/s40615-025-02334-8.
2
Mental Health During the First Year of the COVID-19 Pandemic: A Review and Recommendations for Moving Forward.《COVID-19 大流行第一年的心理健康：回顾与前进建议》。
Perspect Psychol Sci. 2022 Jul;17(4):915-936. doi: 10.1177/17456916211029964. Epub 2022 Jan 19.
3
Factors Related to Seeking Help for Postpartum Depression: A Secondary Analysis of New York City PRAMS Data.与寻求产后抑郁症帮助相关的因素：对纽约市 PRAMS 数据的二次分析。
Int J Environ Res Public Health. 2020 Dec 13;17(24):9328. doi: 10.3390/ijerph17249328.
4
Racial and Ethnic Differences in Mental Illness Stigma and Discrimination Among Californians Experiencing Mental Health Challenges.加利福尼亚州面临心理健康挑战人群中，精神疾病污名化和歧视方面的种族与族裔差异。
Rand Health Q. 2017 Jan 13;6(2):6. eCollection 2017 Jan.
5
Older, Church-Going African Americans' Attitudes and Expectations About Formal Depression Care.年长的、常去教堂的非裔美国人对正规抑郁症护理的态度和期望。
Res Aging. 2018 Jan;40(1):3-26. doi: 10.1177/0164027516675666. Epub 2016 Oct 26.
6
Barriers to Mental Health Care for an Ethnically and Racially Diverse Sample of Older Adults.针对不同种族和民族的老年人群体提供心理健康护理的障碍。
J Am Geriatr Soc. 2016 Oct;64(10):2138-2143. doi: 10.1111/jgs.14420. Epub 2016 Aug 26.
7
Mental Health Care Utilization: How Race, Ethnicity and Veteran Status are Associated with Seeking Help.心理健康护理的利用情况：种族、族裔和退伍军人身份与寻求帮助之间的关联
Community Ment Health J. 2016 Feb;52(2):174-9. doi: 10.1007/s10597-015-9964-3. Epub 2015 Dec 11.
8
Racial/Ethnic and Socioeconomic Disparities in Hearing Health Care Among Older Americans.美国老年人听力保健中的种族/族裔及社会经济差异
J Aging Health. 2016 Feb;28(1):68-94. doi: 10.1177/0898264315585505. Epub 2015 May 7.
9
Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care.初级保健中种族/民族老年人群体对精神疾病的污名化态度。
Int J Geriatr Psychiatry. 2013 Oct;28(10):1061-8. doi: 10.1002/gps.3928. Epub 2013 Jan 29.
10
Disparities in mental health service use of racial and ethnic minority elderly adults.少数民族和族裔老年人群体在心理健康服务利用方面的差异。
J Am Geriatr Soc. 2013 Jan;61(1):18-25. doi: 10.1111/jgs.12063. Epub 2012 Dec 18.
本文引用的文献
1
Invited commentary: social mechanisms, race, and social epidemiology.特邀评论：社会机制、种族与社会流行病学
Am J Epidemiol. 1999 Jul 15;150(2):121-6; discussion 127-8. doi: 10.1093/oxfordjournals.aje.a009970.
2
The relationship between demographic factors and attitudes toward mental health services.人口统计学因素与对心理健康服务的态度之间的关系。
J Community Psychol. 1987 Apr;15(2):275-84. doi: 10.1002/1520-6629(198704)15:2<275::aid-jcop2290150216>3.0.co;2-j.
3
Barriers to black women's participation in cancer clinical trials.黑人女性参与癌症临床试验的障碍。
J Natl Med Assoc. 1997 Nov;89(11):721-7.
4
Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey.美国精神疾病诊断与统计手册第三版修订版（DSM-III-R）精神障碍的终生患病率和12个月患病率。来自国家共病调查的结果。
Arch Gen Psychiatry. 1994 Jan;51(1):8-19. doi: 10.1001/archpsyc.1994.03950010008002.
5
The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey.全国社区样本中重度抑郁症的患病率及分布情况：全国共病调查
Am J Psychiatry. 1994 Jul;151(7):979-86. doi: 10.1176/ajp.151.7.979.
6
Revisiting the behavioral model and access to medical care: does it matter?重新审视行为模型与医疗服务的可及性：这重要吗？
J Health Soc Behav. 1995 Mar;36(1):1-10.
7
Contact with health professionals for the treatment of psychiatric and emotional problems.与健康专业人员联系以治疗精神和情绪问题。
Med Care. 1985 Dec;23(12):1322-37. doi: 10.1097/00005650-198512000-00002.
8
Relationships between ethnicity, conceptions of mental illness, and attitudes associated with seeking psychological help.
Psychol Rep. 1985 Dec;57(3 Pt 1):907-16. doi: 10.2466/pr0.1985.57.3.907.
9
The Composite International Diagnostic Interview. An epidemiologic Instrument suitable for use in conjunction with different diagnostic systems and in different cultures.《综合国际诊断访谈》。一种适用于与不同诊断系统结合使用并在不同文化背景下使用的流行病学工具。
Arch Gen Psychiatry. 1988 Dec;45(12):1069-77. doi: 10.1001/archpsyc.1988.01800360017003.
10
Schizophrenia and affective disorder in black and white patients: a methodologic note.黑人和白人患者中的精神分裂症与情感障碍：一则方法学说明。
J Natl Med Assoc. 1989 Jul;81(7):761-5.
Zotero 插件