Aronson Benjamin D, Johnson-Jennings Michelle, Kading Margarette L, Smith Reid C, Walls Melissa L
Am Indian Alsk Native Ment Health Res. 2016;23(1):1-23. doi: 10.5820/aian.2301.2016.1.
In this study, we investigated mental health service and provider preferences of American Indian adults with type 2 diabetes from two tribes in the northern Midwest. Preferences were determined and compared by participant characteristics. After controlling for other factors, living on reservation lands was associated with increased odds of Native provider preference, and decreased odds of biomedical service preference. Anxiety also was associated with decreased odds of biomedical service preference. Spiritual activity engagement and past health care discrimination were associated with increased odds of traditional service preference. We discuss implications for the types of mental health services offered and characteristics of providers who are recruited for tribal communities.
在本研究中，我们调查了来自中西部北部两个部落的患有2型糖尿病的美国印第安成年人的心理健康服务及提供者偏好。偏好是根据参与者特征来确定和比较的。在控制了其他因素后，居住在保留地与选择本土提供者的几率增加以及选择生物医学服务的几率降低相关。焦虑也与选择生物医学服务的几率降低相关。参与精神活动和过去遭受医疗保健歧视与选择传统服务的几率增加相关。我们讨论了所提供的心理健康服务类型以及为部落社区招募的提供者的特征的相关影响。
