Trauma Exposure, Mental Health, and Service Utilization Rates Among Immigrant and United States-Born Hispanic Youth: Results From the Hispanic Family Study
Trauma Exposure, Mental Health, and Service Utilization Rates Among Immigrant and United States-Born Hispanic Youth: Results From the Hispanic Family Study
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DOI：
10.1037/a0019021
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发表时间：
2010-03-01
影响因子：
6.3
通讯作者：
Silcott, Lauren
中科院分区：
文献类型：
--
作者：
Bridges, Ana J.;de Arellano, Michael A.;Silcott, Lauren
尽管美国最大的移民群体是西班牙裔，但人们对他们的创伤经历和精神疾病发病率知之甚少，尤其是年轻人。对成年人的调查结果表明，与长期居民或在美国出生的西班牙裔美国人相比，新移民的精神疾病发病率较低，但使用健康相关服务的频率较低。本研究在131名外国出生的（64.5%）和72名美国出生的（35.5%）西班牙裔青年（8-17岁）及其照顾者的子集（n = 110）的方便样本中检验了这种关系。来自青年访谈数据的发现表明，移民和美国出生的青年在潜在创伤事件或精神疾病的经历方面没有显著差异。然而，来自护理人员访谈数据的发现表明，在医生和其他医疗专业人员的卫生服务利用率方面，两组之间存在显著差异，护理人员报告说，外国出生的年轻人使用这些卫生服务的比率低于美国出生的年轻人。结果将结合先前的调查结果和为提高服务利用率提出的建议加以讨论。
Although the largest immigrant group in the United States is Hispanic, little is known about their rates of traumatic experiences and psychiatric disorders, particularly for youth. Findings with adults suggest that recent immigrants have lower rates of mental illness than long-time residents or U.S.-born Hispanics, but use health-related services less often. The present study examined this relationship in a convenience sample of 131 foreign-born (64.5%) and 72 U.S.-born (35.5%) Hispanic youth, ages 8-17 years and a subset of their caregivers (n = 110). Findings from youth interview data suggest that immigrant and U.S.-born youth did not differ significantly in experiences of potentially traumatizing events or psychiatric disorders. However, findings from caregiver interview data suggest that there were significant disparities between the two groups in health service utilization for doctors and other medical professionals, with caregivers reporting that foreign-born youth utilize these health services at lower rates than U.S.-born youth. Results are discussed in the context of prior findings and recommendations offered for increasing service utilization.