Grace Sherry L, Tan Yongyao, Cribbie Robert A, Nguyen Han, Ritvo Paul, Irvine Jane
School of Kinesiology and Health Science, York University, Toronto, ON, Canada.
Cardiac Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
BMC Psychiatry. 2016 Feb 26;16:47. doi: 10.1186/s12888-016-0759-z.
Mental disorders are a leading cause of disability and early mortality. The objective of this study was to describe and compare psychosocial indicators and mental health service use among ethnoculturally-diverse Ontarians.
This is a cross-sectional analysis of the Ontario Health Study pilot investigation. Residents were mailed an invitation to one of 3 assessment centres (urban, rural and northern sites) from March 2009 to July 2010. Participants had an interview with a nurse and completed a questionnaire on a touchscreen kiosk. The questionnaire included sociodemographic items, and scales assessing symptoms of depressive symptoms (CES-D) and anxiety (GAD-7), social support (Lubben Social Network Scale), stressful life events, and mental health service use.
Eight thousand two hundred thirty-five residents participated, among whom 6652 (82.4 %) self-reported their ethnocultural background as White, 225 (2.8 %) as South Asian, 222 (2.8 %) East Asian, 214 (2.7 %) Southeast Asian, 197 (2.4 %) Black, and 28 (0.3 %) as Aboriginal. Based on their sociodemographic characteristics, participants from these ethnocultural minority groups were matched to White participants. Black participants reported significantly greater stressful life events than White participants (p = .04), particularly death (p < .05), divorce (p = .002) and financial difficulties (p < .001). East Asian participants reported significantly less social support than their White counterparts (p < .001), and this was not confounded by measurement variance. Mental health service use was significantly lower in all ethnocultural minorities except Aboriginals, when compared to White participants (p = .001).
There is a high burden of psychosocial distress in several preponderant ethnocultural minorities in Ontario; many of whom are not accessing available mental health services.
精神障碍是导致残疾和过早死亡的主要原因。本研究的目的是描述和比较安大略省不同种族文化群体的社会心理指标以及心理健康服务的使用情况。
这是安大略省健康研究试点调查的横断面分析。2009年3月至2010年7月期间，向居民邮寄邀请函，邀请他们前往3个评估中心（城市、农村和北部地区）之一。参与者接受了护士的访谈，并在触摸屏信息亭上完成了一份问卷。问卷包括社会人口学项目，以及评估抑郁症状（CES-D）、焦虑（GAD-7）、社会支持（鲁本社会网络量表）、应激性生活事件和心理健康服务使用情况的量表。
8235名居民参与了研究，其中6652人（82.4%）自我报告其种族文化背景为白人，225人（2.8%）为南亚人，222人（2.8%）为东亚人，214人（2.7%）为东南亚人，197人（2.4%）为黑人，28人（0.3%）为原住民。根据社会人口学特征，将这些种族文化少数群体的参与者与白人参与者进行匹配。黑人参与者报告的应激性生活事件显著多于白人参与者（p = 0.04），尤其是死亡（p < 0.05）、离婚（p = 0.002）和经济困难（p < 0.001）。东亚参与者报告的社会支持显著少于白人参与者（p < 0.
