Ethnic differences in the correlates of mental distress among homeless women

Ethnic differences in the correlates of mental distress among homeless women
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DOI:
10.1016/j.whi.2007.08.005
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发表时间:
2008-01-01
影响因子:
3.2
通讯作者:
Gelberg, Lillian
Gelberg, Lillian
中科院分区:
医学3区
文献类型:
--
作者:
Austin, Erika Laine;Andersen, Ronald;Gelberg, Lillian

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背景。无家可归的妇女遭受精神困扰的比例很高。我们试图确定格尔伯格-安德森弱势群体行为模型的诱发域和促成域与精神困扰之间的关系是否存在种族差异。方法。我们采用代表性概率抽样设计,选取了洛杉矶地区的 821 名无家可归女性,并邀请她们参加面对面访谈。样本中 67% 为非裔美国人,17% 为西班牙裔,16% 为白人。结果。我们发现了一些与精神困扰相关的种族差异。非裔美国人和白人女性的伴侣或已婚与更大的痛苦有关,而经历相互竞争的需求则预示着非裔美国人和西班牙裔女性的痛苦。结论。造成不同族裔无家可归妇女精神困扰的因素有多种;在开发适合文化的服务以解决无家可归者的心理健康问题时,应考虑到这些差异。
Background. Homeless women experience high rates of mental distress. We sought to determine whether ethnic differences exist in the relationship between the predisposing and enabling domains of the Gelberg-Andersen Behavioral Model for Vulnerable Populations and mental distress.Methods. We selected 821 homeless women in the Los Angeles area using a representative probability sampling design and invited them to participate in face-to-face interviews. The sample was 67% African American, 17% Hispanic, and 16% White.Results. We identified a number of ethnic differences in the correlates of mental distress. Being partnered or married was associated with greater distress among African American and White women, and experiencing competing needs was predictive of distress for African Americans and Hispanics.Conclusion. A variety of factors contribute to mental distress among different ethnic groups of homeless women; these differences should be considered in the development of culturally appropriate services designed to address mental health problems among homeless populations.