低收入移民以及美国出生的黑人与拉丁裔抑郁症女性对护理的感知需求。
Perceived need for care among low-income immigrant and U.S.-born black and Latina women with depression.
作者信息
Nadeem Erum, Lange Jane M, Miranda Jeanne
机构信息
Department of Health Services, School of Public Health, University of California, Los Angeles, California, USA.
出版信息
J Womens Health (Larchmt). 2009 Mar;18(3):369-75. doi: 10.1089/jwh.2008.0898.
PURPOSE
To examine perceived need for care for mental health problems as a possible contributor to ethnic disparities in receiving care among low-income depressed women.
METHODS
The role of ethnicity, somatization, and stigma as they relate to perceived need for care is examined. Participants were 1577 low-income women who met criteria for depression.
RESULTS
Compared with U.S.-born depressed white women, most depressed ethnic minority women were less likely to perceive a need for mental health care (black immigrants: OR 0.30, p < 0.001; U.S.-born blacks: OR 0.43, p < 0.001; immigrant Latinas: OR 0.52, p < 0.01). Stigma-related concerns decreased the likelihood of perceiving a need for mental health care (OR 0.80, p < 0.05). Having multiple somatic symptoms (OR 1.57, p < 0.001) increased the likelihood of endorsing perceived need.
CONCLUSIONS
Findings suggest that there are ethnic differences in perceived need for mental healthcare that may partially account for the low rates of care for depression among low-income and minority women. The relations among stigma, somatization, and perceived need were strikingly similar across ethnic groups.
目的
探讨对心理健康问题的感知护理需求，这可能是低收入抑郁女性接受护理时种族差异的一个促成因素。
方法
研究种族、躯体化和耻辱感与感知护理需求之间的关系。参与者为1577名符合抑郁症标准的低收入女性。
结果
与在美国出生的抑郁白人女性相比，大多数抑郁的少数族裔女性不太可能认为有必要接受心理健康护理（黑人移民：比值比0.30，p<0.001；在美国出生的黑人：比值比0.43，p<0.001；拉丁裔移民：比值比0.52，p<0.01）。与耻辱感相关的担忧降低了认为有必要接受心理健康护理的可能性（比值比0.80，p<0.05）。有多种躯体症状（比值比1.57，p<0.001）增加了认可感知需求的可能性。
结论
研究结果表明，在心理健康护理的感知需求方面存在种族差异，这可能部分解释了低收入和少数族裔女性抑郁症护理率较低的原因。耻辱感、躯体化和感知需求之间的关系在不同种族群体中惊人地相似。
Zotero 插件