Attitudes About the VA Health-Care Setting, Mental Illness, and Mental Health Treatment and Their Relationship With VA Mental Health Service Use Among Female and Male OEF/OIF Veterans
Attitudes About the VA Health-Care Setting, Mental Illness, and Mental Health Treatment and Their Relationship With VA Mental Health Service Use Among Female and Male OEF/OIF Veterans
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DOI：
10.1037/a0038269
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发表时间：
2015-02-01
影响因子：
2.3
通讯作者：
Vogt, Dawne
中科院分区：
文献类型：
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作者：
Fox, Annie B.;Meyer, Eric C.;Vogt, Dawne
在本研究中，作者探讨了对持久自由行动/伊拉克自由行动(OEF/OIF)退伍军人的态度障碍和关爱促进者的性别差异，并考察了这些因素与退伍军人心理健康服务使用的关系，其中男性和女性退伍军人可能存在心理健康问题。数据是作为对OEF/OIF退伍军人的全国横断面调查的一部分收集的；目前的样本仅限于可能被诊断为创伤后应激障碍、抑郁症或酗酒的参与者(N=278)。尽管在对退伍军人管理局的护理和自我适应的态度上观察到的性别差异可以忽略不计，但男性报告的对精神疾病和心理健康治疗的负面看法略多于女性。此外，Logistic回归表明，女性和男性使用退伍军人精神卫生服务的情况不同。仅对女性而言，对退伍军人管理局护理的积极看法与寻求心理健康治疗的可能性增加有关。仅就男性而言，感知到与其他退伍军人管理局护理使用者的相似性和对心理健康治疗的负面信念与使用服务的可能性增加相关，而对精神疾病的负面信念与使用服务的可能性较低相关。对于女性和男性来说，认为有权获得退伍军人管理局护理与使用服务的可能性增加有关，而对寻求治疗的负面信念与过去6个月寻求精神卫生保健的可能性降低有关。结果支持有必要进行量身定制的外展活动，以解决男女退伍军人心理健康治疗方面的独特障碍。
In the present study, the authors explored gender differences in attitudinal barriers to and facilitators of care for Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans and examined the relationship of those factors with VA mental health service use among female and male veterans with probable mental health conditions. Data were collected as part of a national cross-sectional survey of OEF/OIF veterans; the current sample was limited to participants with a probable diagnosis of post-traumatic stress disorder, depression, or alcohol abuse (N = 278). Although negligible gender differences were observed in attitudes about VA care and perceived fit in the VA setting, men reported slightly more negative beliefs about mental illness and mental health treatment than women. In addition, logistic regressions revealed different associations with VA mental health service use for women and men. For women only, positive perceptions of VA care were associated with increased likelihood of seeking mental health treatment. For men only, perceived similarity to other VA care users and negative beliefs about mental health treatment were associated with increased likelihood of service use, whereas negative beliefs about mental illness were associated with lower likelihood of service use. For both women and men, perceived entitlement to VA care was associated with increased likelihood of service use and negative beliefs about treatment-seeking were associated with a reduced likelihood of seeking mental health care in the past 6 months. Results support the need for tailored outreach to address unique barriers to mental health treatment for female and male OEF/OIF veterans.