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特邀评论:亚裔种族身份与英语能力有限交叉点上的心理健康服务利用差异

Invited commentary: mental health services utilization disparities at the intersection of Asian ethnoracial identity and limited English proficiency.

作者信息

Zhen-Duan Jenny, Tsai Alexander C

机构信息

Disparities Research Unit, Massachusetts General Hospital, Boston, MA, United States.

Harvard Medical School, Boston, MA, United States.

出版信息

Am J Epidemiol. 2025 Apr 8;194(4):941-945. doi: 10.1093/aje/kwae112.

Abstract

Nguyễn et al. (Am J Epidemiol. 2024;193(10):1343-1351) analyzed data from the US National Survey of Drug Use and Health (NSDUH) to show that Asian American Native Hawaiian/Pacific Islander (AANHPI) adults with limited English proficiency have substantially lower levels of mental health services utilization compared with White adults without limited English proficiency. The findings add to the growing literature using an intersectionality framework to understand health and health care disparities. We comment on the authors' notable examination of intersecting minoritized identities in mental health services utilization and the welcome emphasis on AANHPI health. We discuss the limitations of the NSDUH data, which are administered in English and Spanish only, and their limited ability to support analyses disaggregated by ethnoracial subgroups. We conclude by identifying gaps related to funding, training, and data disaggregation, and we highlight the role of mixed-methods approaches to advance our understanding of intersectionality and health disparities research. This article is part of a Special Collection on Mental Health.

摘要

阮等人(《美国流行病学杂志》。2024年;193(10):1343 - 1351)分析了美国药物使用和健康全国调查(NSDUH)的数据,结果显示,与英语能力不受限的白人成年人相比,英语能力有限的亚裔美国原住民夏威夷/太平洋岛民(AANHPI)成年人的心理健康服务利用率要低得多。这些发现为越来越多使用交叉性框架来理解健康和医疗保健差异的文献增添了内容。我们对作者在心理健康服务利用方面对交叉性少数群体身份的显著研究以及对AANHPI健康的可喜重视发表评论。我们讨论了NSDUH数据的局限性,该数据仅以英语和西班牙语进行管理,以及它们在支持按种族亚组进行分类分析方面的有限能力。我们通过确定与资金、培训和数据分类相关的差距来得出结论,并强调混合方法在推进我们对交叉性和健康差异研究理解方面的作用。本文是心理健康专题文集的一部分。

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