Mental Health Care Use by Ethnicity and Preferred Language in a National Cohort of Community Health Center Patients.
Mental Health Care Use by Ethnicity and Preferred Language in a National Cohort of Community Health Center Patients.
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全国社区卫生中心患者队列中按种族和首选语言划分的心理卫生保健使用情况。
DOI：
10.1176/appi.ps.20220585
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Heintzman,John
中科院分区：
文献类型：
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作者：
Byhoff,Elena;Dinh,DangH;Lucas,JenniferA;Marino,Miguel;Heintzman,John
美国精神卫生保健的种族和民族差异早已被记录在案。作者试图比较非西班牙裔白色，英语偏好的西班牙裔和西班牙偏好的西班牙裔患者在社区卫生中心（CHCs）获得护理的专业精神卫生服务的使用。零膨胀泊松回归模型被用来估计接受心理健康服务的可能性，这是与预期的心理健康服务use.ResultsOf的1,498,655例患者在CHC在研究期间接受护理相比，14.4%（N=215,098）接受任何专业的心理健康服务。英语和西班牙语偏好的西班牙裔患者不太可能有心理健康访视（OR=0.69，95% CI=0.61-0.77，OR=0.65，95% CI=0.54-0.78）。与非西班牙裔白色患者相比，西班牙偏好的西班牙裔患者的估计年化率为0.59（95%CI =0.46-0.76）的心理健康visits.ConclusionsAmong患者谁是可能接受专业的心理健康服务，西班牙偏好的患者有一个显着较低的心理健康护理的使用率。虽然总体上获得精神卫生保健的机会正在改善，但在不喜欢使用英语的患者中，获得经常性专业精神卫生保健的机会仍然不平等。
ObjectiveDisparities in U.S. mental health care by race and ethnicity have long been documented. The authors sought to compare specialty mental health service use among non-Hispanic White, English-preferring Hispanic, and Spanish-preferring Hispanic patients who accessed care in community health centers (CHCs).MethodsRetrospective electronic medical records data were extracted for patients ages ≥18 years who received care in 2012–2020 at a national CHC network. Zero-inflated Poisson regression models were used to estimate the likelihood of receiving mental health services, which was compared with expected annual rates of mental health service use.ResultsOf the 1,498,655 patients who received care at a CHC during the study, 14.4% (N=215,098) received any specialty mental health services. English- and Spanish-preferring Hispanic patients were less likely to have had a mental health visit (OR=0.69, 95% CI=0.61–0.77, and OR=0.65, 95% CI=0.54–0.78, respectively). Compared with non-Hispanic White patients, Spanish-preferring Hispanic patients had an estimated annualized rate of 0.59 (95% CI=0.46–0.76) mental health visits.ConclusionsAmong patients who were likely to receive specialty mental health services, Spanish-preferring patients had a significantly lower rate of mental health care use. Although overall access to mental health care is improving, unequal access to recurring specialty mental health care remains among patients who do not prefer to use English.