理解心理健康知识与黑人成年人心理健康服务利用之间的关系。
Understanding the Association Between Mental Health Knowledge and Mental Health Service Utilization Among Black Adults.
机构信息
Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
One Bowdoin Square, 6th floor, Street, Boston, MA, 02114, USA.
出版信息
Community Ment Health J. 2023 Jan;59(1):57-67. doi: 10.1007/s10597-022-00988-w. Epub 2022 Jul 6.
Abstract
Mental health knowledge limitations may contribute to the treatment gap among Black adults. We conducted an online cross-sectional study of Black adults in the United States (n = 262, aged 18-65 years) from diverse ethnic backgrounds (African-Americans, African immigrants, Afro-Caribbean immigrants). Gamma regression using generalized linear models was used to estimate the associations between mental health knowledge and willingness to seek help from mental health professionals. After adjusting for age, education and ethnicity, participants with higher specific knowledge about mental health (such as recognition of schizophrenia as a mental illness) were 26% more likely to report willingness to seek help from a mental health professional for personal and emotional problems (RR = 1.26, CI 1.12-1.41, p < 0.001). Knowledge building interventions (such as psychoeducation) that seek to increase specific knowledge (rather than general knowledge) may correlate more strongly with utilization of mental health services among Black adults.
摘要
心理健康知识的局限性可能导致黑人成年人的治疗差距。我们对来自不同族裔背景（非裔美国人、非洲移民、非裔加勒比移民）的美国黑人成年人（n=262，年龄在 18-65 岁之间）进行了一项在线横断面研究。使用广义线性模型的伽马回归来估计心理健康知识与寻求心理健康专业人员帮助的意愿之间的关联。在调整年龄、教育和种族后，特定心理健康知识较高的参与者（例如，将精神分裂症识别为一种精神疾病）更有可能报告愿意寻求心理健康专业人员的帮助来解决个人和情感问题（RR=1.26，CI 1.12-1.41，p<0.001）。旨在增加特定知识（而不是一般知识）的知识建设干预措施（如心理教育）可能与黑人成年人更强烈地与心理健康服务的利用相关。
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3
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