Use of mental health services and subjective satisfaction with treatment among Black Caribbean immigrants: Results from the National Survey of American Life
Use of mental health services and subjective satisfaction with treatment among Black Caribbean immigrants: Results from the National Survey of American Life
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DOI：
10.2105/ajph.2006.088500
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发表时间：
2007-01-01
影响因子：
12.7
通讯作者：
Baser, Raymond
中科院分区：
文献类型：
--
作者：
Jackson, James S.;Neighbors, Harold W.;Baser, Raymond
目标。我们调查了在美国出生的加勒比黑人和移民的加勒比黑人群体中正规精神科服务的使用率及其相关性。我们比较了加勒比黑人和非裔美国人的总体精神卫生服务使用情况，并检查了样本内加勒比黑人的种族差异，包括种族血统(西班牙加勒比人、海地人和英属加勒比人)、出生身份(出生在美国或美国以外的人)、在美国生活的年数、移民时的年龄和代际地位。非洲裔美国人和加勒比黑人使用正规精神卫生保健服务的比率相对较低。在加勒比黑人中，世代地位和出生状况对报告的使用率、满意度和感知的帮助程度的影响最大。在那些符合《精神疾病诊断和统计手册》第四版定义的障碍标准的研究参与者中，约有三分之一使用了正式的精神卫生保健服务。在美国出生的受试者比第一代移民更有可能接受护理。我们的研究强调了种族分类中种族、移民和移民相关因素的重要性，因为这与美国精神卫生服务的使用有关。我们的发现表明，移民的时机和加勒比黑人移民和祖先群体的世代地位对正规精神卫生服务的使用率和使用来源、相对满意度和帮助感知方面的重要差异起到了作用。
Objectives. We examined the use rates and correlates of formal psychiatric services among the US-born and immigrant Caribbean Black population.Methods. We compared overall mental health service use in samples of Caribbean Blacks and African Americans and examined the within-sample ethnic variation among Caribbean Blacks, including for ethnic origin (Spanish Caribbean, Haiti, and English Caribbean), nativity status (those born in or outside the United States), number of years spent living in the United States, age at the time of immigration, and generational status.Results. African Americans and Caribbean Blacks used formal mental health care services at relatively low rates. Among Caribbean Blacks, generational status and nativity showed the greatest effects on rates of reported use, satisfaction, and perceived helpfulness. Of those study participants who met the criteria for disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, about one third used formal mental health care services. The US-born subjects were more likely to receive care than were first-generation immigrants.Conclusions. Our study underscores the importance of ethnicity, immigration, and migration-related factors, within racial categorization, as it pertains to the use of mental health services in the United States. Our findings suggest that timing of migration and generational status of Caribbean Black immigrants and ancestry groups contribute to important differences in rates and sources of use, relative satisfaction, and perception of helpfulness, with regard to formal mental health services.