Filters on the pathway to mental health care, II. Sociodemographic factors
Filters on the pathway to mental health care, II. Sociodemographic factors
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精神卫生保健途径的过滤器，II。
DOI：
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发表时间：
1995
影响因子：
6.9
通讯作者：
James C. Anthony
中科院分区：
文献类型：
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作者：
Joseph J. Gallo;S. Marino;Daniel E. Ford;James C. Anthony
本研究采用前瞻性收集的数据流行病学集水区计划，在美国的成年家庭居民的精神障碍的多站点访谈调查，比较卫生服务的使用不同的社会人口特征的个人，占首次发生的精神疾病，在1年的随访时间间隔。病例确定是通过一个标准化的访谈方法，诊断访谈时间表。在本次调查中，13400连续参与者的家庭样本谁报告没有接触精神卫生服务，在6个月前的初步采访进行了研究，关于卫生服务的使用和社会人口特征。另外，在进行心理健康评估之前，受访者被问及他们使用健康和心理健康服务的情况。与白人相比，非裔美国人咨询心理健康专家的可能性明显更低（估计相对比值为0.22，95%置信区间为0.10至0.52），即使考虑到同时发生的精神疾病、性别和其他已知与医疗服务差异使用相关的协变量。西班牙裔和其他少数族裔也不太可能咨询心理健康专家（估计相对几率分别为0.37和0.26）。这项大型社区研究扩展了以前关于精神卫生服务和种族的工作。
Synopsis This study uses the prospectively gathered data of the Epidemiologic Catchment Area Program, a multi-site interview survey of mental disturbances among adult household residents in the United States, to compare health services use by individuals with different sociodemographic characteristics, accounting for the first-time occurrence of psychiatric disorder, over the course of a 1-year follow-up interval. Case ascertainment was by means of a standardized interview method, the Diagnostic Interview Schedule. In the present investigation, 13400 continuing participants in the household sample who reported no contact with mental health services in the 6 months prior to the initial interview were studied with regard to health services use and sociodemographic characteristics. Separately, and before the mental health assessments were made, respondents were asked about their use of health and mental health services. African-Americans were significantly less likely than whites to have consulted with a specialist in mental health (estimated relative odds, 0·22, 95% confidence interval 0·10 to 0·52), even accounting for coincident psychiatric disorder, gender, and other covariates known to be associated with differential use of health care services. Hispanics and other minorities were also less likely to have consulted a specialist in mental health (estimated relative odds, 0·37 and 0·26, respectively). This large community study extends previous work on mental health services and ethnicity.