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首页> 外文学位 >Race differences in mental health services for depression and anxiety: Treatment rates, settings, and quality among whites, blacks, and Latinos in the Collaborative Psychiatric Epidemiology Surveys.
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Race differences in mental health services for depression and anxiety: Treatment rates, settings, and quality among whites, blacks, and Latinos in the Collaborative Psychiatric Epidemiology Surveys.

机译：针对抑郁症和焦虑症的心理健康服务中的种族差异：白人，黑人和拉丁美洲人在精神病流行病学合作调查中的治疗率，环境和质量。

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摘要

BACKGROUND: As the racial composition of the U.S. population grows ever more diverse, landmark healthcare legislation holds the promise of reducing long-standing race disparities in health.;OBJECTIVES: This study examines Latino- and black-white differences in 12-month rates of mental health (MH) service use, the specific settings in which services are received, and the adequacy of the services rendered. It focuses specifically on care for depression and anxiety disorders, the two most common forms of mental illness in the U.S.;DATA: Data are from the Collaborative Psychiatric Epidemiology Surveys (CPES) project, which combined three representative surveys of mental health and MH service use among American adults. Focused on the influence of race and ethnicity, CPES component surveys oversampled nonwhite respondents. Core diagnostic assessment was completed using the Composite International Diagnostic Interview (CIDI).;METHODS: MH service use included use of any of five sectors: psychiatry (PSY), other mental health specialty (OMH), general medical (GM), human services (HS), and complementary-alternative medicine (CAM). Multi-sector service profiles included PSY, OMH with GM, OMH-only, GM-only, HS-only, and CAM-only. Adequate care was defined as psychotherapy (i.e., eight or more visits to psychiatrist or other MH specialist lasting at least 30 minutes) and/or pharmacotherapy (i.e., four or more visits to psychiatrist or other physician plus use of suitable prescription medication for at least 60 days).;RESULTS: Latinos and blacks were less likely than whites to receive any services. Compared to whites, black service users were less likely to use the GM-only profile and more likely to use the HS-only profile. Among service users with depression and anxiety disorders, blacks were less likely than whites to receive adequate psycho- or pharmacotherapeutic services. Among those reporting use of prescription medications, both blacks and Latinos were more likely than whites to have taken medications other than those recommended for their particular disorders.;CONCLUSIONS: Each year, many depressed and anxious Americans go undertreated or untreated altogether, and these shortfalls are more pronounced among Latinos and especially blacks than among whites. Future research should investigate the influence of race differences in self-perceived need and beliefs and attitudes about mental health and mental healthcare.
机译：背景：随着美国人口种族组成的多样化，具有里程碑意义的医疗保健立法有望减少长期存在的健康种族差异。目标：本研究调查了12个月的拉丁裔和黑人之间的差异心理健康（MH）服务的使用，接收服务的特定设置以及所提供服务的充分性。它特别关注于抑郁和焦虑症的护理，这是美国最常见的两种精神疾病形式；数据：数据来自“协作精神病流行病学调查”（CPES）项目，该项目结合了对精神健康和MH服务使用的三项代表性调查在美国成年人中。 CPES组件调查着重于种族和种族的影响，对非白人受访者的抽样过度。核心诊断评估是通过综合国际诊断访谈（CIDI）完成的。方法：MH服务的使用包括五个部门中的任何一个的使用：精神病学（PSY），其他精神卫生专业（OMH），普通医疗（GM），人类服务（HS）和补充替代医学（CAM）。多部门服务配置文件包括PSY，带有GM的OMH，仅OMH，仅GM，仅HS和仅CAM。适当的护理被定义为心理治疗（即，对精神科医生或其他MH专家进行至少八次就诊，持续至少30分钟）和/或药物疗法（即对精神科医生或其他医师进行四次或更多次就诊，并至少使用适当的处方药） 60天）；结果：拉丁美洲人和黑人接受白人服务的可能性低于白人。与白人相比，黑人服务用户不太可能使用仅GM的配置文件，而更可能使用仅HS的配置文件。在患有抑郁症和焦虑症的服务使用者中，黑人比白人接受适当的心理或药物治疗服务的可能性更低。在那些报告使用处方药的人中，黑人和拉丁裔比白人更倾向于服用针对特定疾病而推荐的药物。;结论：每年，许多沮丧和焦虑的美国人完全未得到充分治疗或未得到治疗，这些不足之处在拉丁美洲人中，尤其是黑人中，白人比白人更明显。未来的研究应调查种族差异对自我感知的需求以及对心理健康和心理保健的信念和态度的影响。

著录项

  • 作者

    Szymkowiak, Dorota M.;

  • 作者单位

    Rutgers The State University of New Jersey - New Brunswick.;

  • 授予单位 Rutgers The State University of New Jersey - New Brunswick.;
  • 学科 African American Studies.;Black Studies.;Health Sciences Mental Health.;Psychology Clinical.;Sociology Public and Social Welfare.;Hispanic American Studies.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 210 p.
  • 总页数 210
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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