首页> 外文学位 >Behavioral Health among Foreign-Born and U.S.-Born Emerging Adults: Barriers to Seeking Services, College Enrollment Status, and Service Utilization.
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Behavioral Health among Foreign-Born and U.S.-Born Emerging Adults: Barriers to Seeking Services, College Enrollment Status, and Service Utilization.

机译:外国出生和美国出生的成年人的行为健康:寻求服务,大学入学状况和服务使用的障碍。

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摘要

Behavioral health problems are a leading cause of disability and a major public health issue in the United States. Compared to other adult age groups, emerging adults aged 18 to 29 experience more behavioral health problems. Although transitioning to adulthood may provide growth opportunities, it can also be a time of increased vulnerability and risk as emerging adults often face challenges in emotional, educational, and professional transitions. The United States has also seen rapid growth in the foreign-born emerging adult population as well as growing health disparities among immigrant and minority groups; however, prior research investigating behavioral health service use of emerging adults has largely been limited to homogeneous samples of college students. Using the Behavioral Model for Vulnerable Populations, this study explored factors associated with patterns of behavioral health service use across a diverse national sample of emerging adults by nativity status (foreign-born, U.S.-born) and college enrollment status (college student, non- student). A subsample of 6,696 emerging adults from the 2012 Agency for Healthcare Research and Quality Medical Expansion Panel Study was used for this study. Multiple hierarchical binomial logistic regression analyses were performed to determine which factors predicted patterns of behavioral health service use among emerging adult groups. Employed (foreign-born) and Black (all groups except foreign-born) emerging adults were less likely to use services compared to unemployed and White emerging adults, respectively. Preference for English language (non-college students), shorter duration in the United States (college students), and having insurance (all groups except foreign-born) was associated with service use. Those with middle and high income backgrounds (college students) were less likely to use services compared to poor students. Having higher perceived mental health status (all groups except college students) and higher general mental health status (all groups) predicted less service use. Although certain factors were consistently predictive of service use among emerging adult groups, there were differences that necessitate further research. Findings clearly portray the need for greater awareness and consideration of factors related to service use on healthcare policy and higher education program initiatives especially as they relate to promoting health equity and successful transition to adulthood.
机译:行为健康问题是导致残疾的主要原因,也是美国的主要公共健康问题。与其他成年年龄组相比,年龄在18至29岁之间的新兴成年人会遇到更多的行为健康问题。尽管过渡到成年可能会提供增长机会,但也可能是脆弱性和风险增加的时期,因为新兴成年人通常在情感,教育和职业过渡中面临挑战。美国还看到外国出生的新兴成年人口迅速增长,以及移民和少数族裔之间的健康差距日益扩大。然而,先前调查新兴成年人行为健康服务使用的研究在很大程度上仅限于同类大学生。本研究使用弱势群体的行为模型,通过出生状态(外国出生,美国出生)和大学入学状况(大学生,非美国大学生),探索了与全国不同成年人样本中的行为健康服务使用模式相关的因素。学生)。这项研究使用了2012年医疗保健研究与质量医学扩展小组研究的6696名新兴成年人的子样本。进行了多层次的二项式逻辑回归分析,以确定哪些因素预测了新兴成人群体中行为健康服务的使用模式。与失业和白人新兴成年人相比,就业(外国出生)和黑人(除外国出生以外的所有群体)使用服务的可能性更低。偏好英语(非大学学生),在美国的学习时间较短(大学学生)和保险(除外国出生的所有群体)与服务使用相关。与贫困学生相比,具有中等和高收入背景的人(大学生)使用服务的可能性较小。较高的知觉心理健康状况(除大学生以外的所有人群)和较高的一般心理健康状况(所有人群)预示着较少的服务使用。尽管某些因素始终能够预测新兴成年人群体的服务使用情况,但仍存在差异,需要进一步研究。调查结果清楚地表明,需要对医疗政策和高等教育计划计划中与服务使用有关的因素进行更多的认识和考虑,尤其是与促进健康平等和成功过渡到成年有关的因素。

著录项

  • 作者

    Bessaha, Melissa L.;

  • 作者单位

    University of Maryland, Baltimore.;

  • 授予单位 University of Maryland, Baltimore.;
  • 学科 Social work.;Mental health.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 181 p.
  • 总页数 181
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 地球物理学;
  • 关键词

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