Wells K B, Hough R L, Golding J M, Burnam M A, Karno M
Am J Psychiatry. 1987 Jul;144(7):918-22. doi: 10.1176/ajp.144.7.918.
Data collected from the Los Angeles site of the National Institute of Mental Health Epidemiologic Catchment Area Program were used to examine the utilization of health services in a community population. Mexican-Americans, especially the less acculturated, had significantly lower rates of use of outpatient, but not inpatient, care than non-Hispanic whites. Differences were greater for mental than physical health care. Less acculturated Mexican-Americans made very little use of either mental health specialists or the human services sector (e.g., religious leaders). Among those with a recent psychiatric disorder, non-Hispanic whites were seven times more likely to use outpatient mental health services than the less acculturated Mexican-Americans.
从美国国立精神卫生研究所流行病学集水区项目洛杉矶站点收集的数据，被用于研究社区人群的医疗服务利用情况。墨西哥裔美国人，尤其是文化适应程度较低的群体，其门诊医疗服务的使用率显著低于非西班牙裔白人，但住院医疗服务的使用率并非如此。心理健康护理方面的差异比身体健康护理方面更大。文化适应程度较低的墨西哥裔美国人很少使用心理健康专家或人类服务部门（如宗教领袖）的服务。在近期患有精神疾病的人群中，非西班牙裔白人使用门诊心理健康服务的可能性是文化适应程度较低的墨西哥裔美国人的七倍。
