Preferences for Depression Help-Seeking Among Vietnamese American Adults
Preferences for Depression Help-Seeking Among Vietnamese American Adults
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DOI：
10.1007/s10597-017-0199-3
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发表时间：
2018-08-01
影响因子：
2.7
通讯作者：
Nguyen, Tung T.
中科院分区：
文献类型：
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作者：
Kim-Mozeleski, Jin E.;Tsoh, Janice Y.;Nguyen, Tung T.
文化影响求助偏好。我们通过电话调查（N = 1666）研究了越南裔美国人对抑郁症状的求助偏好。介绍了一个描述年龄和性别匹配的抑郁症患者的小插曲，受访者从一系列选项中进行选择，并就他们的求助偏好提供开放式回答。结果显示，78.3%的人会寻求专业帮助，无论是从家庭医生，心理健康提供者，或两者兼而有之; 54.4%的人更喜欢寻求家庭医生的帮助，而不是从心理健康提供者。大多数人（82.1%）更愿意与家人或朋友交谈，62.2%更愿意查找信息，50.1%更愿意获得精神帮助。Logistic回归分析显示，对非专业寻求帮助的选择（如与朋友或家人交谈，查找信息和获得精神帮助），医疗保健的获得和感知的健康状况不佳的偏好与更喜欢专业寻求帮助的几率增加有关。这项以越南裔美国人为基础的研究强调了提供抑郁症教育和有效求助资源的有希望的渠道，特别是家庭医生和社交网络的重要性。此外，消除获得护理方面的障碍仍然是促进寻求专业帮助的一个关键组成部分。
Culture impacts help-seeking preferences. We examined Vietnamese Americans' help-seeking preferences for depressive symptoms, through a telephone survey (N = 1666). A vignette describing an age- and gender-matched individual with depression was presented, and respondents chose from a list of options and provided open-ended responses about their help-seeking preferences. Results showed that 78.3% would seek professional help, either from a family doctor, a mental health provider, or both; 54.4% preferred to seek help from a family doctor but not from a mental health provider. Most (82.1%) would prefer to talk to family or friends, 62.2% would prefer to look up information, and 50.1% would prefer to get spiritual help. Logistic regression analysis revealed that preferences for non-professional help-seeking options (such as talking to friends or family, looking up information, and getting spiritual help), health care access, and perceived poor health, were associated with increased odds of preferring professional help-seeking. This population-based study of Vietnamese Americans highlight promising channels to deliver education about depression and effective help-seeking resources, particularly the importance of family doctors and social networks. Furthermore, addressing barriers in access to care remains a critical component of promoting professional help-seeking.