Barriers to Mental Health Care for an Ethnically and Racially Diverse Sample of Older Adults.
Barriers to Mental Health Care for an Ethnically and Racially Diverse Sample of Older Adults.
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DOI：
10.1111/jgs.14420
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发表时间：
2016-10
影响因子：
6.3
通讯作者：
Biegler KA
中科院分区：
文献类型：
--
作者：
Sorkin DH;Murphy M;Nguyen H;Biegler KA
这项研究调查了来自不同民族和种族背景的老年人使用精神卫生保健的潜在障碍。数据来自2007、2009、2011-12和2013-14加州健康访谈调查(CHIS)，这是一项以人口为基础的调查，代表了加州的非制度化人口。总样本包括75,324名非西班牙裔白人(NHW)，6,600名黑人，7,695名亚洲和太平洋岛民(API)，以及4,319名55岁及以上的西班牙裔成年人。在控制了多种人口和健康状况特征的Logistic回归分析中，结果显示不寻求治疗和终止治疗的原因存在种族和种族差异。具体地说，API和西班牙裔成年人比NHW更有可能支持将与专业人士交谈时感到不舒服作为不寻求治疗的理由。拉美裔受访者支持对某人发现的担忧的几率低于原料药，而原料药和黑人支持这一担忧作为不寻求治疗的原因的几率明显高于卫生工作者。当被问及不再接受治疗的原因时，所有答复者，无论种族或族裔，都赞同不再需要治疗作为终止治疗的最常见原因，尽管在认为病情没有好转、没有时间或交通工具以及没有保险作为不再寻求治疗的原因方面出现了具体的族裔和种族差异。了解不同族裔和种族背景的老年人心理健康治疗的障碍有何不同，是设计克服这些障碍和改善心理健康结果的干预措施的重要一步。
This study examined potential barriers to mental healthcare use of older adults from diverse ethnic and racial backgrounds. Data were obtained from the 2007, 2009, 2011–12, and 2013–14 California Health Interview Survey (CHIS), a population-based survey representative of California’s noninstitutionalized population. The total sample consisted of 75,324 non-Hispanic white (NHW), 6,600 black, 7,695 Asian and Pacific Islander (API), and 4,319 Hispanic adults aged 55 and older. Results from logistic regression analyses that controlled for multiple demographic and health status characteristics revealed ethnic and racial differences in reasons for not seeking treatment and for terminating treatment. Specifically, API and Hispanic adults had greater odds than NHWs of endorsing feeling uncomfortable talking to a professional as a reason for not seeking treatment. Hispanic respondents had lower odds of endorsing concerns about someone finding out than APIs, and APIs and blacks had significantly greater odds of endorsing this concern as a reason for not seeking treatment than NHWs. When asked about reasons for no longer receiving treatment, all respondents, irrespective of race or ethnicity, endorsed that they no longer needed treatment as the most frequent reason for terminating treatment, although specific ethnic and racial differences emerged with respect to perceptions of not getting better, lack of time or transportation, and lack of insurance coverage as reasons for no longer seeking treatment. Understanding how barriers to mental health treatment differ for older adults from diverse ethnic and racial backgrounds is an important step toward designing interventions to overcome these obstacles and improve mental health outcomes.
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