Kamperman A M, Komproe I H, de Jong J T V M
HealthNet-TPO, Amsterdam, Netherlands.
Health Psychol. 2007 Jan;26(1):96-104. doi: 10.1037/0278-6133.26.1.96.
This study explores the relationship between mental health and health care consumption among migrants in the Netherlands.
Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling.
Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?"
The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities.
Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.
本研究探讨荷兰移民的心理健康与医疗保健消费之间的关系。
对阿姆斯特丹的土耳其人群（n = 648）、摩洛哥人群（n = 102）和苏里南人群（n = 311）进行抽样调查。该研究测试了一个关于精神疾病发病风险因素、幸福感指标和医疗保健消费指标的假设模型。该模型是根据对样本的早期研究信息和该主题的文献确定的。使用结构方程模型对该模型进行了测试和完善。
分别使用CIDI 1.1和MOS-sf-36分量表评估精神疾病发病率和幸福感指标。通过“你是否曾就心理健康问题或与酒精或药物使用相关的问题咨询过这些专业人员或医疗保健机构中的一个或多个？”这一问题来评估医疗保健消费情况。
本研究的主要结果证实，移民的医疗保健消费是由需求和易感性因素预测的，如健康状况和社会人口学特征。此外，移民的心理健康保健消费是由文化适应特征预测的。这一结果表明文化和移民特定因素对寻求帮助行为以及心理健康保健设施障碍有影响。
研究结果证实了医疗保健消费中存在特定于移民的机制。心理健康保健专业人员应意识到这些。然而，不必要地忽视干预的共同点会在移民群体之间以及移民与荷兰本土群体之间造成距离。
