Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013-2021.

Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013-2021.
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DOI:
10.1016/j.jad.2022.03.038
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发表时间:
2022-06-01
影响因子:
6.6
通讯作者:
Eisenberg D
Eisenberg D
中科院分区:
医学2区
文献类型:
--
作者:
Lipson SK;Zhou S;Abelson S;Heinze J;Jirsa M;Morigney J;Patterson A;Singh M;Eisenberg D

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在不同种族和族裔的青少年和年轻成年人群体中,围绕心理健康趋势存在着相当大的知识差距。本研究的目的是检查年度趋势的心理健康和寻求帮助的种族/民族在全国样本的大学生。调查数据来自373所校园的35万多名学生,他们在2013年至2021年期间参加了健康思想研究。分析是描述性的,侧重于每年的流行率和每个种族/族裔群体的求助率。在2020-2021年,超过60%的学生符合一个或多个心理健康问题的标准,比2013年增加了近50%。在研究期间,所有群体的心理健康状况都有所恶化。美国印第安人/阿拉斯加原住民学生在抑郁、焦虑、自杀意念和符合一个或多个心理健康问题标准方面的增长幅度最大。有色人种学生的心理健康服务利用率最低。亚裔、黑人和拉丁裔学生去年接受治疗的最高年比率等于或低于白色学生的最低比率。虽然阿拉伯裔美国学生的患病率增加了22%,但治疗率下降了18%。应答率提高了无应答偏倚的可能性。样本权重沿着已知特征进行调整,但未观察到的特征可能存在差异。研究结果对校园心理健康规划具有重要意义,并强调了通过在临床环境和系统级变革中确定和实施最佳实践来减少大学生群体心理健康不平等的紧迫性。
A considerable gap in knowledge exists around mental health trends in diverse racial and ethnic adolescent and young adult populations. The purpose of this study is to examine annual trends for mental health and help-seeking by race/ethnicity in a national sample of college students. Survey data come from >350,000 students at 373 campuses that participated in the Healthy Minds Study between 2013–2021. Analyses are descriptive in nature focusing on year-by-year prevalence and help-seeking rates for each racial/ethnic group. In 2020–2021, >60% of students met criteria for one or more mental health problems, a nearly 50% increase from 2013. Mental health worsened among all groups over the study period. American Indian/Alaskan Native students experienced the largest increases in depression, anxiety, suicidal ideation, and meeting criteria for one or more mental health problem. Students of color had the lowest rates of mental health service utilization. The highest annual rate of past-year treatment for Asian, Black, and Latinx students was at or below the lowest rate for White students. Although Arab American students experienced a 22% increase in prevalence, there was an 18% decrease in treatment. Response rates raise the potential of nonresponse bias. Sample weights adjust along known characteristics, but there may be differences on unobserved characteristics. Findings have important implications for campus mental health programming and underscore the urgency of reducing mental health inequalities in college student populations through the identification and implementation of best practices both in clinical settings and through system-level change.
在美国年轻人的多个种族样本中,与19岁相关的反亚洲歧视和情感反应的经历。
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发表时间: 2021-08-18
期刊: BMC public health
影响因子: 4.5
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