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影响有心理健康问题的拉丁裔美国人使用心理健康服务的因素。

Factors affecting mental health service utilization among Latino Americans with mental health issues.

机构信息

a Department of Social Work, The Chinese University of Hong Kong , Hong Kong and.

b Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University , Cleveland, OH , USA.

出版信息

J Ment Health. 2018 Dec;27(6):552-559. doi: 10.1080/09638237.2017.1385742. Epub 2017 Oct 5.

Abstract

BACKGROUND

In contrast to their white counterparts, Latino Americans are less likely to utilize mental health services.

AIMS

Guided by the Behavioral Model of Health Service Utilization, this study examined factors affecting use of mental health services and dropouts from mental health services among Latino Americans with mental health issues.

METHODS

This is a secondary analysis utilizing data from the National Latino and Asian American Study. Seven hundred 88 Latinos with mental health issues were included in this study. Logistic regression analyses were conducted.

RESULTS

Being older, having health insurance, having self-perceived need for mental health services, having mental health service need perceived by others and a greater number of probable psychiatric disorders were associated with the use of mental health services among Latinos with mental health issues. Among 194 Latino mental health service users, being younger, not having health insurance, and having a lower level of family support were associated with dropouts from mental health services.

CONCLUSIONS

The findings suggest that education is needed to help Latino Americans recognize the need for mental health services. In addition, policies are needed to address financial difficulties in accessing mental health services.

摘要

背景

与白种人相比,拉丁裔美国人不太可能利用心理健康服务。

目的

本研究以健康服务利用行为模型为指导,探讨了影响有心理健康问题的拉丁裔美国人使用心理健康服务和退出心理健康服务的因素。

方法

这是一项利用全国拉丁裔和亚裔美国人研究数据的二次分析。本研究纳入了 708 名有心理健康问题的拉丁裔。进行了逻辑回归分析。

结果

在有心理健康问题的拉丁裔中,年龄较大、有医疗保险、自我感知对心理健康服务的需求、他人感知的心理健康服务需求以及更多可能的精神障碍与使用心理健康服务相关。在 194 名拉丁裔心理健康服务使用者中,年龄较小、没有医疗保险以及家庭支持程度较低与退出心理健康服务相关。

结论

研究结果表明,需要进行教育,帮助拉丁裔美国人认识到对心理健康服务的需求。此外,还需要制定政策来解决获得心理健康服务的财务困难。

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