Perceived need for care among low-income immigrant and U.S.-born black and Latina women with depression.
Perceived need for care among low-income immigrant and U.S.-born black and Latina women with depression.
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低收入移民以及美国出生的患有抑郁症的黑人和拉丁裔女性认为需要护理。
DOI：
10.1089/jwh.2008.0898
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Miranda,Jeanne
中科院分区：
文献类型：
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作者：
Nadeem,Erum;Lange,JaneM;Miranda,Jeanne
目的：研究心理健康问题的感知护理需求是否可能导致低收入抑郁症女性接受护理的种族差异。方法：研究种族、躯体化和污名与感知的护理需求之间的关系。研究对象为1,577名符合抑郁症诊断标准的低收入女性。结果：与在美国出生的抑郁症白人女性相比，多数少数民族抑郁症女性认为需要心理健康护理的可能性较小(黑人移民：OR 0.30，p<； 0.001；美国出生的黑人：or 0.43，p<； 0.001；拉丁裔移民：or 0.52，p<； 0.01)。与耻辱相关的担忧降低了感觉到需要心理健康护理的可能性(OR0.80，p<； 0.05)。有多个躯体症状(OR1.57，p<； 0.001)增加了认可感知需求的可能性。结论：研究结果表明，低收入和少数族裔女性对精神卫生保健的感知需求存在种族差异，这可能是低收入和少数族裔女性抑郁照顾率较低的部分原因。污名、躯体化和感知需求之间的关系在不同种族之间惊人地相似。
Purpose:To examine perceived need for care for mental health problems as a possible contributor to ethnic disparities in receiving care among low-income depressed women.Methods:The role of ethnicity, somatization, and stigma as they relate to perceived need for care is examined. Participants were 1577 low-income women who met criteria for depression.Results:Compared with U.S.-born depressed white women, most depressed ethnic minority women were less likely to perceive a need for mental health care (black immigrants: OR 0.30,p< 0.001; U.S.-born blacks: OR 0.43,p< 0.001; immigrant Latinas: OR 0.52,p< 0.01). Stigma-related concerns decreased the likelihood of perceiving a need for mental health care (OR 0.80,p< 0.05). Having multiple somatic symptoms (OR 1.57,p< 0.001) increased the likelihood of endorsing perceived need.Conclusions:Findings suggest that there are ethnic differences in perceived need for mental healthcare that may partially account for the low rates of care for depression among low-income and minority women. The relations among stigma, somatization, and perceived need were strikingly similar across ethnic groups.