Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York (Costas-Muñiz, Garduño-Ortega, Hunter-Hernández, Gany); Department of Psychiatry, Weill Cornell Medical College, New York (Costas-Muñiz); School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico (Morales, Castro-Figueroa); Department of Psychiatry, Ponce Research Institute, Ponce, Puerto Rico (Castro-Figueroa).
Am J Psychother. 2021 Mar 1;74(1):13-21. doi: 10.1176/appi.psychotherapy.20190036. Epub 2020 Oct 8.
The aims of this study were to compare barriers to use of psychosocial services by Latina versus non-Latina white women who had been diagnosed as having breast cancer and to examine associations between the barriers and use of psychosocial services.
A sample of 265 Latina and non-Latina white women who had received treatment in a comprehensive cancer center in New York City completed a mailed questionnaire. The questionnaire measured quality of life, interest in receiving help for psychological distress, psychosocial services use, and barriers to use of psychosocial services. Bivariate and adjusted logistic regression models were used to analyze the data.
More than half of the sample reported preferring to return to their normal routines, felt they could take care of their emotional problems themselves, and preferred to seek support from their family or friends. Latinas were more likely to seek counseling from a spiritual leader, to report that there were no counselors who spoke their language and understood their values or background, and to report that mental health services were too expensive.
It is crucial to address the barriers that contribute to health disparities and discrepancies in patient access to and use of psychosocial health care. These findings highlight the need to educate providers about patients' psychosocial needs, provide patients with information about the benefits of psychosocial services, normalize mental health service use, diminish stigma surrounding use of these services, and provide culturally and linguistically sensitive services for Latina patients.
本研究旨在比较已被诊断患有乳腺癌的拉丁裔女性与非拉丁裔白人女性在使用心理社会服务方面的障碍，并探讨这些障碍与使用心理社会服务之间的关联。
本研究对纽约市一家综合癌症中心接受治疗的 265 名拉丁裔和非拉丁裔白人女性进行了一项邮寄问卷调查。问卷测量了生活质量、对接受心理困扰帮助的兴趣、心理社会服务的使用情况以及使用心理社会服务的障碍。采用单变量和调整后的逻辑回归模型进行数据分析。
超过一半的样本报告更愿意恢复正常生活，认为自己可以照顾好自己的情绪问题，更愿意从家人或朋友那里获得支持。拉丁裔女性更倾向于向精神领袖寻求咨询，更有可能报告说没有会说她们的语言、理解她们的价值观或背景的咨询师，也更有可能报告说心理健康服务费用过高。
解决导致健康差距和患者获得和使用心理社会保健服务差异的障碍至关重要。这些发现强调了教育提供者了解患者心理社会需求的必要性，向患者提供有关心理社会服务益处的信息，使心理健康服务的使用正常化，减少对使用这些服务的污名化，并为拉丁裔患者提供文化和语言敏感的服务。
