Attitudes toward mental health services: age-group differences in Korean American adults.
Attitudes toward mental health services: age-group differences in Korean American adults.
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DOI：
10.1080/13607860802591070
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发表时间：
2009-01
影响因子：
3.4
通讯作者：
Okazaki S
中科院分区：
文献类型：
--
作者：
Jang Y;Chiriboga DA;Okazaki S
本研究探讨了年轻（20-45岁，n = 209）和老年（60岁及以上，n = 462）组的韩裔美国人对心理健康服务的态度。以下;本研究采用健康管理研究中心（Center for Health Administration Studies）的行为健康模式（Behavioral Health Model），并考虑了易感因素（年龄、性别、婚姻状况和教育程度）、需要因素（焦虑和抑郁症状）和使能因素（文化适应、健康保险覆盖范围和个人经历和信念）。在平均水平评估中，发现年轻人和老年人对心理健康服务的积极态度相似。在多变量分析中，文化影响的信念被证明有一个实质性的贡献模型的精神卫生服务的态度在两个年龄组。研究发现，抑郁症是一种医学疾病的信念是所有群体积极态度的共同预测因素。在老年人样本中，在那些认为抑郁症是个人弱点的标志以及有精神病家庭成员会给整个家庭带来耻辱的人中观察到更多的消极态度。我们的研究结果表明，老年人不仅更容易受到文化误解和耻辱有关的精神疾病，而且他们对服务使用的态度受到负面影响的文化耻辱。研究结果提供了重要的影响，有针对性的干预措施，以改善少数民族人口获得精神卫生保健。根据青年人和老年人之间的相似性和差异，需要制定一般性和针对具体年龄的战略，以提高这些方案的有效性。
The present study examined the attitudes toward mental health services held by younger (aged 20–45, n = 209) and older (aged 60 and older, n = 462) groups of Korean Americans. Following; A behavioral model of families’ use of health service, Center for Health Administration Studies) behavioral health model, predisposing (age, gender, marital status and education), need (anxiety and depressive symptoms) and enabling (acculturation, health insurance coverage and personal experience and beliefs) variables were considered. In the mean-level assessment, younger and older adults were found to hold a similar level of positive attitudes toward mental health services. In the multivariate analysis, culture-influenced beliefs were shown to have a substantial contribution to the model of attitudes toward mental health services in both age groups. The belief that depression is a medical condition was found to be a common predictor of positive attitudes across the groups. In the older adult sample, more negative attitudes were observed among those who believed that depression is a sign of personal weakness and that having a mentally ill family member brings shame to the whole family. Our findings show that older adults are not only more subject to cultural misconceptions and stigma related to mental disorders, but also their attitudes toward service use are negatively influenced by the cultural stigma. The findings provide important implications for interventions targeted to improve access to mental health care among minority populations. Based on the similarities and differences found between young and old, both general and age-specific strategies need to be developed in order to increase effectiveness of these programs.
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影响因子：
3.8
作者：
Lin, KM;Cheung, F
通讯作者：
Cheung, F
DOI：
10.1111/j.1532-5415.2007.01125.x
发表时间：
2007-04-01
影响因子：
6.3
作者：
Jang, Yuri;Kim, Giyeon;Chiriboga, David A.
通讯作者：
Chiriboga, David A.
影响因子：
2.1
作者：
Shin, Jinah K
通讯作者：
Shin, Jinah K
影响因子：
2.3
作者：
Jang, Yuri;Kim, Giyeon;King-Kallimanis, Bellinda
通讯作者：
King-Kallimanis, Bellinda
影响因子：
9.7
作者：
Lillie-Blanton, M;Hoffman, C
通讯作者：
Hoffman, C