Department of Psychiatry, University of Missouri, School of Medicine.
University of Missouri, College of Human Environmental Sciences.
Psychol Addict Behav. 2023 Mar;37(2):209-221. doi: 10.1037/adb0000861. Epub 2022 Jul 4.
This study aimed to provide insight into health disparities among Veterans by (a) documenting the prevalence of physical and mental health problems in a racially diverse sample of Veterans, (b) comparing Veterans' willingness to seek treatment for various physical and mental health conditions, and (c) examining the impact of discrimination and coping on willingness to seek treatment.
Veterans reported on current physical and mental health symptoms and the importance of treatment for various health conditions. Patterns were examined in the full sample ( = 334, 32% female) and the subsample who reported hazardous alcohol use in the past year ( = 116, 33% female). Linear regression was used to test alternative coping as a moderator of the association between experiences with discrimination and willingness to seek treatment among Veterans of color ( = 242, 37% female).
Participants reported greater willingness to seek treatment for physical than mental health conditions. Sleep problems (75%) and substance use (74%) were the most prevalent health behaviors, but they were rated lowest in treatment importance. Among Veterans of color, everyday experiences with discrimination were generally associated with less willingness to seek physical or mental health treatment, but often only among those who denied use of coping strategies.
Veterans are least willing to seek treatment for the health conditions that are most prevalent in their communities. Coping strategies may mitigate the negative association between discriminatory experiences and willingness to seek treatment among Veterans of color. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
本研究旨在通过以下方式深入了解退伍军人的健康差异：（a）记录在种族多样化的退伍军人样本中身体和心理健康问题的流行程度；（b）比较退伍军人对各种身体和心理健康状况的治疗意愿；（c）研究歧视和应对方式对治疗意愿的影响。
退伍军人报告了当前的身体和心理健康症状以及各种健康状况治疗的重要性。在全体样本（n=334，女性占 32%）和过去一年有危险饮酒行为的亚样本（n=116，女性占 33%）中检查了模式。线性回归用于检验替代应对方式是否调节了有色人种退伍军人的歧视经历与治疗意愿之间的关系（n=242，女性占 37%）。
参与者表示更愿意为身体而不是心理健康状况寻求治疗。睡眠问题（75%）和物质使用（74%）是最普遍的健康行为，但它们在治疗重要性方面的评分最低。在有色人种退伍军人中，日常歧视经历通常与寻求身体或心理健康治疗的意愿降低有关，但这种关联往往仅存在于那些否认使用应对策略的人群中。
退伍军人最不愿意为在其社区中最普遍的健康状况寻求治疗。应对策略可能会减轻有色人种退伍军人歧视经历与治疗意愿之间的负面关联。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
