Mental Health Disparities Among College Students of Color
Mental Health Disparities Among College Students of Color
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有色人种大学生心理健康差异研究
DOI：
10.1016/j.jadohealth.2018.04.014
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发表时间：
2018-09-01
影响因子：
7.6
通讯作者：
Breland-Noble, Alfiee M.
中科院分区：
文献类型：
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作者：
Lipson, Sarah Ketchen;Kern, Adam;Breland-Noble, Alfiee M.
目的：了解有色人种学生的心理健康需求日益成为全国学院和大学校园的首要任务。本研究旨在了解有色人种学生的心理健康状况，包括心理健康问题的患病率和治疗利用情况。 方法：样本由 60 个机构的 43,375 名本科生和研究生组成，他们在 2012 年至 2015 年期间参与了基于调查的健康心理研究。这些数据包括超过 13,000 名有色人种学生；我们分别考察非裔美国人、拉丁裔、亚裔/亚裔美国人和阿拉伯人/阿拉伯裔美国人学生。使用双变量和多变量模型在个体层面上分析数据，以阐明种族/民族之间的差异。我们检查了症状患病率（通过经过验证的屏幕进行测量，例如抑郁症患者健康问卷 9）、寻求帮助行为和相关因素（包括知识和耻辱）。结果：在不同种族/族裔中，我们发现症状患病率存在一定差异，而服务利用率存在较大差异。总体而言，即使在控制回归模型中的其他变量时，有色人种学生的治疗使用率也低于白人学生。亚裔/亚裔美国学生接受治疗的比例最低，在有明显心理健康问题的学生中仅占 20%。对心理健康治疗的态度也有很大差异，这有助于解释主要发现。结论：有色人种大学生代表了一个差异群体，因为相对于白人学生，有色人种大学生的心理健康需求未得到满足的程度更高。本文朝着理解这些需求迈出了重要一步，并指出了对未来研究和实践的影响。 (C) 2018 年青少年健康与医学协会。版权所有。
Purpose: Understanding the mental health needs of students of color is a growing priority on college and university campuses nationwide. This study aims to capture the state of mental health among students of color, including the prevalence of mental health problems and treatment utilization.Methods: The sample is comprised of 43,375 undergraduate and graduate students at 60 institutions that participated in the survey-based Healthy Minds Study from 2012 to 2015. These data include over 13,000 students of color; we look separately at African-American, Latinx, Asian/Asian American, and Arab/Arab American students. Data are analyzed at the individual level using bivariate and multivariate modeling to elucidate variations across race/ethnicity. We examine symptom prevalence (measured by validated screens such as the Patient Health Questionnaire-9 for depression), help-seeking behaviors, and related factors (including knowledge and stigma).Results: Across race/ethnicity, we find modest variation in symptom prevalence and larger variation in service utilization. Overall, treatment use is lower among students of color relative to white students, even when controlling for other variables in regression models. Asian/Asian American students have the lowest prevalence of treatment, at only 20% among those with apparent mental health conditions. Attitudes related to mental health treatment also vary significantly and help to explain the primary findings.Conclusions: College students of color represent a disparities population based on greater levels of unmet mental health needs relative to white students. This paper takes an important step toward understanding these needs and points to implications for future research and practice. (C) 2018 Society for Adolescent Health and Medicine. All rights reserved.