The role of discrimination and racial identity for mental health service utilization
The role of discrimination and racial identity for mental health service utilization
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DOI：
10.1521/jscp.2007.26.8.960
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发表时间：
2007-10-01
影响因子：
1.7
通讯作者：
Williams, David R.
中科院分区：
文献类型：
--
作者：
Richman, Laura Smart;Kohn-Wood, Laura P.;Williams, David R.
几份报告记录了与白人相比，少数族裔群体（尤其是美国黑人）在心理健康服务利用方面的不同模式。在这项研究中，我们研究了可能造成这些差异的个体变量，重点关注歧视和种族认同的经历。我们使用了居住在中西部大都市区的 1,000 多名美国白人和黑人成年人的社区样本。结果显示，在控制了年龄、性别和心理困扰后，但在考虑社会经济地位和身份之前，歧视或不公平待遇与美国黑人的利用率增加略有相关。对于美国黑人来说，与低种族身份的人相比，那些遭受歧视的高种族身份的人被利用的可能性较低。对于美国白人来说，只有性别和心理困扰与利用有关。结果讨论了种族身份在美国黑人寻求健康行为中可能发挥的作用。
Several reports have documented different patterns in mental health service utilization among ethnic minority groups, particularly for Black Americans, in comparison to Whites. In this research, we examined individual variables that may underlie these differences, focusing on experiences of discrimination and racial identity. We used a community sample of over 1,000 White and Black American adults residing in a large Midwestern metropolitan area. Results showed that discrimination or unfair treatment was marginally associated with increased utilization for Black Americans after controlling for age, gender and psychological distress, but prior to taking SES and identity into account. For Black Americans, those with high racial identity who experienced discrimination reported a lower probability of utilization in comparison to those with low racial identity. For White Americans, only gender and psychological distress were associated with utilization. Results are discussed in terms of the functions that racial identity may play for Black Americans in the context of health seeking behaviors.