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黑人青少年的 COVID-19 经历和精神健康服务利用情况。

Black Adolescent Experiences with COVID-19 and Mental Health Services Utilization.

机构信息

Department of Social Work, North Carolina Central University, 1801 Fayetteville Street, Durham, NC, 27707, USA.

出版信息

J Racial Ethn Health Disparities. 2022 Aug;9(4):1097-1105. doi: 10.1007/s40615-021-01049-w. Epub 2021 Apr 28.

Abstract

BACKGROUND

COVID-19 is disproportionately impacting communities of color. Black adolescents are among the most vulnerable to COVID-19, have high mental health service needs, and have low mental health services utilization. During this time of great physical threat due to COVID-19, it is equally important to understand and support the mental health of Black adolescents.

METHOD

This study collected open-ended survey item responses from adolescents (12-17 years old) that identified as Black, living in a city in the Southeastern United States (n = 33). Grounded theory was used to analyze the data, revealing details of the lived experience of these Black adolescents during the COVID-19 pandemic.

RESULTS

Black adolescents reported that COVID-19 has been both positive and negative for them. Family is of utmost importance to them, as are their peers, whom they do not get to interact with due to changes in the operation of schools. Despite experiencing stress, adaptive responses to COVID-19 are reported. Black adolescents continue to cite issues with mental health services and providers. Financial issues were a common theme for these youth, blocking access to services and causing issues in the home environment.

CONCLUSIONS

Mental health service providers must address the service access and quality issues repeatedly reported by Black adolescents. Direct action must be taken to facilitate an increase in Black adolescents mental health services utilization and satisfaction. Changes are needed at the individual and macro levels to alter the experience of one of our most vulnerable groups.

摘要

背景

COVID-19 对有色人种社区的影响不成比例。黑人青少年是受 COVID-19 影响最大的群体之一,他们有很高的心理健康服务需求,但利用心理健康服务的比例却很低。在 COVID-19 造成巨大身体威胁的时期,了解和支持黑人青少年的心理健康同样重要。

方法

本研究从居住在美国东南部城市的黑人青少年(12-17 岁,n=33)中收集了开放式调查项目的回复。采用扎根理论对数据进行分析,揭示了这些黑人青少年在 COVID-19 大流行期间的生活经历的细节。

结果

黑人青少年报告说,COVID-19 对他们既有积极影响,也有消极影响。家庭对他们来说至关重要,他们的同龄人也很重要,由于学校运作方式的改变,他们无法与同龄人互动。尽管经历了压力,但他们也报告了对 COVID-19 的适应性反应。黑人青少年继续提到心理健康服务和提供者的问题。这些年轻人普遍存在经济问题,这阻碍了他们获得服务的机会,并导致家庭环境出现问题。

结论

心理健康服务提供者必须解决黑人青少年反复报告的服务获取和质量问题。必须采取直接行动,以增加黑人青少年对心理健康服务的利用和满意度。需要在个人和宏观层面进行变革,以改变我们最脆弱群体之一的体验。

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