Help seeking for mental health care among poor Puerto Ricans: problem recognition, service use, and type of provider.

Help seeking for mental health care among poor Puerto Ricans: problem recognition, service use, and type of provider.
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帮助贫困波多黎各人寻求心理健康护理:问题识别、服务使用和提供者类型。

DOI:
10.1097/00005650-199807000-00011
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发表时间:
1998
期刊:
影响因子:
3
通讯作者:
Peña,M
Peña,M
中科院分区:
医学3区
文献类型:
--
作者:
Vera,M;Alegría,M;FreemanJr,DH;Robles,R;Pescosolido,B;Peña,M

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目的:本研究考察了健康、诱发因素和促成因素对精神健康问题的识别、正式精神卫生保健的使用以及与专业精神卫生提供者的联系的影响。检查的变量包括心理健康的措施;社会和人口因素;和相关的帮助seeking process.Results.Subjective和客观的心理健康措施的因素与认识的心理健康问题。对服务的明确需求的客观评估与使用正式服务有关。然而,受试者对心理健康状况不佳的看法与接受心理健康专家的护理密切相关。虽然与社交网络的互动与使用正式的服务,低经济压力与接受护理从专业sector.Conclusions。结果支持使用多种措施的心理健康问题的重要性。个人的经济压力增加了接受专门护理的可能性,这一发现表明,对使用精神卫生服务的经济障碍的研究可能会受益于通过评估经济情况的措施。
Objectives.This study examines the effects of health, predisposing, and enabling factors on recognition of a mental health problem, use of formal mental health care, and contact with a specialized mental health provider.Methods.Interviews were conducted with a probability sample of 3,435 adults. The variables examined include measures of mental health; social and demographic factors; and enabling factors relevant to the help-seeking process.Results.Subjective and objective measures of mental health were associated with the recognition of a mental health problem. The objective assessment of definite need for services was relevant for the use of formal services. However, the subjects' perception of poor mental health was strongly related to receiving care from a mental health specialist. Although interaction with social networks is associated with use of formal services, low economic strain is related to receiving care from the specialty sector.Conclusions.The results support the importance of using multiple measures of mental health problems. The finding that individuals' perceived economic strain increases the likelihood of receiving specialized care suggests that studies of economic barriers to the use of mental health services might benefit from the adoption of measures that assess perceived economic circumstances.