Wells K B, Golding J M, Hough R L, Burnam M A, Karno M
RAND Corporation, Santa Monica, CA 90406-2138.
Health Serv Res. 1989 Jun;24(2):237-57.
How does level of acculturation affect the probability that Mexican Americans use general health, mental health, and human social services? We studied this question using data from a general population sample of Mexican Americans (N = 1,055). Data were elicited in face-to-face interviews. After controlling for sociodemographic and economic factors, health status, and insurance coverage, Mexican Americans who were less acculturated had significantly lower probabilities of an outpatient medical visit for physical health problems and of a visit to a mental health specialist or human service provider for emotional problems. The less acculturated with good perceived general health were especially unlikely to receive outpatient medical care. Having Medicaid coverage was associated with a larger increase in the probability of an inpatient medical admission for the more acculturated than for the less acculturated. Other individual characteristics had generally similar effects on use of medical and mental health services for both the more and the less acculturated Mexican Americans.
文化适应程度如何影响墨西哥裔美国人使用一般健康、心理健康和人类社会服务的概率？我们使用来自墨西哥裔美国人普通人群样本（N = 1055）的数据研究了这个问题。数据通过面对面访谈收集。在控制了社会人口学和经济因素、健康状况及保险覆盖情况后，文化适应程度较低的墨西哥裔美国人因身体健康问题进行门诊医疗就诊以及因情绪问题拜访心理健康专家或人类服务提供者的概率显著更低。文化适应程度较低但自我感觉总体健康状况良好的人尤其不太可能接受门诊医疗护理。对于文化适应程度较高的人而言，拥有医疗补助保险与住院医疗入院概率的更大增幅相关，而文化适应程度较低的人则不然。其他个体特征对文化适应程度较高和较低的墨西哥裔美国人使用医疗和心理健康服务的影响总体上相似。
