黑人性少数群体成年人避免专业心理健康护理
Natasha D Williams1, Rodman E Turpin1, Bradley O Boekeloo1
1University of Maryland Prevention Research Center, University of Maryland, College Park (all authors); Departments of Family Science (Williams, Fish) and Behavioral and Community Health (Boekeloo, King-Marshall), School of Public Health, University of Maryland, College Park; Department of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, Virginia (Turpin).
黑人性少数群体的人比白人更有可能避免专业心理健康护理 (PMHC). 这种差异与自给自足的信念和提供者拒绝的经验有关,这影响了获得心理健康服务的机会.
科学领域:
- 心理健康差异的差异
- 卫生社会学 卫生社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 性少数群体面临着独特的心理健康挑战.
- 在获得专业精神卫生保健 (PMHC) 方面,种族差异仍然存在.
- 了解黑人性少数群体的障碍对于公平的护理至关重要.
研究的目的:
- 为了比较黑人和白人性少数群体个人之间推迟或避免PMHC的可能性.
- 确定导致这些差异在寻求护理行为的具体原因.
主要方法:
- 来自2020年美国调查的黑人 (N=78) 和白人 (N=398) 性少数群体成年人的子样本的分析.
- 后勤回归模型用于评估种族差异在整体护理推迟/避免.
- 检查患病率差异的九个原因,以避免护理.
主要成果:
- 黑人性少数群体的个人更有可能推迟或避免PMHC (AME=13.7个百分点).
- 避免的原因包括自力更生 (AME=13.1 pp),依赖社会支持 (AME=17.5 pp) 和拒绝提供者 (AME=17.4 pp).
- 在这些关键因素中,种族差异在统计学上显著.
结论:
- 与白人相比,黑人性少数群体的个人在访问PMHC方面遇到更大的障碍.
- 关于心理健康问题的自我管理和经历提供者歧视的个人信念是重要的因素.
- 解决这些具体障碍对于改善这一群体的心理健康护理平等至关重要.
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