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获得和利用卫生服务作为严重精神疾病种族差异的途径。

Access to and utilization of health services as pathway to racial disparities in serious mental illness.

作者信息

Lo Celia C, Cheng Tyrone C, Howell Rebecca J

机构信息

School of Social Work, University of Alabama, Box 870314, Tuscaloosa, AL, 35487-0314, USA,

出版信息

Community Ment Health J. 2014 Apr;50(3):251-7. doi: 10.1007/s10597-013-9593-7. Epub 2013 Jan 13.

DOI:10.1007/s10597-013-9593-7
PMID:23314827
Abstract

Often considered to fare better than White Americans in terms of mental health, African-Americans are nevertheless more vulnerable to chronic, persistent conditions should they become mentally ill, the literature suggests. The present study used data from the 2009 National Health Interview Survey to examine race differences in the prevalence rates of serious mental illness and race's role in relationships among such illness and variables of (a) social status and (b) health services. Results showed that non-Hispanic Blacks' level of reported chronic mental illness (in the past 30 days) exceeded that of non-Hispanic Whites. The results indicate that variables describing respondents' mental health care, along with their age and alcohol consumption, affect serious mental illness differently among African-Americans compared to Whites. Implications concerning racial disparities in mental health are discussed.

摘要

文献表明,尽管非裔美国人在心理健康方面通常被认为比美国白人状况更好,但如果他们患上精神疾病,就更容易受到慢性、持续性疾病的影响。本研究使用了2009年全国健康访谈调查的数据,以检验严重精神疾病患病率的种族差异,以及种族在这类疾病与(a)社会地位和(b)卫生服务等变量之间关系中的作用。结果显示,非西班牙裔黑人报告的慢性精神疾病水平(在过去30天内)超过了非西班牙裔白人。结果表明,描述受访者心理健康护理的变量,以及他们的年龄和饮酒量,在非裔美国人和白人中对严重精神疾病的影响有所不同。文中讨论了心理健康方面种族差异的影响。

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