Dementia Collaborative Research Centre, School of Psychiatry, University of New South Wales, Sydney, Australia.
Aging Ment Health. 2011 Apr;15(3):397-404. doi: 10.1080/13607863.2010.536134.
To explore the help-seeking strategies and the acceptance of services among a national sample of Italian, Greek and Chinese compared to third generation Australians.
A cross-sectional telephone survey of 350 Italian, 414 Greek, 437 Chinese and 500 third generation Australians whose households were randomly selected from the national telephone directory was carried out. Participants were asked how they would seek help for a character in a vignette with dementia and what aged care services they would use.
The most frequently reported sources of help for all participants were general practitioners (55%), community organisations (27%) and family (26%). Significantly more racial minority participants reported that they would seek help from their families (32%) than did third generation Australians (13%). The percentage of participants who reported they would use aged care services were 96% for day activities, 95% for community nursing, 93% for bus outings, 91% for home help with housework, 88% for carer's support groups, 83% for nursing home care, 78% for one-week respite and 67% for Meals-on-Wheels. Racial minorities were equally or more likely to say that they would use some community-based services than third generation Australians and less likely to use residential respite. Italians were less likely to use permanent residential care. Acculturation parameters were inconsistently associated with help-seeking and service acceptability.
Racial minority groups have a greater preference for community services than third generation Australians. There are differences between racial minority groups on help-seeking and acceptability of services. Education and outreach to these groups needs to be tailored.
与第三代澳大利亚人相比，探讨意大利、希腊和中国的全国样本中寻求帮助的策略和对服务的接受程度。
对 350 名意大利人、414 名希腊人、437 名中国人和 500 名从全国电话簿中随机选择的第三代澳大利亚人的家庭进行了横断面电话调查。要求参与者如何为一个有痴呆症特征的人物的帮助，并说明他们将使用哪些老年护理服务。
所有参与者最常报告的求助来源是全科医生（55%）、社区组织（27%）和家庭（26%）。与第三代澳大利亚人（13%）相比，少数民族参与者报告他们更有可能从家人那里寻求帮助（32%）。报告将使用老年护理服务的参与者百分比为日间活动 96%、社区护理 95%、巴士出游 93%、家务帮助 91%、照顾者支持小组 88%、养老院护理 83%、为期一周的临时护理 78%、送餐服务 67%。少数民族与第三代澳大利亚人一样，或者更有可能表示他们将使用一些社区服务，而不太可能使用住宿暂托。意大利人使用永久性住宿护理的可能性较小。文化适应参数与寻求帮助和服务接受程度不一致相关。
少数民族群体比第三代澳大利亚人更倾向于使用社区服务。在寻求帮助和接受服务方面，少数民族群体之间存在差异。需要针对这些群体进行教育和宣传。
