Barrio Concepcion, Yamada Ann Marie, Hough Richard L, Hawthorne William, Garcia Piedad, Jeste Dilip V
School of Social Work, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4119, USA.
Psychiatr Serv. 2003 Sep;54(9):1264-70. doi: 10.1176/appi.ps.54.9.1264.
This study examined case management service use by ethnic group in a sample of 4,249 European-American, Latino, and African-American patients with a diagnosis of schizophrenia or schizoaffective disorder who were receiving services in the public mental health sector of San Diego County during fiscal year 1998-1999.
Data on demographic and clinical variables were obtained from the public mental health services database of the San Diego County Mental Health Department. Multivariate logistic regression analyses were used to determine the relationship between the demographic and clinical variables and use of case management services.
The ethnic composition of the sample was 64 percent European American, 20 percent Latino, and 17 percent African American. Overall, 1,100 patients (26 percent) received case management services. A disproportionately greater percentage of service use occurred among European Americans (30 percent) than among patients from ethnic minorities (19 percent for Latinos and 17 percent for African Americans). The results also indicated that Spanish-speaking Latinos underused case management services; however, the underuse was less dramatic than anticipated.
The results of this study underscore the need for continuing concern about the use of case management and other mental health services by persons from ethnic minorities.
本研究调查了1998 - 1999财政年度在圣地亚哥县公共精神卫生部门接受服务的4249名被诊断患有精神分裂症或分裂情感性障碍的欧美裔、拉丁裔和非裔美国患者中不同种族群体对病例管理服务的使用情况。
人口统计学和临床变量的数据来自圣地亚哥县精神卫生部门的公共精神卫生服务数据库。采用多变量逻辑回归分析来确定人口统计学和临床变量与病例管理服务使用之间的关系。
样本的种族构成是64%为欧美裔，20%为拉丁裔，17%为非裔美国人。总体而言，1100名患者（26%）接受了病例管理服务。欧美裔患者中接受服务的比例（30%）明显高于少数族裔患者（拉丁裔为19%，非裔美国人为17%）。结果还表明，讲西班牙语的拉丁裔对病例管理服务利用不足；然而，这种利用不足的情况没有预期的那么严重。
本研究结果强调了持续关注少数族裔对病例管理和其他精神卫生服务使用情况的必要性。
