Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care?
Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care?
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耻辱是否会阻碍贫穷的年轻移民和美国出生的黑人和拉丁裔女性寻求心理健康护理？
DOI：
10.1176/ps.2007.58.12.1547
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Miranda,Jeanne
中科院分区：
文献类型：
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作者：
Nadeem,Erum;Lange,JaneM;Edge,Dawn;Fongwa,Marie;Belin,Tom;Miranda,Jeanne
本研究探讨了在何种程度上与心理健康护理有关的耻辱相关的关注占低收入移民和美国出生的黑人和拉丁裔women.MethodsParticipants包括15，383名低收入妇女筛选抑郁症在县权利服务谁被问及障碍照顾，与耻辱相关的关注，结果与美国出生的白色妇女相比，在抑郁症患者中，每个黑人组更有可能报告污名问题（非洲移民，比值比[OR]= 3.28，p=. 001）。004;加勒比移民，OR= 6.17，p=. 005;美国出生的黑人，OR= 6.17，p=. 06）。与美国出生的白色妇女相比，非洲移民妇女（OR=. 18，p<. 001），移民加勒比妇女（OR=。11，p=. 001），美国出生的黑人女性（OR=。31，p<. 001），和美国出生的拉丁裔（OR=。32，p=. 03)不太可能需要治疗。相反，与美国出生的白色妇女相比，移民拉丁裔（OR= 2.17，p=. 02)更有可能需要治疗。有一个显着的耻辱由移民的相互作用预测治疗的兴趣（p<. 001）。污名降低了患有抑郁症的移民妇女接受心理健康治疗的愿望（OR=. 35，p<. 001)在更大程度上比美国出生的白色女性抑郁症（OR=. 52，p=。24）.结论与耻辱有关的问题在移民妇女中最为常见，可能是少数民族弱势妇女对精神保健服务利用不足的部分原因。（精神病学服务58：1547-1554，2007）
ObjectiveThis study examined the extent to which stigma-related con-cerns about mental health care account for the underuse of mental health services among low-income immigrant and US-born black and Latina women.MethodsParticipants included 15,383 low-income women screened for depression in county entitlement services who were asked about barriers to care, stigma-related concerns, and whether they wanted or were getting mental health care.ResultsAmong those who were depressed, compared with US-born white women, each of the black groups were more likely to report stigma concerns (African immigrants, odds ratio [OR]= 3.28, p=. 004; Caribbean immigrants, OR= 6.17, p=. 005; US-born blacks, OR= 6.17, p=. 06). Compared with US-born white women, immigrant African women (OR=. 18, p<. 001), immigrant Caribbean women (OR=. 11, p=. 001), US-born black women (OR=. 31, p<. 001), and US-born Latinas (OR=. 32, p=. 03) were less likely to want treatment. Conversely, compared with US-born white women, immigrant Latinas (OR= 2.17, p=. 02) were more likely to want treatment. There was a significant stigma-by-immigrant interaction predicting interest in treatment (p<. 001). Stigma reduced the desire for mental health treatment for immigrant women with depression (OR=. 35, p<. 001) to a greater extent than it did for US-born white women with depression (OR=. 52, p=. 24).ConclusionsStigma-related concerns are most common among immigrant women and may partly account for underutilization of mental health care services by disadvantaged women from ethnic minority groups.(Psychiatric Services 58: 1547–1554, 2007)