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马里兰州巴尔的摩的西班牙语裔拉丁裔人群中心理健康污名。

Mental Health Stigma Among Spanish-Speaking Latinos in Baltimore, Maryland.

机构信息

Department of Pediatrics Center for Child and Community Health Research, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Building - Center Tower Suite 4200, Baltimore, MD, 21205, USA.

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Immigr Minor Health. 2023 Oct;25(5):999-1007. doi: 10.1007/s10903-023-01488-z. Epub 2023 May 22.

Abstract

To assess mental health-related stigma in an emerging Latino immigrant community and explore demographic characteristics associated with stigma. We surveyed 367 Spanish-speaking Latino adults recruited at community-based venues in Baltimore, Maryland. The survey included sociodemographic questions, the Depression Knowledge Measure, Personal Stigma Scale, and the Stigma Concerns about Mental Health Care (SCMHC) assessment. Multiple regression models examining associations between personal stigma and stigma concerns about mental health care, respectively, were constructed using variables that were statistically significant in bivariate analyses. Being male, having less than high school education, reporting high importance of religion, and having lower depression knowledge contributed to higher personal stigma. When controlling for other variables, only depression knowledge contributed unique variance to the prediction of higher SCMHC. Efforts to improve access to and quality of mental health care must be paralleled by ongoing efforts to reduce depression stigma within emergent immigrant Latino communities.

摘要

为了评估新兴拉丁裔移民社区中与心理健康相关的污名,并探讨与污名相关的人口统计学特征。我们在马里兰州巴尔的摩的社区场所招募了 367 名讲西班牙语的拉丁裔成年人进行调查。该调查包括社会人口统计学问题、抑郁知识量表、个人污名量表和精神卫生保健污名关注量表(SCMHC)评估。使用在单变量分析中具有统计学意义的变量,分别构建了个人污名和精神卫生保健污名关注之间的关联的多元回归模型。男性、受教育程度低于高中、报告宗教非常重要以及抑郁知识水平较低与个人污名程度较高有关。在控制其他变量的情况下,只有抑郁知识对 SCMHC 预测的更高水平具有独特的影响。为改善精神卫生保健的可及性和质量而进行的努力,必须与减少新兴拉丁裔移民社区中抑郁污名的持续努力相平行。

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