Mental health care treatment seeking among African Americans and Caribbean Blacks: what is the role of religiosity/spirituality?

Mental health care treatment seeking among African Americans and Caribbean Blacks: what is the role of religiosity/spirituality?
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非裔美国人和加勒比黑人寻求精神卫生保健治疗:宗教/灵性的作用是什么?

DOI:
10.1080/13607863.2018.1453484
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发表时间:
2019
影响因子:
3.4
通讯作者:
Neighbors,HaroldW
Neighbors,HaroldW
中科院分区:
医学2区
文献类型:
--
作者:
Turner,Natalie;Hastings,JuliaF;Neighbors,HaroldW

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目的:随着成年人年龄的增长,使用精神卫生保健服务的可能性降低。特别是在非裔美国人和加勒比黑人等种族/族裔少数群体中,利用不足可能导致生活质量下降,并给家庭、雇主和卫生系统带来巨大成本。方法:本研究利用美国国家生活调查(NSAL)的数据,探讨非裔美国人和加勒比黑人老年人(54岁或以上)和成年人(18-53岁)在精神卫生保健使用和宗教/精神信仰强度之间的关系差异。使用Stata 13.1版本进行描述性统计和逻辑回归分析。结果:对宗教/精神信仰强度的主观评价(OR = 1.26; 95 CI: 0.99, 1.61)、年龄(OR = 0.62; 95 CI: 0.48, 0.81)和性别(OR = 1.59; 95 CI: 1.25, 2.02)与寻求精神卫生保健的几率显著相关。此外,生活在南方的人不太可能寻求精神卫生保健服务(OR = 0.47; 95 CI: 0.37, 0.60)。结论:强烈的宗教/精神信仰可能促进心理保健的使用。未来的研究应检验不同人口群体中宗教/精神信仰对心理保健使用的影响。
Objectives:As adults increase in age, the likelihood for using mental health care services decrease. Underutilization, expecially among racial/ethnic minorities such as African American and Caribbean Blacks, can result in a decrease in quality of life, as well as significant costs to families, employers, and health systems.Methods:The study explored the differences in relationships between mental health care usage and strength of religious/spiritual beliefs between African American and Caribbean Black older adults (54 years or older) and adults (18–53 years) using data from the National Survey of American Life (NSAL). Descriptive statistics and logistic regression analyses were conducted using Stata version 13.1.Results:Subjective ratings about the strength of religious/spiritual beliefs (OR = 1.26; 95 CI: 0.99, 1.61), age (OR = 0.62; 95 CI: 0.48, 0.81), and sex (OR = 1.59; 95 CI: 1.25, 2.02) were significantly associated with the odds of seeking mental health care. Additionally, persons living in the South were less likely to seek mental health care services (OR = 0.47; 95 CI: 0.37, 0.60).Conclusion:Strong religious/spiritual beliefs may promote mental health care usage. Future studies should examine the strength of religious/spiritual beliefs on mental health care usage among different demographic groups.
老年人的灵性和健康状况
DOI: --
发表时间: 2002
影响因子: 2.8
作者:
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