Whaley Arthur L
New York State Psychiatric Institute, New York, USA.
Am J Public Health. 2004 Jan;94(1):78-81. doi: 10.2105/ajph.94.1.78.
I tested the hypothesis that Black men with high levels of distrust (i.e., mild paranoia) are at greater risk of hospitalization for mental health problems than their White counterparts.
Secondary analysis was conducted of data from a subsample of 180 men in an epidemiological study. Mental health hospitalization was the outcome and ethnicity/race, mild paranoia, and their interaction were main predictors in a logistic regression analysis. The ethnicity/race by mild paranoia interaction tested the study hypothesis.
The ethnicity/race by mild paranoia interaction was statistically significant. Contrary to the hypothesis, Black men with mild paranoia were less likely to be hospitalized.
Black men's lack of trust regarding the mental health system may cause them not to seek services. Factors critical to increasing their trust are acknowledgment of racial biases in the mental health system and sincere efforts to eliminate racial disparities in mental health treatment.
我检验了这样一个假设，即高度不信任（即轻度偏执）的黑人男性因心理健康问题住院的风险比白人男性更高。
对一项流行病学研究中180名男性子样本的数据进行二次分析。心理健康住院情况是结果变量，种族/民族、轻度偏执及其交互作用是逻辑回归分析中的主要预测变量。种族/民族与轻度偏执的交互作用检验了研究假设。
种族/民族与轻度偏执的交互作用具有统计学意义。与假设相反，轻度偏执的黑人男性住院的可能性较小。
黑人男性对心理健康系统缺乏信任可能导致他们不寻求服务。增强他们信任的关键因素是承认心理健康系统中的种族偏见，并真诚努力消除心理健康治疗中的种族差异。
