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加拿大大多伦多皮尔地区南亚裔青年的精神健康:决定因素、应对策略和服务获取的定性研究。

Mental health of South Asian youth in Peel Region, Toronto, Canada: a qualitative study of determinants, coping strategies and service access.

机构信息

Social Aetiology of Mental Illness Training Program, Health Systems and Health Equity Research Group, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.

Psychology Program, York University, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2017 Nov 3;7(11):e018265. doi: 10.1136/bmjopen-2017-018265.

Abstract

OBJECTIVES

This qualitative study set out to understand the mental health challenges and service access barriers experienced by South Asian youth populations in the Peel Region of Toronto, Canada.

SETTING

In-depth semistructured interviews were carried out with South Asian youth living in Peel Region (Mississauga, Brampton and Caledon), a suburb of Toronto, Canada, home to over 50% of Ontario's South Asian population.

PARTICIPANTS

South Asian youth (n=10) engaged in thoughtful, candid dialogue about their mental health and service access barriers.

PRIMARY AND SECONDARY OUTCOME MEASURES

Qualitative interview themes related to mental health stressors and mental health service access barriers experienced by youth living in Peel Region were assessed using thematic analysis.

RESULTS

South Asian youth face many mental health stressors, from intergenerational and cultural conflict, academic pressure, relationship stress, financial stress and family difficulties. These stressors can contribute to mental health challenges, such as depression and anxiety and drug use, with marijuana, alcohol and cigarettes cited as the most popular substances. South Asian youth were only able to identify about a third (36%) of the mental health resources presented to them and did not feel well informed about mental health resources available in their neighbourhood.

CONCLUSIONS

They offered recommendations for improved youth support directed at parents, education system, South Asian community and mental health system. Institutions and bodies at all levels of the society have a role to play in ensuring the mental health of South Asian youth.

摘要

目的

本定性研究旨在了解加拿大大多伦多皮尔地区南亚裔青年所面临的心理健康挑战和服务获取障碍。

背景

在加拿大大多伦多皮尔地区(密西沙加、宾顿和卡利登)进行了深入的半结构化访谈,该地区是南亚裔人口占安大略省 50%以上的多伦多郊区。

参与者

南亚裔青年(n=10)就他们的心理健康和服务获取障碍进行了深思熟虑、坦诚的对话。

主要和次要结果测量

使用主题分析评估了与皮尔地区青年所经历的心理健康压力源和心理健康服务获取障碍相关的定性访谈主题。

结果

南亚裔青年面临许多心理健康压力源,包括代际和文化冲突、学业压力、人际关系压力、经济压力和家庭困难。这些压力源可能导致心理健康挑战,如抑郁和焦虑以及药物使用,大麻、酒精和香烟被列为最受欢迎的物质。南亚裔青年只能识别出他们所接触到的心理健康资源的三分之一(36%)左右,并且对他们所在社区的心理健康资源了解不足。

结论

他们为改善针对父母、教育系统、南亚裔社区和心理健康系统的青年支持提出了建议。社会各级的机构和团体在确保南亚裔青年的心理健康方面都有作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0969/5695456/8aa35c77130c/bmjopen-2017-018265f01.jpg

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