波多黎各岛屿贫困人群的心理健康服务利用模式。
Patterns of mental health utilization among island Puerto Rican poor.
作者信息
Alegría M, Robles R, Freeman D H, Vera M, Jiménez A L, Ríos C, Ríos R
机构信息
Center for Evaluation and Sociomedical Research, University of Puerto Rico School of Public Health 00936-5067.
出版信息
Am J Public Health. 1991 Jul;81(7):875-9. doi: 10.2105/ajph.81.7.875.
BACKGROUND
This paper describes utilization of mental health services by poor Puerto Ricans living on the island. It examines the utilization rates, within health sectors, and settings for the provision of mental health services.
METHODS
Data are based on an islandwide probability sample of 18- to 64-year-old respondents living in low socioeconomic areas. We assessed need with the Psychiatric Symptom and Dysfunction Scales.
RESULTS
Approximately one-third of our study population (31.5%) met criteria for need. Of these, only 32% had received any mental health care in the past year. Need was significantly associated with use of physical or mental health services for mental health problems. We found those who needed services to be five times more likely than those who did not need services to have used one or both sectors of care at least once in the past year. Among the first group 21.8% used the physical health sector to deal with mental health problems in contrast with 17.9% who sought care in the mental health sector. In the physical health sector, subjects used the public and private settings equally. In the mental health sector, 70% of subjects used the public setting.
CONCLUSIONS
This suggests the nonpsychiatric physician as a main provider for mental health treatment.
背景
本文描述了居住在波多黎各岛上的贫困居民对心理健康服务的利用情况。它考察了在卫生部门内部提供心理健康服务的利用率和环境。
方法
数据基于对居住在社会经济地位较低地区的18至64岁受访者进行的全岛概率抽样。我们使用精神症状和功能障碍量表评估需求。
结果
我们研究人群中约三分之一（31.5%）符合需求标准。其中，过去一年中只有32%的人接受过任何心理健康护理。需求与因心理健康问题使用身体或心理健康服务显著相关。我们发现，有需求的人在过去一年中至少使用过一次一个或两个护理部门的可能性是无需求者的五倍。在第一组中，21.8%的人利用身体健康部门来处理心理健康问题，相比之下，有17.9%的人在心理健康部门寻求护理。在身体健康部门，受试者在公共和私人环境中的使用情况相同。在心理健康部门，70%的受试者使用公共环境。
结论
这表明非精神科医生是心理健康治疗的主要提供者。
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