The University of Texas at Austin, Austin, Texas, USA.
Qual Health Res. 2020 Mar;30(4):547-559. doi: 10.1177/1049732319857695. Epub 2019 Jul 24.
Despite risk for mental health difficulties, Latinx youth have among the lowest rates of mental health care utilization. With this study, we contribute to our ongoing community-based participatory research (CBPR) efforts to explore stressors and protective factors experienced by low-socioeconomic status (SES) Latinx youth, and how these factors influence mental health care utilization. We interviewed community providers and stakeholders ( = 11) from organizations serving low-SES Latinx youth. Coded data yielded seven categories of specific stressors, protective factors, and processes by which these factors influence service utilization. Across categories, providers emphasized how combined family and socioeconomic risk contributed to disengagement from services and described schools and community programs as buffering this risk. Findings suggest that the unique experiences of low-SES Latinx youth contribute to low rates of service utilization, and that intervention should address specific factors at the family, school, and community level to improve access to care.
尽管拉丁裔青年面临心理健康问题的风险，但他们接受心理健康护理的比例在所有族裔中是最低的。通过这项研究，我们为正在进行的以社区为基础的参与性研究（CBPR）做出了贡献，旨在探讨社会经济地位较低的拉丁裔青年所经历的压力源和保护因素，以及这些因素如何影响心理健康护理的利用。我们采访了来自为社会经济地位较低的拉丁裔青年提供服务的组织的社区提供者和利益相关者（=11）。对编码数据进行分析后，得出了七个类别的具体压力源、保护因素，以及这些因素影响服务利用的过程。在各个类别中，提供者都强调了家庭和社会经济风险的综合如何导致他们脱离服务，并描述了学校和社区计划如何缓冲这种风险。研究结果表明，社会经济地位较低的拉丁裔青年的独特经历导致了服务利用率低，干预措施应针对家庭、学校和社区层面的具体因素，以改善获得护理的机会。
