Leaf P J, Livingston M M, Tischler G L, Weissman M M, Holzer C E, Myers J K
Med Care. 1985 Dec;23(12):1322-37. doi: 10.1097/00005650-198512000-00002.
This study focuses on predisposing, enabling, and need factors affecting contact with health professionals for the treatment of psychiatric and emotional problems during a 6-month period. Data are from the first wave of the Yale Epidemiologic Catchment Area (ECA) Project. The study confirms the important relationship of psychopathology to both the likelihood of using mental health related services and the quantity of service contacts. Sex, age, race, education, marital status, usual source of medical care, and attitudes toward mental health services were found to exert independent effects on the likelihood of contact with a health professional after controlling for clinical status. Factors affecting the quality of service contacts among utilizers were psychiatric status, usual source of care, and attitudes.
本研究聚焦于在6个月期间影响因治疗精神和情绪问题而与医疗专业人员接触的易患因素、促成因素和需求因素。数据来自耶鲁流行病学集水区（ECA）项目的第一波调查。该研究证实了精神病理学与使用心理健康相关服务的可能性以及服务接触量之间的重要关系。在控制临床状况后，发现性别、年龄、种族、教育程度、婚姻状况、通常的医疗保健来源以及对心理健康服务的态度对与医疗专业人员接触的可能性产生独立影响。影响使用者服务接触质量的因素包括精神状态、通常的护理来源和态度。
