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Disparities in Use of Mental Health and Substance Abuse Services by Asian and Native Hawaiian/Other Pacific Islander Women

机译：亚洲和夏威夷土著/其他太平洋岛民妇女在使用心理健康和物质滥用服务方面的差异

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The purpose of this study was to determine if disparities exist in lifetime utilization of mental health/substance abuse services among Asian, Native Hawaiian/Other Pacific Islander (NHOPI) and white mothers. The study sample was comprised of mothers assessed to be at-risk (n=491) and not at-risk (n=218) for child maltreatment in the Hawaii Healthy Start Program study. Multiple logistic regression models were used to test the effects of predisposing, need, and enabling factors on utilization of services. Results revealed that, among mothers with depressive symptoms, compared with whites, Asians and NHOPI were significantly less likely to have received services. There were no significant racial differences in use of mental health/substance use services by other factors. These results suggest that racial disparities exist in utilization of mental health/substance abuse services among mothers with depressive symptoms. Future research is needed to identify barriers and facilitators to accessing needed services for Asian and NHOPI women.
机译：这项研究的目的是确定亚洲人，夏威夷原住民/其他太平洋岛民（NHOPI）和白人母亲在终生利用心理健康/药物滥用服务方面是否存在差异。研究样本由在夏威夷健康启动计划研究中被评估为儿童虐待的高风险母亲（n = 491）而非高风险母亲（n = 218）组成。使用多个逻辑回归模型测试易感性，需求和促成因素对服务利用的影响。结果显示，在抑郁症母亲中，与白人相比，亚洲人和NHOPI接受服务的可能性大大降低。其他因素在心理健康/物质使用服务的使用上没有明显的种族差异。这些结果表明，在患有抑郁症状的母亲中，在利用心理健康/药物滥用服务方面存在种族差异。需要进行进一步的研究，以确定障碍和促进者，以获取亚洲和非正规组织妇女所需的服务。

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