Limited English proficiency as a barrier to mental health service use: A study of Latino and Asian immigrants with psychiatric disorders
Limited English proficiency as a barrier to mental health service use: A study of Latino and Asian immigrants with psychiatric disorders
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DOI：
10.1016/j.jpsychires.2010.04.031
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发表时间：
2011-01-01
影响因子：
4.8
通讯作者：
Allen, Rebecca S.
中科院分区：
文献类型：
--
作者：
Kim, Giyeon;Loi, Claudia X. Aguado;Allen, Rebecca S.
语言障碍给在美国出生的外国人的心理健康护理带来了问题。患有精神疾病的移民可能有特别的风险，但目前还没有得到充分的研究。本研究旨在探讨英语水平有限对成年移民精神障碍患者心理健康服务使用的影响。来自全国拉丁裔和亚裔美国人研究（NLAAS）的拉丁裔和亚洲移民成年人年龄在18-86岁之间，有任何仪器测定的情绪、焦虑和物质使用障碍（n = 372）被纳入本分析。分层逻辑回归分析的结果显示，在拉丁裔群体中，拥有健康保险、自我评价较差的心理健康状况和更多的精神疾病与更高的心理健康服务使用概率独立相关。在控制了所有背景特征和心理健康需求因素后，LEP显著降低了拉丁裔移民使用心理健康服务的几率。包括LEP在内的任何因素都不能预测亚洲移民的心理健康服务使用情况，他们也是最不可能获得此类服务的。LEP是患有精神疾病的拉丁裔移民使用精神卫生服务的障碍。这项研究表明，未来的干预方法可能是很好的建议，不仅包括增加双语服务提供者和口译服务的可用性，而且至少要提高拉丁裔移民对这些选择的认识。此外，需要进一步调查，以确定可以增加亚洲人获得精神卫生保健服务的因素。(C) 2010 Elsevier Ltd.版权所有。
Language barriers pose problems in mental health care for foreign-born individuals in the United States. Immigrants with psychiatric disorders may be at particular risk but are currently understudied. The purpose of this study was to examine the effect of limited English proficiency (LEP) on mental health service use among immigrant adults with psychiatric disorders. Drawn from the National Latino and Asian American Study (NLAAS), Latino and Asian immigrant adults aged 18-86 with any instrument-determined mood, anxiety, and substance use disorder (n = 372) were included in the present analysis. Results from hierarchical logistic regression analyses showed that having health insurance, poor self-rated mental health, and more psychiatric disorders were independently associated with higher probability of mental health service use in the Latino group. After controlling for all background characteristics and mental health need factors, LEP significantly decreased odds of mental health service use among Latino immigrants. None of the factors including LEP predicted mental health service use among Asian immigrants, who were also the least likely to access such services. LEP was a barrier to mental health service use among Latino immigrants with psychiatric disorders. This study suggests that future approaches to interventions might be well advised to include not only enhancing the availability of bilingual service providers and interpretation services but also increasing awareness of such options for at least Latino immigrants. In addition, further investigation is needed to identify factors that can enhance access to mental health care services among Asians. (C) 2010 Elsevier Ltd. All rights reserved.