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From Documenting to Eliminating Disparities in Mental Health Care for Latinos

机译：从记录到消除拉丁美洲人心理保健方面的差异

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摘要

The U.S. Surgeon General's report Mental Health: Culture, Race and Ethnicity-A Supplement to Mental Health: A Report of the Surgeon General (U.S. Department of Health and Human Services, 2001) identified significant disparities in mental health care for Latinos and recommended directions for future research and mental health services. We update that report by reviewing five groundbreaking research projects on the mental health of Latinos that were published since 2001. National studies of adults and children, longitudinal designs, and analyses of Latino subgroups characterize these investigations. Despite the increasing sophistication of disparities research, these landmark studies, as well as the research in the supplemental report, can be characterized as documenting disparities in care. We argue that the next wave of research should give greater attention to reducing and eliminating disparities. Accordingly, we apply Rogler and Cortes's (1993) framework of pathways to care to the study of Latinos with schizophrenia. Specifically, we draw on research regarding the recognition of illness, social networks (families) and their association with the course of illness, and interventions. We illustrate examples at each pathway that have the potential to reduce disparities. We argue that implementing interventions synchronously across multiple pathways has considerable potential to reduce and eventually eliminate disparities in mental health care.
机译：美国外科医生的报告《心理健康：文化，种族和族裔-心理健康的补编：外科医生的报告》（美国卫生与公共服务部，2001年）指出拉丁美洲人在心理保健方面存在重大差异，并建议了指导方向。未来的研究和精神卫生服务。我们通过审查自2001年以来发布的五个有关拉丁美洲人心理健康的开创性研究项目来更新该报告。有关成年人和儿童的国家研究，纵向设计以及拉丁美洲人亚组的分析是这些研究的特征。尽管差异研究的复杂度不断提高，但这些具有里程碑意义的研究以及补充报告中的研究仍可以描述为记录医疗差异。我们认为下一波研究应该更加关注减少和消除差距。因此，我们将Rogler and Cortes（1993）的途径框架应用于研究患有精神分裂症的拉丁裔。具体来说，我们采用有关疾病识别，社交网络（家庭）及其与疾病过程的关联以及干预措施的研究。我们举例说明每种途径都有可能减少差异。我们认为，跨多个途径同步实施干预措施具有减少和最终消除精神卫生保健差距的巨大潜力。

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