Cultural Beliefs and Mental Health Treatment Preferences of Ethnically Diverse Older Adult Consumers in Primary Care
Cultural Beliefs and Mental Health Treatment Preferences of Ethnically Diverse Older Adult Consumers in Primary Care
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DOI：
10.1097/jgp.0b013e318227f876
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发表时间：
2012-06-01
影响因子：
7.2
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Jimenez, Daniel E.;Bartels, Stephen J.;Alegria, Margarita
背景资料：关于精神疾病的原因的信念可能有助于解释为什么有显着的差异，在正式的精神卫生服务的使用率之间的种族/少数民族的老年人相比，他们的白色同行。本研究应用文化对心理健康的影响框架，以确定种族/民族之间的关系和差异1）信仰的原因，精神疾病，2）偏好的类型的治疗，和3）提供者的特点。方法：使用从完成对医疗保健和精神疾病的文化态度问卷的参与者中收集的基线数据进行分析，该问卷是为老年人药物滥用和精神健康研究的初级保健研究开发的，这是一项针对患有抑郁症，焦虑症或有风险的老年人（65岁以上）的多地点随机试验。最终样本包括1，257名非拉丁裔白人，536名非洲裔美国人，112名亚裔美国人和303名拉丁裔美国人。结果如下：与非拉丁裔白人相比，非洲裔美国人、亚裔美国人和拉丁裔美国人对精神疾病的原因有不同的看法。种族/民族也与决定谁做出医疗保健决策，治疗偏好和医疗保健提供者的首选特征相关。结论：这项研究强调了种族/民族与健康信念，治疗偏好，医疗保健决策和消费者对医疗保健提供者的偏好特征之间的关联。阐明个人的价值观和偏好有助于使少数种族/族裔患者参与精神卫生服务。(Am J Geriatr Psychiatry 2012; 20：533-542）
Background: Beliefs concerning the causes of mental illness may help to explain why there are significant disparities in the rates of formal mental health service use among racial/ethnic minority elderly as compared with their white counterparts. This study applies the cultural influences on mental health framework to identify the relationship between race/ethnicity and differences in 1) beliefs on the cause of mental illness, 2) preferences for type of treatment, and 3) provider characteristics. Method: Analyses were conducted using baseline data collected from participants who completed the cultural attitudes toward healthcare and mental illness questionnaire, developed for the Primary Care Research in Substance Abuse and Mental Health for the Elderly study, a multisite randomized trial for older adults (65+) with depression, anxiety, or at-risk alcohol consumption. The final sample consisted of 1,257 non-Latino whites, 536 African Americans, 112 Asian Americans, and 303 Latinos. Results: African Americans, Asian Americans, and Latinos had differing beliefs regarding the causes of mental illness when compared with non-Latino whites. Race/ethnicity was also associated with determining who makes healthcare decisions, treatment preferences, and preferred characteristics of healthcare providers. Conclusions: This study highlights the association between race/ethnicity and health beliefs, treatment preferences, healthcare decisions, and consumers' preferred characteristics of healthcare providers. Accommodating the values and preferences of individuals can be helpful in engaging racial/ethnic minority patients in mental health services. (Am J Geriatr Psychiatry 2012; 20:533-542)