Portes A, Kyle D, Eaton W W
Johns Hopkins University.
J Health Soc Behav. 1992 Dec;33(4):283-98.
Differences in psychopathology and use of the mental health system by recent refugee groups are explored in light of competing hypotheses stemming from theories of immigrant adaptation and minority mental health. Results show that would-be Haitian refugees arriving in South Florida during the early 1980s had relatively small needs for mental health care, but whatever needs they had were largely unattended by the health services system. Mariel Cubans had far greater needs that were mostly met satisfactorily by virtue of their familiarity with service facilities prior to departure and their incorporation into a favorable social environment. These contextual factors are added and compared with the individual-level predictor variables suggested by Andersen and others. The results' implications for theories of immigrant mental health and help-seeking and for the implementation of effective delivery programs are discussed.
本文依据移民适应理论和少数族裔心理健康理论中相互竞争的假设，探讨了近期难民群体在精神病理学及心理健康系统使用方面的差异。结果显示，20世纪80年代初抵达南佛罗里达的潜在海地难民对心理健康护理的需求相对较小，但他们的任何需求在很大程度上都未得到卫生服务系统的关注。马列尔古巴人有更大的需求，由于他们在出发前对服务设施的熟悉程度以及融入了有利的社会环境，这些需求大多得到了令人满意的满足。这些背景因素被纳入并与安德森等人提出的个体层面预测变量进行比较。讨论了研究结果对移民心理健康及求助理论以及有效服务提供项目实施的影响。
