加利福尼亚成年人使用远程心理健康服务的决定因素:移民相关变量是否重要?
Hafifa Siddiq1,2, Kristen R Choi3,4, Nicholas Jackson5
1Mervyn M. Dymally College of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA. hafifashabaik@cdrewu.edu.
Journal of immigrant and minority health
|September 5, 2024
概括
远程精神健康服务被1.3%的加利福尼亚成年人使用,保险,痛苦和感知需要是关键预测因素. 非公民的使用率较低,突出了获取差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 电话精神卫生服务提供了可访问的精神卫生保健解决方案.
- 了解影响远程精神卫生服务利用的因素对于公平获取至关重要.
- 移民身份可能会对获得医疗保健提供独特的障碍.
研究的目的:
- 调查加利福尼亚成年人中与远程心理健康服务使用相关的倾向性,支持性,需求性和移民相关因素.
- 确定远程精神卫生服务利用的预测因素.
- 检查公民身份对远程精神卫生服务获取的影响.
主要方法:
- 加利福尼亚卫生访谈调查 (CHIS) 的两波 (2015-2018) 的二次分析.
- 后勤回归模型用于检查远程精神卫生服务使用的相关因素和预测因素.
- 分析包括N=78,345名加利福尼亚成年人.
主要成果:
- 大约1.3%的成年人报告使用电话精神卫生服务.
- 医疗保险状况,严重的心理困扰,对服务的感知需求和亚洲族裔是重要的预测因素.
- 非公民使用远程精神卫生服务的几率较低 (AOR=0.47).
结论:
- 公民身份,获取资源和感知需求是使用远程精神卫生服务的关键驱动因素.
- 移民,特别是非公民,对远程精神卫生服务的获得不平等.
- 解决非公民的医疗保健覆盖缺口是必要的,以改善远程心理健康公平.
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