Attitudes of older Korean Americans toward mental health services
Attitudes of older Korean Americans toward mental health services
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DOI：
10.1111/j.1532-5415.2007.01125.x
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发表时间：
2007-04-01
影响因子：
6.3
通讯作者：
Chiriboga, David A.
中科院分区：
文献类型：
--
作者：
Jang, Yuri;Kim, Giyeon;Chiriboga, David A.
鉴于越来越多的证据表明，老年少数民族未充分利用心理健康服务，本研究评估了对心理健康服务的态度与老年韩裔美国人（N = 472）的样本的决定因素。适应安德森的行为健康模型，易感因素（年龄，性别，婚姻状况，教育，在美国居住的时间），心理健康需求（焦虑，自杀意念，抑郁症状），和使能因素（个人经历和信仰）被认为是潜在的预测因素。在美国居住时间较短和抑郁症状水平较高与对心理健康服务的消极态度有关。文化影响的个人信念（知识的精神疾病和污名）被发现在塑造个人对精神卫生服务的态度发挥了重要作用。调查结果呼吁注意，需要调查文化如何影响心理健康需求的反应，并制定社区教育和推广计划，以缩小心理健康需求和服务利用率之间的差距，在老年少数民族人口。
Given the increasing evidence that older ethnic minorities underuse mental health services, the present study assessed determinants of attitudes toward mental health services with a sample of older Korean Americans (N = 472). Adapting Andersen's behavioral health model, predisposing factors (age, sex, marital status, education, length of residence in the United States), mental health needs (anxiety, suicidal ideation, depressive symptoms), and enabling factors (personal experiences and beliefs) were considered as potential predictors. Shorter residence in the United States and higher levels of depressive symptoms were associated with more-negative attitudes toward mental health services. Culture-influenced personal beliefs (knowledge about mental illness and stigmatism) were found to play a substantial role in shaping individuals' attitudes toward mental health services. Findings call attention to the need to investigate how culture influences the response to mental health needs and to develop community education and outreach programs to close the gaps between mental health needs and service utilization in older ethnic minority populations.