亚裔美国人的心理健康服务利用情况和心理健康护理的未满足需求感知。
Mental Health Service Use and Perceived Unmet Needs for Mental Health Care in Asian Americans.
机构信息
Edward R. Roybal Institute on Aging, Suzanne Dworak-Peck School of Social Work, University of Southern California, 1150 S. Olive Street, Suite 1400, Los Angeles, CA, 90015, USA.
School of Social Work, Texas State University, San Marcos, USA.
出版信息
Community Ment Health J. 2019 Feb;55(2):241-248. doi: 10.1007/s10597-018-0348-3. Epub 2018 Oct 24.
Using data from the Asian American Quality of Life (AAQoL, n = 2609) survey, logistic regression models of mental health service use and perceived unmet needs were estimated with background variables, ethnicity, and mental health status. More than 44% of the participants were categorized as having mental distress (Kessler 6 [K6] ≥ 6) and 6.1% as having serious mental illness (SMI, K6 ≥ 13). About 23% had used services (mental health specialist, general doctor, and/or religious leader) for their emotional concerns during the past year, and about 7% reported that there was a time that they needed mental health care but could not get it. In the multivariate analyses, the presence of mental distress and SMI increased the odds of using any service and having perceived unmet needs. Those who had used services exhibited higher odds of reporting unmet needs, calling concerns about the quality of services and user satisfaction.
利用亚洲裔美国人生活质量（AAQoL，n=2609）调查的数据，使用背景变量、族裔和心理健康状况，对心理健康服务使用和感知未满足需求的情况进行逻辑回归模型分析。超过 44%的参与者被归类为存在心理困扰（Kessler 6 [K6]≥6），6.1%的参与者被归类为存在严重精神疾病（SMI，K6≥13）。大约 23%的人在过去一年中因情绪问题使用过服务（心理健康专家、全科医生和/或宗教领袖），约 7%的人报告说有时他们需要心理健康护理，但无法获得。在多变量分析中，存在心理困扰和 SMI 会增加使用任何服务和感知未满足需求的几率。那些使用过服务的人报告未满足需求的几率更高，对服务质量和用户满意度表示关注。
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