Access to mental health treatment by English language proficiency and race/ethnicity.
Access to mental health treatment by English language proficiency and race/ethnicity.
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DOI：
10.1007/s11606-007-0345-7
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发表时间：
2007-11
影响因子：
5.7
通讯作者：
Snowden, Lonnie
中科院分区：
文献类型：
--
作者：
Sentell, Tetine;Shumway, Martha;Snowden, Lonnie
有限的英语水平（LEP）可能会导致心理健康护理的差异，但经验数据是有限的。本研究的目的是使用LEP的直接测量来量化种族/民族精神卫生保健的语言障碍。本研究的设计是对2001年加州健康访谈调查的横断面分析。提供语言数据的18至64岁成年人（n = 41，984）是研究的参与者。参与者根据自我报告的英语水平和在家使用的语言分为三组：（1）只说英语，（2）双语和（3）非英语。心理健康治疗是通过那些报告心理健康需求的人自我报告的心理健康服务的使用来衡量的。在控制其他因素的情况下，非英语母语的人接受所需服务的几率低于只说英语的人（OR：0.28; 95%CI：0.17-0.48）。在种族/族裔群体中，这种关系甚至更显着：与只说英语的亚洲人/PI和拉丁美洲人相比，非英语亚洲人/PI（OR = 0.15; 95% CI：0.30-0.81）和非英语拉丁美洲人（OR：0.19; 95% CI：0.09-0.39）接受服务的几率明显较低。LEP与精神卫生保健的使用率较低有关。由于LEP集中在亚洲/PI和拉丁美洲人中，它似乎有助于精神卫生保健中的种族/民族差异。在心理健康实践和政策中，对LEP的高度关注是必要的。
Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited. To quantify the language barriers to mental health care by race/ethnicity using a direct measure of LEP is the objective of the study. Cross-sectional analysis of the 2001 California Health Interview Survey is the study’s design. Adults aged 18 to 64 who provided language data (n = 41,984) were the participants of the study. Participants were categorized into three groups by self-reported English proficiency and language spoken at home: (1) English-speaking only, (2) Bilingual, and (3) Non-English speaking. Mental health treatment was measured by self-reported use of mental health services by those reporting a mental health need. Non-English speaking individuals had lower odds of receiving needed services (OR: 0.28; 95% CI: 0.17–0.48) than those who only spoke English, when other factors were controlled. The relationship was even more dramatic within racial/ethnic groups: non-English speaking Asian/PIs (OR = 0.15; 95% CI: 0.30–0.81) and non-English speaking Latinos (OR: 0.19; 95% CI: 0.09–0.39) had significantly lower odds of receiving services compared to Asian/PIs and Latinos who spoke only English. LEP is associated with lower use of mental health care. Since LEP is concentrated among Asian/PIs and Latinos, it appears to contribute to racial/ethnic disparities in mental health care. Heightened attention to LEP is warranted in both mental health practice and policy.
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