Racial/ethnic differences in perception of need for mental health treatment in a US national sample
Racial/ethnic differences in perception of need for mental health treatment in a US national sample
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DOI：
10.1007/s00127-017-1400-2
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发表时间：
2017-08-01
影响因子：
4.4
通讯作者：
Collins, Rebecca L.
中科院分区：
文献类型：
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作者：
Breslau, Joshua;Cefalu, Matthew;Collins, Rebecca L.
为了使用大量且多样化的流行病学样本来解决有关美国心理健康治疗认知需求方面种族/族裔差异的矛盾证据。对美国非机构化平民人口进行 6 年重复横断面调查的样本进行了合并（N = 232,723）。对三个非西班牙裔群体（白人、黑人和亚裔美国人）和两个西班牙裔群体（英语受访者和西班牙语受访者）的感知需求进行了比较。使用逻辑回归模型来测试不同群体之间精神疾病严重程度与感知治疗需求之间关系的差异。对人口和社会经济特征以及精神疾病严重程度进行统计调整后，与白人相比，所有种族/族裔群体的感知需求均较白人少见。在用英语接受采访的西班牙裔人中，患病率差异（相对于白人）最小，为-5.8%（95% CI -6.5，-5.2%），在用西班牙语接受采访的西班牙裔人中，患病率差异最大，为-11.2%（95% CI -12.4，-10.0%）。在各个严重程度的所有少数种族/族裔群体中，感知需求的普遍性明显较低。特别是，在患有严重精神疾病的人中，患病率差异最大（相对于白人）的是亚裔美国人，为-23.3% (95% CI -34.9, -11.7%)，用西班牙语接受采访的西班牙裔为32.6% (95% CI -48.0, -17.2%)。这项研究解决了经验证据中关于对心理健康治疗的需求存在种族/族裔差异的矛盾；精神疾病的严重程度与没有精神疾病的人之间存在差异。在努力减少精神卫生保健差异时应考虑到这些差异。
To resolve contradictory evidence regarding racial/ethnic differences in perceived need for mental health treatment in the USA using a large and diverse epidemiologic sample.Samples from 6 years of a repeated cross-sectional survey of the US civilian non-institutionalized population were combined (N = 232,723). Perceived need was compared across three non-Hispanic groups (whites, blacks and Asian-Americans) and two Hispanic groups (English interviewees and Spanish interviewees). Logistic regression models were used to test for variation across groups in the relationship between severity of mental illness and perceived need for treatment.Adjusting statistically for demographic and socioeconomic characteristics and for severity of mental illness, perceived need was less common in all racial/ethnic minority groups compared to whites. The prevalence difference (relative to whites) was smallest among Hispanics interviewed in English, -5.8% (95% CI -6.5, -5.2%), and largest among Hispanics interviewed in Spanish, -11.2% (95% CI -12.4, -10.0%). Perceived need was significantly less common among all minority racial/ethnic groups at each level of severity. In particular, among those with serious mental illness, the largest prevalence differences (relative to whites) were among Asian-Americans, -23.3% (95% CI -34.9, -11.7%) and Hispanics interviewed in Spanish, 32.6% (95% CI -48.0, -17.2%).This study resolves the contradiction in empirical evidence regarding the existence of racial/ethnic differences in perception of need for mental health treatment; differences exist across the range of severity of mental illness and among those with no mental illness. These differences should be taken into account in an effort to reduce mental health-care disparities.