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Depression, Help-Seeking and Self-Recognition of Depression among Dominican, Ecuadorian and Colombian Immigrant Primary Care Patients in the Northeastern United States

机译:美国东北部的多米尼加,厄瓜多尔和哥伦比亚移民初级保健患者的抑郁症的抑郁,求助和自我认知

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Latinos, the largest minority group in the United States, experience mental health disparities, which include decreased access to care, lower quality of care and diminished treatment engagement. The purpose of this cross-sectional study of 177 Latino immigrants in primary care is to identify demographic factors, attitudes and beliefs, such as stigma, perceived stress, and ethnic identity that are associated with depression, help-seeking and self-recognition of depression. Results indicated that 45 participants (25%) had depression by Patient Health Questionnaire (PHQ-9) criteria. Factors most likely to be associated with depression were: poverty; difficulty in functioning; greater somatic symptoms, perceived stress and stigma; number of chronic illnesses; and poor or fair self-rated mental health. Fifty-four people endorsed help-seeking. Factors associated with help-seeking were: female gender, difficulty in functioning, greater somatic symptoms, severity of depression, having someone else tell you that you have an emotional problem, and poor or fair self-rated mental health. Factors most likely to be associated with self-recognition were the same, but also included greater perceived stress. This manuscript contributes to the literature by examining attitudinal factors that may be associated with depression, help-seeking and self-recognition among subethnic groups of Latinos that are underrepresented in research studies.
机译:拉美裔人是美国最大的少数群体,他们在心理健康方面存在差异,其中包括获得护理的机会减少,护理质量降低以及治疗参与度降低。这项对177名拉丁裔移民进行初级保健的横断面研究的目的是确定与抑郁症,寻求帮助和自我认知有关的人口统计学因素,态度和信念,例如污名,感知的压力和种族认同。 。结果表明,根据患者健康问卷(PHQ-9)的标准,有45位参与者(25%)患有抑郁症。与抑郁症最相关的因素是:贫困;运作困难;更大的躯体症状,感觉到的压力和污名;慢性病的数量;以及自我评估的心理健康状况差强人意。五十四人赞成寻求帮助。寻求帮助的相关因素包括:女性,工作困难,躯体症状加剧,抑郁程度严重,有其他人告诉您您有情绪问题以及自我评估的心理健康状况差强人意。与自我认知最相关的因素相同,但也包括更大的感知压力。该手稿通过研究可能与研究中代表性不足的拉丁裔亚种族群体之间的抑郁,寻求帮助和自我认知有关的态度因素,为文献做出了贡献。

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