School of Social Work, Michigan State University, 226 Baker Hall, East Lansing, MI, 48824, USA.
J Racial Ethn Health Disparities. 2024 Apr;11(2):611-620. doi: 10.1007/s40615-023-01545-1. Epub 2023 Mar 23.
Based on the Head Start Impact Study, 1706 parents who had mild, moderate, and severe depressive symptoms were selected to examine the following questions: (1) Are there racial disparities in mental health service utilization among low-income parents? (2) Does Head Start have an impact on mental health service utilization across white, African American, and Hispanic parents? The present research found that, compared to white parents, African American and Hispanic parents are significantly less likely to utilize mental health services. Head Start impact was found for white parents but not for African American and Hispanic parents. Furthermore, parents who spoke a language other than English had higher household risk factors, and reside in rural areas are less likely to utilize mental health services. Mental health providers should deliver patient-centered services that consider cultural and linguistic competency as well as the personal life context of their patients to remove any barriers to accessing mental health services.
基于“Head Start 影响研究”，选择了 1706 名有轻度、中度和重度抑郁症状的家长来检验以下问题：（1）在低收入家长中，心理健康服务的利用是否存在种族差异？（2）Head Start 是否会对白人、非裔美国人和西班牙裔家长的心理健康服务利用产生影响？本研究发现，与白人家长相比，非裔美国人和西班牙裔家长利用心理健康服务的可能性显著较低。Head Start 对白人家长有影响，但对非裔美国人和西班牙裔家长没有影响。此外，讲英语以外语言的家长家庭风险因素较高，居住在农村地区的家长利用心理健康服务的可能性较低。心理健康服务提供者应该提供以患者为中心的服务，考虑到文化和语言能力以及患者的个人生活背景，以消除获得心理健康服务的障碍。
