MENTAL HEALTH AND ABUSE AMONG NATIVE WOMEN IN PRIMARY CARE

现有的非常有限的信息表明，美洲原住民妇女 患有较高比例的常见心理障碍，如 抑郁、焦虑、共病和药物滥用障碍。研究 在其他种群中表明，相当大比例的 女性中的心理问题与目前或一种 家庭暴力史、儿童身体、心理和性 虐待和其他类型的与暴力有关的创伤。基层医疗服务 贫困妇女出席关注由以下原因引起的问题的环境 创伤性的生活经历，因此，可能得不到适当的 精神健康诊断和/或治疗。常见病患者 心理障碍也是已知的使用初级卫生保健服务 比其他人更频繁，构成了经济负担 系统。这项为期三年的研究项目将进一步研究这些问题。 通过(A)流行率研究确定土著人口的比例 有常见心理障碍的美国妇女在小学 CARE(B)一项病例对照研究，以确定 心理障碍和当前或以前的虐待和(C)后续-- 确定普通心理学过程和结果的UP研究 美国原住民妇女在初级保健中的疾病。对于流行率 研究，我们计划采访500名美洲原住民妇女 18和44在IHS资助的设施中提供初级保健。为 病例对照及随访研究，计划访谈100例病例 心理障碍和合并症检测呈阳性和100 心理障碍检测结果为阴性的对照。印度人的健康状况 服务部门已经确定了在以下领域最高研究优先事项 美国原住民的心理健康需要更多的社区基础 估计疾病，以及更好地了解服役情况 利用与求助行为。这项研究解决了这两个问题 已确定的需求。

The very limited information available suggests that Native American women suffer from high rates of common psychological disorders, such as depression, anxiety, co-morbidity, and substance abuse disorders. Studies in other populations suggest that a significant proportion of the psychological problems among women are associated with current or a history of domestic violence, child physical, psychological and sexual abuse and other types of violence related trauma. Primary medical care settings where poor women present for attention to problems stemming from traumatic life experiences and therefore, may not receive appropriate mental health diagnosis and/or treatment. Patients with common psychological disorders are also known to use primary health care services more frequently than others, constituting a financial burden to the system. This three year research project will examine these issues further through (a) prevalence study to determine the proportion of Native American women with common psychological disorders who present in primary care (b) a case control study to determine the association between common psychological disorders and current or antecedent abuse and (c) a follow- up study to determine the course and outcome of common psychological disorders among Native American women in primary care. For the prevalence study, we plan to interview 500 Native American women between the uses of 18 and 44 presenting for primary care at thee IHS funded facilities. For the case control and follow-up study, we plan to interview 100 cases testing positive for psychological disorders and co-morbidity and 100 controls testing negative for a psychological disorder. The Indian Health Service has determine that the highest research priority in the area of Native American mental health is the need for more community based estimation of illness, and for a better understanding of service utilization and help-seeking behavior. This study addresses both of those identified needs.