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在美国 COVID-19 大流行期间,拉丁裔移民社区的心理健康差距:对政策和实践的影响。

Mental health disparities in Latinx immigrant communities residing in the United States during COVID-19: Implications for policy and practice.

机构信息

MACONDO Research Team, School of Social Work, Boston College, Chestnut Hill, MA, United States.

School of Social Work, Boston College, Chestnut Hill, MA, United States.

出版信息

Front Public Health. 2022 Sep 29;10:1000233. doi: 10.3389/fpubh.2022.1000233. eCollection 2022.

Abstract

OBJECTIVES

Studies have demonstrated that Latinx populations face significant health disparities in access to mental health care. The objective of this study was to describe the impact of the COVID-19 pandemic on the mental health needs of Latinx families, from the perspectives of direct service providers working with Latinx communities.

METHODS

Twenty-one semi-structured interviews were conducted virtually with direct service providers to the Latinx community from August to October 2020. Interviews were transcribed verbatim and analyzed using thematic analysis.

RESULTS

Two-thirds of providers were female, with a median age of 33 years, and provided direct services to Latinx clients and had extensive experience working with immigrant families, particularly in Massachusetts. Key themes identified describing the impact of COVID-19 on the mental health needs of Latinx families included: (1) exacerbation of mental health symptoms, (2) financial stressors, (3) preoccupation regarding transnational lives, (4) secondary needs becoming more salient, and (5) immigration status as a main driver of inequality.

CONCLUSIONS

Our findings highlight the importance of focusing on the mental health needs of Latinx immigrants and ensuring their access to mental health services. Telehealth seems to be a potential tool that promotes mental health access among Latinx clients. Future research needs to continue investigating the role of telehealth in decreasing mental health access disparities.

摘要

目的

研究表明,拉丁裔人群在获得心理健康护理方面存在显著的健康差距。本研究的目的是从为拉丁裔社区提供服务的直接服务提供者的角度描述 COVID-19 大流行对拉丁裔家庭心理健康需求的影响。

方法

2020 年 8 月至 10 月,通过虚拟方式对 21 名直接服务提供者进行了半结构式访谈。采访内容逐字转录,并使用主题分析进行分析。

结果

三分之二的提供者为女性,中位年龄为 33 岁,直接为拉丁裔客户提供服务,并具有丰富的移民家庭工作经验,尤其是在马萨诸塞州。描述 COVID-19 对拉丁裔家庭心理健康需求影响的关键主题包括:(1)心理健康症状恶化,(2)经济压力,(3)跨国生活的困扰,(4)次要需求更加突出,(5)移民身份是不平等的主要驱动因素。

结论

我们的研究结果强调了关注拉丁裔移民心理健康需求并确保他们获得心理健康服务的重要性。远程医疗似乎是促进拉丁裔客户获得心理健康服务的一种潜在工具。未来的研究需要继续调查远程医疗在减少心理健康服务差距方面的作用。

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Climate of Fear: Provider Perceptions of Latinx Immigrant Service Utilization.恐惧的氛围:医疗服务提供者对拉丁裔移民服务利用的看法。
J Racial Ethn Health Disparities. 2020 Oct;7(5):901-912. doi: 10.1007/s40615-020-00714-w. Epub 2020 Feb 21.

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COVID-19 Mental Health Disparities.新冠疫情相关的心理健康差异。
Health Secur. 2021 Jun;19(S1):S5-S13. doi: 10.1089/hs.2021.0017. Epub 2021 May 19.

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