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支持性住房客户在结果和治疗关系方面的种族差异。

Racial differences among supported housing clients in outcomes and therapeutic relationships.

机构信息

VA New England Mental Illness Research, Education, and Clinical Center, 950 Campbell Ave., 151D, West Haven, CT 06516, USA.

出版信息

Psychiatr Q. 2012 Mar;83(1):103-12. doi: 10.1007/s11126-011-9187-x.

DOI:10.1007/s11126-011-9187-x
PMID:21811835
Abstract

This study examined racial differences between African American and White supported housing clients in clinical outcomes and in their relationships with their landlords, medical and mental health care providers, and religious faith. Housing, mental health, and substance abuse outcomes of 204 White clients and 269 Black clients participating in a national homeless initiative were examined, along with their ratings of their relationships with landlords, health care providers, and religious participation. There were no significant racial differences found on outcomes or on client ratings of the helpfulness of relationships with landlords and health care providers. However, Black participants reported significantly stronger religious faith and religious participation than White participants. Together, these results suggest the religious faith of Black clients should be appreciated as a potential asset in supported housing services and that efforts to maintain racial equality should be continued in the delivery of health services.

摘要

本研究考察了非裔美国人和白人支持性住房客户在临床结果以及与房东、医疗和精神卫生保健提供者和宗教信仰方面的关系方面的种族差异。研究调查了 204 名白人客户和 269 名黑人客户参与国家无家可归倡议的住房、心理健康和药物滥用结果,以及他们对与房东、医疗保健提供者和宗教参与关系的评价。在结果或客户对与房东和医疗保健提供者关系的帮助程度的评价方面,没有发现显著的种族差异。然而,黑人参与者报告的宗教信仰比白人参与者更强烈。总的来说,这些结果表明,黑人客户的宗教信仰应该被视为支持性住房服务的潜在资产,并且应该继续努力在提供卫生服务方面保持种族平等。

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本文引用的文献

1
Collaborative initiative to help end chronic homelessness: introduction.帮助终结长期无家可归状况的合作倡议:引言
J Behav Health Serv Res. 2010 Apr;37(2):149-66. doi: 10.1007/s11414-009-9175-1. Epub 2009 Apr 1.
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Housing environment and mental health outcomes: A levels of analysis perspective.居住环境与心理健康结果:基于分析层次的视角
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Discrimination and racial disparities in health: evidence and needed research.健康方面的歧视与种族差异:证据及所需研究。
医院报告卡的信息呈现特征与可理解性:用户的设计分析与在线调查
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Interventions to reduce racial and ethnic disparities in health care.减少医疗保健中种族和民族差异的干预措施。
Med Care Res Rev. 2007 Oct;64(5 Suppl):7S-28S. doi: 10.1177/1077558707305413.
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Use of leverage to improve adherence to psychiatric treatment in the community.利用杠杆作用提高社区精神治疗的依从性。
Psychiatr Serv. 2005 Jan;56(1):37-44. doi: 10.1176/appi.ps.56.1.37.
7
Patient-physician relationships and racial disparities in the quality of health care.医患关系与医疗保健质量方面的种族差异。
Am J Public Health. 2003 Oct;93(10):1713-9. doi: 10.2105/ajph.93.10.1713.
8
The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care.保险覆盖范围和社区资源对减少就医机会方面种族/族裔差异的作用。
Health Serv Res. 2003 Jun;38(3):809-29. doi: 10.1111/1475-6773.00148.
9
Race and trust in the health care system.种族与对医疗保健系统的信任。
Public Health Rep. 2003 Jul-Aug;118(4):358-65. doi: 10.1093/phr/118.4.358.
10
Hispanic client-case manager matching: differences in outcomes and service use in a program for homeless persons with severe mental illness.西班牙裔客户与个案管理员匹配:针对患有严重精神疾病的无家可归者项目的结果及服务使用差异
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