Burnett-Zeigler Inger, Lee Yuri, Bohnert Kipling M
Department of Psychiatry and Behavioral Sciences, Northwestern University, Feinberg School of Medicine, 676 N. St. Claire, Suite 1000, Chicago, IL, USA.
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
J Behav Health Serv Res. 2018 Jan;45(1):13-30. doi: 10.1007/s11414-017-9557-8.
A cross-sectional study design was used to examine the associations of ethnic identity, acculturation, and psychiatric service utilization among Wave 2 respondents of the National Epidemiologic Survey on Alcohol Related Conditions with 12-month psychiatric disorders who self-identified as Black (6587, 19%) and Hispanic (6359, 18%). Weighted multivariable regression analyses were conducted to examine the relationships between ethnic identity, acculturation, and 12-month psychiatric service utilization. Stronger ethnic identity was associated with decreased odds of using psychiatric services among Black (AOR = 0.956; CI = 0.923-0.991) and Hispanic individuals (AOR = 0.967; CI = 0.945-0.990). Greater acculturation was associated with an increased odds of psychiatric service utilization for Hispanic individuals (AOR = 1.025; CI = 1.000-1.050). These findings suggest that a sense of pride, belonging, and attachment to one's racial/ethnic group and participating in ethnic behaviors is associated with lower rates of participation in psychiatric services; alternatively, acquiring key elements of the U.S. culture is associated with greater participation in psychiatric services.
采用横断面研究设计，对全国酒精相关疾病流行病学调查第二轮中自我认定为黑人（6587人，占19%）和西班牙裔（6359人，占18%）且患有12个月精神疾病的受访者，研究种族认同、文化适应与精神科服务利用之间的关联。进行加权多变量回归分析，以检验种族认同、文化适应与12个月精神科服务利用之间的关系。更强的种族认同与黑人（调整后比值比[AOR]=0.956；可信区间[CI]=0.923 - 0.991）和西班牙裔个体使用精神科服务的几率降低相关。更大程度的文化适应与西班牙裔个体使用精神科服务的几率增加相关（AOR = 1.025；CI = 1.000 - 1.050）。这些发现表明，对自己种族/族裔群体的自豪感、归属感和依恋感以及参与种族行为与较低的精神科服务参与率相关；相反，获得美国文化的关键要素与更高的精神科服务参与率相关。
