Stigmatization of Hispanic children, pre-adolescents, and adolescents with mental illness: exploration using a national database.
Stigmatization of Hispanic children, pre-adolescents, and adolescents with mental illness: exploration using a national database.
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DOI：
10.1080/01612840500280695
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发表时间：
2005-12-01
影响因子：
2.1
通讯作者：
Leal, Christina C
中科院分区：
文献类型：
--
作者：
Leal, Christina C
本文研究了西班牙裔儿童（青春期前儿童和初级精神病诊断相关组（DRG）青少年）急性护理住院的主要付款人、住院时间和入院来源的描述性统计数据，并将这些变量与污名的概念联系起来。这篇论文是二次分析，使用的数据来自国家住院病人样本数据库。精神病是住院的西班牙裔青年中最常见的诊断。西班牙裔青少年比其他种族有更多的精神病学DRG，但比其他种族更少的西班牙裔青少年被诊断为精神病学DRG。对于西班牙裔前青少年和青少年，主要付款人是医疗补助，而不是白人前青少年和青少年的私人保险。所有种族的停留时间大致相同。西班牙裔前青少年和青少年的入院来源不同，大多数前青少年是常规入院的，而大多数西班牙裔青少年是通过急诊室入院的。对未来的研究、临床实践和公共政策提出了建议，这些建议与对患有精神疾病的西班牙裔儿童和青少年的污名化有关。
This paper examines descriptive statistics for the primary payer, length of stay, and admission source of an acute care hospitalization of Hispanic children--pre-adolescents, and adolescents with a primary psychiatric Diagnostic Related Group (DRG)--and relates these variables to the concept of stigma. This paper was a secondary analysis that used data from the National Inpatient Sample database. Psychosis was the most frequent diagnosis of Hispanic youth who were hospitalized. More Hispanic pre-adolescents had a psychiatric DRG than any other ethnic group but fewer Hispanic adolescents were diagnosed with a psychiatric DRG than any other ethnic group. For Hispanic pre-adolescents and adolescents, the primary payer was Medicaid versus private insurance for White pre-adolescents and adolescents. The length of stay was approximately the same for all ethnic groups. The admission source differed for Hispanic pre-adolescents and adolescents with the majority of pre-adolescents being admitted routinely and the majority of Hispanic adolescents being admitted through emergency departments. Recommendations are made for future research, clinical practice, and public policy related to the stigmatization of Hispanic children and adolescents with mental illness.