Use of specialty mental health services by Asian Americans with psychiatric disorders.
Use of specialty mental health services by Asian Americans with psychiatric disorders.
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DOI：
10.1037/a0017065
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发表时间：
2009-10
影响因子：
5.9
通讯作者：
Takeuchi, David T.
中科院分区：
文献类型：
--
作者：
Le Meyer, Oanh;Zane, Nolan;Cho, Young Il;Takeuchi, David T.
研究表明，亚裔美国人对心理健康服务的利用不足，但对利用心理健康服务的多种因素的理解尚未在全国代表性样本中得到检验。目前的研究分析了来自全国拉丁裔和亚裔美国人研究（NLAAS）的数据，并检查了368名患有精神障碍的个体，以了解专业精神卫生服务的利用情况以及与利用相关的因素。亚裔美国人明显未充分利用；此外，利用不足在亚裔美国移民中尤为严重。对于美国出生的亚裔美国人来说，初级保健服务的使用与心理健康服务的使用显著相关，但对于外国出生的亚裔美国人来说，初级保健服务的使用与心理健康服务的使用无关。对于在美国出生和在外国出生的亚裔美国人来说，使用替代服务似乎对患有精神障碍的亚裔美国人是否利用心理健康服务有显著影响，但影响的性质取决于个人的英语熟练程度。这些发现揭示了一个主要的心理健康差异，即亚裔美国人对心理健康服务的利用不足，与其他健康相关服务的使用和移民相关因素有细微差别。
Research suggests that Asian Americans underutilize mental health services but an understanding of the multiple factors involved in utilization has not been examined in a nationally representative sample. The current study analyzed data from the National Latino and Asian American Study (NLAAS) and examined 368 individuals with disorders to understand utilization and what factors were related to the utilization of specialty mental health services. Significant underutilization was found for Asian Americans; moreover, underutilization was especially acute among Asian American immigrants. For U.S.-born Asian Americans, use of primary care services was significantly associated with use of mental health services, but for foreign-born Asian Americans, use of primary care services was unrelated to mental health services use. For both U.S.-born and foreign-born Asian Americans, use of alternative services appeared to significantly affect whether Asian Americans with disorders utilize mental health services, but the nature of the influence varied depending on the individual’s level of English-language proficiency. These findings revealed that a major mental health disparity, the underutilization of mental health services by Asian Americans, was nuanced by use of other health-related services and immigration-related factors.
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