Effect of discrimination on mental health service utilization among Chinese Americans
Effect of discrimination on mental health service utilization among Chinese Americans
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DOI：
10.2105/ajph.94.5.809
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发表时间：
2004-05-01
影响因子：
12.7
通讯作者：
Chen, J
中科院分区：
文献类型：
--
作者：
Spencer, MS;Chen, J
目标。我们在华裔美国人的代表性样本中检验了歧视与心理健康服务使用之间的关系。我们的数据来源于两波美籍华人精神病学流行病学调查，这是一项于1993年和1994年在美国西部城市进行的分层聚类调查。基于语言的歧视与更多地使用非正式服务以及在情感问题上向朋友和亲戚寻求帮助有关。对专业精神卫生服务的消极态度与更多地使用非正式服务有关。研究结果表明，基于语言的歧视影响了华裔美国人使用心理健康服务的模式。对服务提供者和政策制定者的影响进行了讨论。
Objectives. We examined the association between discrimination and mental health service use among a representative sample of Chinese Americans.Methods. Our data were derived from the 2-wave Chinese American Psychiatric Epidemiological Survey, a strata-cluster survey conducted in 1993 and 1994 in a western American city.Results. Language-based discrimination was associated with higher levels of use of informal services and seeking help from friends and relatives for emotional problems. Negative attitudes toward professional mental health services were associated with greater use of informal services.Conclusions. The findings suggest that language-based discrimination influences patterns of mental health service use among Chinese Americans. Implications for service providers and policymakers are discussed.