Depression, Help-Seeking and Self-Recognition of Depression among Dominican, Ecuadorian and Colombian Immigrant Primary Care Patients in the Northeastern United States.
Depression, Help-Seeking and Self-Recognition of Depression among Dominican, Ecuadorian and Colombian Immigrant Primary Care Patients in the Northeastern United States.
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DOI：
10.3390/ijerph120910450
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发表时间：
2015-08-27
影响因子：
--
通讯作者：
Buyske S
中科院分区：
文献类型：
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作者：
Caplan S;Buyske S
拉丁美洲人是美国最大的少数群体，他们经历着心理健康方面的差异，包括获得护理的机会减少，护理质量降低和治疗参与减少。177拉丁美洲移民在初级保健的横断面研究的目的是确定人口因素，态度和信仰，如耻辱，感知压力和种族认同与抑郁症，寻求帮助和自我认识抑郁症。结果显示，45名参与者（25%）有抑郁症的患者健康问卷（PHQ-9）的标准。最可能与抑郁症相关的因素是：贫困;功能障碍;更大的躯体症状，感知的压力和耻辱;慢性疾病的数量;以及自我评估的心理健康状况差或一般。54人赞成求助。与寻求帮助相关的因素包括：女性、功能障碍、更严重的躯体症状、抑郁的严重程度、别人告诉你你有情绪问题，以及自我评估的心理健康状况不佳或一般。最可能与自我认知相关的因素是相同的，但也包括更大的感知压力。这份手稿有助于文献研究的态度因素，可能与抑郁症，寻求帮助和自我认识的亚种族群体的拉丁美洲人，在研究中代表性不足。
Latinos, the largest minority group in the United States, experience mental health disparities, which include decreased access to care, lower quality of care and diminished treatment engagement. The purpose of this cross-sectional study of 177 Latino immigrants in primary care is to identify demographic factors, attitudes and beliefs, such as stigma, perceived stress, and ethnic identity that are associated with depression, help-seeking and self-recognition of depression. Results indicated that 45 participants (25%) had depression by Patient Health Questionnaire (PHQ-9) criteria. Factors most likely to be associated with depression were: poverty; difficulty in functioning; greater somatic symptoms, perceived stress and stigma; number of chronic illnesses; and poor or fair self-rated mental health. Fifty-four people endorsed help-seeking. Factors associated with help-seeking were: female gender, difficulty in functioning, greater somatic symptoms, severity of depression, having someone else tell you that you have an emotional problem, and poor or fair self-rated mental health. Factors most likely to be associated with self-recognition were the same, but also included greater perceived stress. This manuscript contributes to the literature by examining attitudinal factors that may be associated with depression, help-seeking and self-recognition among subethnic groups of Latinos that are underrepresented in research studies.