Gaps in service utilization by Mexican Americans with mental health problems.
The purpose of this study was to ascertain the degree of underutilization of services for mental health problems among urban and rural Mexican American adults.
A probability sample (N=3,012) was used to represent the Mexican American population of Fresno County, California, and face-to-face interviews were conducted with the use of the Composite International Diagnostic Interview.
Bivariate and multivariate analyses were used to analyze the data on diagnosis and service utilization.
Among the respondents with DSM-lll-R-defined disorders, only about one-fourth had used a single service or a combination of services in the past 12 months, and Mexican immigrants had a utilization rate which was only two-fifths of that of Mexican Americans born in the United States.
Overall use of mental health care providers by persons with diagnosed mental disorders was 8.8%, use of providers in the general medical sector was 18.4%, use of other professionals was 12.7%, and use of informal providers was only 3.1%. According to logistic regression analyses, factors associated with utilization of mental health services included female sex, higher educational attainment, unemployment, and comorbidity. (...)
Mots-clés Pascal : Service santé, Consommation, Trouble psychiatrique, Immigrant, Mexique, Amérique Centrale, Amérique, Etats Unis, Amérique du Nord, Santé mentale, Latinoaméricain, Environnement social, Milieu rural, Milieu urbain, Etude comparative, Homme
Mots-clés Pascal anglais : Health service, Consumption, Mental disorder, Immigrant, Mexico, Central America, America, United States, North America, Mental health, Latinamerican, Social environment, Rural environment, Urban environment, Comparative study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0348930
Code Inist : 002B18I11. Création : 14/12/1999.