Mental health service utilization among Korean elders in Korean churches: preliminary findings from the Memory and Aging Study of Koreans in Maryland (MASK-MD).
Mental health service utilization among Korean elders in Korean churches: preliminary findings from the Memory and Aging Study of Koreans in Maryland (MASK-MD).
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DOI：
10.1080/13607863.2013.814099
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发表时间：
2014
影响因子：
3.4
通讯作者：
Kim MT
中科院分区：
文献类型：
--
作者：
Lee HB;Han HR;Huh BY;Kim KB;Kim MT
韩裔美国人（KA）是第四大亚裔美国人亚群，人口估计近170万，绝大多数（高达85%）的KA长老参加种族教会。尽管KA老年人口迅速增加，但KA老年人对精神卫生服务利用的数据很少。基于整群抽样方法，在马里兰州的韩国人的记忆和衰老研究（MASK-MD）招募和评估630 KA老人（平均年龄：70.9 ± 6.1岁; 68.9%的女性）在KA教会抑郁症，痴呆症，和精神卫生服务利用水平。患者健康问卷（PHQ-9 K）和简易精神状态检查（MMSE-KC）的韩语版本由受过培训的社区卫生工作者进行管理。在630名参与者中，分别有23.2%和7.3%的PHQ-9评分为5分或以上（“轻度抑郁”）和10分或以上（“临床抑郁”）。此外，7.0%的人得分低于基于MMSE-KC的可能痴呆的年龄和教育特定截止值。在92名患有“临床抑郁症”或有死亡或自伤想法的参与者中，只有16人（17%）报告使用心理健康服务。同样，在56名可能患有痴呆症的参与者中，只有3名（7.3%）寻求医疗保健提供者的治疗。抑郁症和认知障碍的患病率高，在社区居住的KA老人参加KA教堂，但抑郁症或认知障碍的韩国老人的心理健康服务利用率低。需要进一步研究来确定韩国移民老年人获得充分心理健康护理的障碍和策略。
Korean Americans (KA) comprise the fourth largest Asian-American subgroup, with a population estimated at nearly 1.7 million, and the vast majority (up to 85%) of KA elders attends ethnic churches. Despite the rapid increase of the KA elderly population, data on mental health service utilization among KA elders are scarce. Based on a cluster sampling method, the Memory and Aging Study among Koreans in Maryland (MASK-MD) recruited and assessed 630 KA elders (mean age: 70.9 ± 6.1 years; 68.9% female) in KA churches for depression, dementia, and level of mental health service utilization. The Korean versions of the Patient Health Questionnaire (PHQ-9K) and Mini-mental Status Examination (MMSE-KC) were administered by trained community health workers. Of the 630 participants, 23.2% and 7.3% had PHQ-9 scores of 5 (‘mild depression’) or above and 10 or above (‘clinical depression’), respectively. In addition, 7.0% scored below the age- and education-specific cutoff values for probable dementia based on the MMSE-KC. Of the 92 participants with ‘clinical depression’ or having thoughts of death or self-injury, only 16 (17%) reported utilizing mental health services. Likewise, of 56 participants with probable dementia, only 3 (7.3%) sought treatment from a health care provider. The prevalence of depression and cognitive impairment are high in community-dwelling KA elders attending KA churches, but the rate of mental health service utilization among depressed or cognitively impaired Korean elders is low. Further research is warranted to identify barriers to and strategies for adequate mental health care for Korean immigrant elders.