精神卫生服务使用的障碍和治疗脱落的预测因素：基于人群的研究中的种族/民族差异。
Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study.
机构信息
Wheelock College of Education & Human Development, Boston University, 2 Silber Way, Boston, MA, 02215, USA.
Department of Psychology, Harvard University, Cambridge, MA, USA.
出版信息
Adm Policy Ment Health. 2020 Jul;47(4):606-616. doi: 10.1007/s10488-020-01021-6.
Abstract
This study examines racial/ethnic differences in perceived need for mental health treatment, barriers to treatment receipt, and reasons for dropout. Data are from the Collaborative Psychiatric Epidemiology Studies, a pooled dataset from three U.S. nationally-representative adult samples. Among respondents with a 12-month psychiatric disorder who received no treatment (N = 1417), Asians and Latinos reported lower perceived need than Blacks and Whites, and Latinos reported the fewest attitudinal barriers. Among those with a 12-month disorder who dropped out of treatment, Asians and Latinos gave more reasons for dropping out. Significant interactions of race/ethnicity with other characteristics identified subpopulations with high unmet need.
摘要
本研究考察了心理健康治疗需求的感知、治疗障碍以及退出治疗的原因在不同种族/族裔群体中的差异。数据来自美国三个具有全国代表性的成人样本的合作精神流行病学研究的综合数据集。在未接受治疗的有 12 个月精神障碍的受访者中（N=1417），亚裔和拉丁裔比黑人和白人报告的需求较低，态度障碍也较少。在有 12 个月障碍并退出治疗的人中，亚裔和拉丁裔给出了更多退出治疗的原因。种族/族裔与其他特征的显著相互作用确定了有高度未满足需求的亚人群。
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