Bauldry Shawn, Szaflarski Magdalena
Purdue University, West Lafayette, IN, USA.
University of Alabama-Birmingham, Birmingham, AL, USA.
Socius. 2017 Jan;3. doi: 10.1177/2378023116685718. Epub 2017 Jan 4.
Studies of immigrant-based disparities in mental health care have been limited by small sample sizes and a lack of measures of different dimensions of acculturation. This study draws on the National Epidemiological Survey on Alcohol and Related Conditions to address these limitations. Results indicate first-generation immigrants have lower rates of utilization for both mood and anxiety disorders. Nativity-based disparities in treatment are particularly notable among people from African and Hispanic origins, while there is little evidence of disparities among people from European origins. Of three dimensions of acculturation, only the identity dimension has a positive association with mental health care utilization.
基于移民的心理健康护理差异研究因样本量小和缺乏文化适应不同维度的测量方法而受到限制。本研究利用全国酒精及相关疾病流行病学调查来解决这些限制。结果表明，第一代移民在情绪和焦虑障碍方面的利用率较低。基于出生地的治疗差异在非洲和西班牙裔人群中尤为明显，而在欧洲裔人群中几乎没有差异的证据。在文化适应的三个维度中，只有身份维度与心理健康护理利用率呈正相关。
