种族和种族多样化的PTSD患者在国家治疗的利用率
Katherina Arteaga1, Ty S Schepis2, Ashley B Cole1
1Department of Psychology, Oklahoma State University, Stillwater, Oklahoma.
Bulletin of the Menninger Clinic
|March 10, 2025
概括
患有创伤后应激障碍 (PTSD) 的种族/民族少数群体不太可能寻求心理健康护理. 医疗保险增加了治疗机会,但差距仍然存在,需要有针对性的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 种族和民族少数群体面临更高的创伤和创伤后应激障碍 (PTSD) 风险.
- 与非西班牙裔白人相比,这些群体未充分利用心理健康服务.
- 医疗保险可以减少心理健康护理差异.
研究的目的:
- 检查医疗保险对心理健康治疗用于PTSD的影响.
- 调查在获得特异性PTSD和一般心理健康护理方面存在的种族/民族差异.
主要方法:
- 分析了来自全国酒精和相关疾病流行病学调查的子样本 (N=2,339) -III.
- 纳入保险状况作为估计治疗利用率的调节因素.
- 专注于被诊断患有PTSD的种族/种族多样化样本.
主要成果:
- 保险人使用PTSD特定和一般心理健康治疗的可能性是保险人的两倍多.
- 黑人,西班牙裔和亚洲人/夏威夷原住民/太平洋岛民参与者无论保险,都显示出较低的利用率.
- 在种族/种族群体之间观察到在获得心理健康护理方面的显著差异.
结论:
- 医疗保险与增加PTSD心理健康治疗的使用有关.
- 持续存在的差异凸显了文化定制公共卫生干预措施的必要性.
- 解决系统性障碍对于公平获得心理健康护理至关重要.
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