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非裔美国女性的抑郁关怀级联中的不平等现象:综合述评。

Inequities along the Depression Care Cascade in African American Women: An Integrative Review.

机构信息

Rory Meyers College of Nursing, New York University, New York, New York, USA.

出版信息

Issues Ment Health Nurs. 2021 Aug;42(8):720-729. doi: 10.1080/01612840.2020.1853289. Epub 2020 Dec 11.

Abstract

Depression represents a growing health problem and African American women (AAW) disproportionally experience increased risk and broad disparities in health care. This integrative review examines what is known about the equity of depression care provided to AAW. PubMed, PsychINFO, and Web of Science were searched through April 2020 for studies in peer-reviewed journals from 2015 to 2020. Across the studies ( = 7), AAW received inequitable care across a depression care cascade including lower rates of screening, treatment initiation, and guideline-concordant care. Here we explore individual-, relational-, and structural-level factors related to these disparities and implications for research, practice, and education.

摘要

抑郁症是一个日益严重的健康问题,非裔美国女性(AAW)面临着不成比例的更高风险,并且在医疗保健方面存在广泛的差距。本综合评价研究旨在探讨为 AAW 提供的抑郁症治疗服务中公平性的相关情况。通过在 PubMed、PsychINFO 和 Web of Science 数据库中检索,从 2015 年至 2020 年获取发表在同行评审期刊上的研究。共有 7 项研究发现,AAW 在抑郁症治疗的各个阶段均存在治疗不足的情况,包括筛查率低、治疗开始率低和符合指南的治疗率低。在此,我们探讨了与这些差异相关的个体、关系和结构层面的因素,以及这些因素对研究、实践和教育的意义。

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