Skip to main content
Erschienen in: Archives of Women's Mental Health 2/2008

01.06.2008 | Original contribution

Mental health care preferences among low-income and minority women

verfasst von: Erum Nadeem, Jane M. Lange, Jeanne Miranda

Erschienen in: Archives of Women's Mental Health | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

Mental health care preferences are examined among 1,893 low-income immigrant and U.S.-born women with an acknowledged emotional problem (mean age = 29.1, SD = 89.6). Ethnicity, depression, somatization, and stigma are examined as they relate to mental health care preferences (medication, individual and group counseling, faith, family/friends). Seventy-eight percent of participants counseling would be helpful; 55%; group counseling; and 32% medication. Faith was cited by 81%; family and friends were endorsed by 65%. Minorities had lower odds than Whites of endorsing medication (Black immigrants: OR = 0.27, p < 0.001, U.S.-born Blacks: OR = 0.30, p < 0.001, immigrant Latinas: OR = 0.50, p < 0.01). Most minorities also had higher odds of endorsing faith compared to Whites (Black immigrants: OR = 3.62, p < 0.001; U.S.-born Blacks, OR = 3.85, p < 0.001; immigrant Latinas: OR = 9.76, p < 0.001). Being depressed was positively associated with endorsing medication (OR = 1.93, p < 0.001), individual counseling (OR = 2.66, p < 0.001), and group counseling (OR = 1.35, p < 0.01). Somatization was positively associated with endorsing medication (OR = 1.29, p < 0.05) and faith (OR = 1.37, p < 0.05). Stigma-concerns reduced the odds of endorsing group counseling (OR = 0.58, p < 0.001). Finally, being in mental health treatment was related to increased odds of endorsing medication (OR = 3.88, p < 0.001) and individual counseling (OR = 2.29, p = 0.001).
Literatur
Zurück zum Zitat Adewuya AO, Makanjuola RO (2005) Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatry Psychiatr Epidemiol 40:865–868PubMedCrossRef Adewuya AO, Makanjuola RO (2005) Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatry Psychiatr Epidemiol 40:865–868PubMedCrossRef
Zurück zum Zitat Alvidrez J (1999) Ethnic variations in mental health attitudes and service use among low-income African American, Latina, and European American young women. Community Ment Health J 35:515–530PubMedCrossRef Alvidrez J (1999) Ethnic variations in mental health attitudes and service use among low-income African American, Latina, and European American young women. Community Ment Health J 35:515–530PubMedCrossRef
Zurück zum Zitat Alvidrez J, Azocar F (1999) Distressed women’s clinic patients: preferences for mental health treatments and perceived obstacles. Gen Hosp Psych 21:340–347CrossRef Alvidrez J, Azocar F (1999) Distressed women’s clinic patients: preferences for mental health treatments and perceived obstacles. Gen Hosp Psych 21:340–347CrossRef
Zurück zum Zitat Arean PA, Miranda J (1996) Do primary care patients accept psychological treatments? Gen Hosp Psych 18:22–27CrossRef Arean PA, Miranda J (1996) Do primary care patients accept psychological treatments? Gen Hosp Psych 18:22–27CrossRef
Zurück zum Zitat Cooper LA, Gonzales JJ, Gallo JJ, Rost KM, Meredith LS, Rubenstein LV, Wang NY, Ford DE (2003) The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients. Med Care 41:479–489PubMedCrossRef Cooper LA, Gonzales JJ, Gallo JJ, Rost KM, Meredith LS, Rubenstein LV, Wang NY, Ford DE (2003) The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients. Med Care 41:479–489PubMedCrossRef
Zurück zum Zitat Cooper-Patrick L, Powe NR, Jenckes MW, Gonzales JJ, Levine DM, Ford DE (1997) Identification of patient attitudes and preferences regarding treatment of depression. J Gen Intern Med 12:431–438PubMedCrossRef Cooper-Patrick L, Powe NR, Jenckes MW, Gonzales JJ, Levine DM, Ford DE (1997) Identification of patient attitudes and preferences regarding treatment of depression. J Gen Intern Med 12:431–438PubMedCrossRef
Zurück zum Zitat Dwight-Johnson M, Sherbourne CD, Liao D, Wells KB (2000) Treatment preferences among depressed primary care patients. J Gen Intern Med 15:527–534PubMedCrossRef Dwight-Johnson M, Sherbourne CD, Liao D, Wells KB (2000) Treatment preferences among depressed primary care patients. J Gen Intern Med 15:527–534PubMedCrossRef
Zurück zum Zitat Edge D, Rogers A (2005) Dealing with it: Black Caribbean women’s response to adversity and psychological distress associated with pregnancy, childbirth, and early motherhood. Soc Sci Med 61:15–25PubMedCrossRef Edge D, Rogers A (2005) Dealing with it: Black Caribbean women’s response to adversity and psychological distress associated with pregnancy, childbirth, and early motherhood. Soc Sci Med 61:15–25PubMedCrossRef
Zurück zum Zitat Edge D, Baker D, Rogers A (2004) Perinatal depression among black Caribbean women. Health Soc Care Community 12:430–438PubMedCrossRef Edge D, Baker D, Rogers A (2004) Perinatal depression among black Caribbean women. Health Soc Care Community 12:430–438PubMedCrossRef
Zurück zum Zitat Escobar JI, Golding JM, Hough RL, Karno M, Burnam MA, Wells KB (1987) Somatization in the community: relationship to disability and use of services. Am J Public Health 77:837–840PubMed Escobar JI, Golding JM, Hough RL, Karno M, Burnam MA, Wells KB (1987) Somatization in the community: relationship to disability and use of services. Am J Public Health 77:837–840PubMed
Zurück zum Zitat Halbert CH, Armstrong K, Gandy OH Jr, Shaker L (2006) Racial differences in trust in health care providers. Arch Intern Med 166:896–901PubMedCrossRef Halbert CH, Armstrong K, Gandy OH Jr, Shaker L (2006) Racial differences in trust in health care providers. Arch Intern Med 166:896–901PubMedCrossRef
Zurück zum Zitat Hutchinson G, Gilvarry C (1998) Ethnicity and dissatisfaction with mental health services. Br J Psychiatry 172:95–96PubMedCrossRef Hutchinson G, Gilvarry C (1998) Ethnicity and dissatisfaction with mental health services. Br J Psychiatry 172:95–96PubMedCrossRef
Zurück zum Zitat Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, Rush AJ, Walters EE, Wang PS (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 289:3095–3105PubMedCrossRef Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, Rush AJ, Walters EE, Wang PS (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 289:3095–3105PubMedCrossRef
Zurück zum Zitat Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005a) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:593–602CrossRef Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005a) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:593–602CrossRef
Zurück zum Zitat Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE (2005b) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–627CrossRef Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE (2005b) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–627CrossRef
Zurück zum Zitat Kirmayer LJ, Young A (1998) Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med 60:420–430PubMed Kirmayer LJ, Young A (1998) Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med 60:420–430PubMed
Zurück zum Zitat Lowe B, Schulz U, Grafe K, Wilke S (2006) Medical patients’ attitudes toward emotional problems and their treatment. What do they really want? J Gen Intern Med 21:39–45PubMedCrossRef Lowe B, Schulz U, Grafe K, Wilke S (2006) Medical patients’ attitudes toward emotional problems and their treatment. What do they really want? J Gen Intern Med 21:39–45PubMedCrossRef
Zurück zum Zitat Makanjuola JD, Olaifa EA (1987) Masked depression in Nigerians treated at the Neuro-Psychiatric Hospital Aro, Abeokuta. Acta Psychiatr Scand 76:480–485PubMedCrossRef Makanjuola JD, Olaifa EA (1987) Masked depression in Nigerians treated at the Neuro-Psychiatric Hospital Aro, Abeokuta. Acta Psychiatr Scand 76:480–485PubMedCrossRef
Zurück zum Zitat Miranda J, Chung JY, Green BL, Krupnick J, Siddique J, Revicki DA, Belin T (2003) Treating depression in predominantly low-income young minority women: a randomized controlled trial. JAMA 290:57–65PubMedCrossRef Miranda J, Chung JY, Green BL, Krupnick J, Siddique J, Revicki DA, Belin T (2003) Treating depression in predominantly low-income young minority women: a randomized controlled trial. JAMA 290:57–65PubMedCrossRef
Zurück zum Zitat Miranda J, Green BL, Krupnick JL, Chung J, Siddique J, Belin T, Revicki D (2006) One-year outcomes of a randomized clinical trial treating depression in low-income minority women. J Consult Clin Psychol 74:99–111PubMedCrossRef Miranda J, Green BL, Krupnick JL, Chung J, Siddique J, Belin T, Revicki D (2006) One-year outcomes of a randomized clinical trial treating depression in low-income minority women. J Consult Clin Psychol 74:99–111PubMedCrossRef
Zurück zum Zitat Nadeem E, Lange JM, Edge D, Fongwa M, Belin T, Miranda J (2007) Does stigma keep poor young immigrant and U.S.-Born black and Latina women from seeking mental health care? Psychiatr Serv 58:1547–1554PubMedCrossRef Nadeem E, Lange JM, Edge D, Fongwa M, Belin T, Miranda J (2007) Does stigma keep poor young immigrant and U.S.-Born black and Latina women from seeking mental health care? Psychiatr Serv 58:1547–1554PubMedCrossRef
Zurück zum Zitat Otote DI, Ohaeri JU (2000) Depressive symptomatology and short-term stability at a Nigerian psychiatric care facility. Psychopathology 33:314–323PubMedCrossRef Otote DI, Ohaeri JU (2000) Depressive symptomatology and short-term stability at a Nigerian psychiatric care facility. Psychopathology 33:314–323PubMedCrossRef
Zurück zum Zitat Sabogal F, Marin G, Otero-Sabogal R, Marin BV et al (1987) Hispanic familism and acculturation: what changes and what doesn’t? Hisp J Behav Sci 9:397–412CrossRef Sabogal F, Marin G, Otero-Sabogal R, Marin BV et al (1987) Hispanic familism and acculturation: what changes and what doesn’t? Hisp J Behav Sci 9:397–412CrossRef
Zurück zum Zitat Schreiber R, Stern PN, Wilson C (2000) Being strong: how black West-Indian Canadian women manage depression and its stigma. J Nurs Scholarsh 32:39–45PubMedCrossRef Schreiber R, Stern PN, Wilson C (2000) Being strong: how black West-Indian Canadian women manage depression and its stigma. J Nurs Scholarsh 32:39–45PubMedCrossRef
Zurück zum Zitat Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, Brody D, Johnson JG (1994) Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA 272:1749–1756PubMedCrossRef Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, Brody D, Johnson JG (1994) Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA 272:1749–1756PubMedCrossRef
Zurück zum Zitat Sussman LK, Robins LN, Earls F (1987) Treatment-seeking for depression by black and white Americans. Soc Sci Med 24:187–196PubMedCrossRef Sussman LK, Robins LN, Earls F (1987) Treatment-seeking for depression by black and white Americans. Soc Sci Med 24:187–196PubMedCrossRef
Zurück zum Zitat U.S. Census Bureau (2001) Population profile of the United States: 1999. U.S. Government Printing Office, Washington, DC U.S. Census Bureau (2001) Population profile of the United States: 1999. U.S. Government Printing Office, Washington, DC
Zurück zum Zitat U.S. Public Health Service (2001) Mental health: culture, race, and ethnicity: a supplement to mental health: a report of the surgeon general. Department of Health and Human Services, Rockville, MD U.S. Public Health Service (2001) Mental health: culture, race, and ethnicity: a supplement to mental health: a report of the surgeon general. Department of Health and Human Services, Rockville, MD
Zurück zum Zitat van Schaik DJ, Klijn AF, van Hout HP, van Marwijk HW, Beekman AT, de Haan M, van Dyck R (2004) Patients’ preferences in the treatment of depressive disorder in primary care. Gen Hosp Psych 26:184–189CrossRef van Schaik DJ, Klijn AF, van Hout HP, van Marwijk HW, Beekman AT, de Haan M, van Dyck R (2004) Patients’ preferences in the treatment of depressive disorder in primary care. Gen Hosp Psych 26:184–189CrossRef
Zurück zum Zitat Vega WA, Kolody B, Aguilar-Gaxiola S, Catalano R (1999) Gaps in service utilization by Mexican Americans with mental health problems. Am J Psychiatry 156:928–934PubMed Vega WA, Kolody B, Aguilar-Gaxiola S, Catalano R (1999) Gaps in service utilization by Mexican Americans with mental health problems. Am J Psychiatry 156:928–934PubMed
Zurück zum Zitat Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:629–640PubMedCrossRef Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:629–640PubMedCrossRef
Zurück zum Zitat Williams JW Jr, Barrett J, Oxman T, Frank E, Katon W, Sullivan M, Cornell J, Sengupta A (2000) Treatment of dysthymia and minor depression in primary care: a randomized controlled trial in older adults. JAMA 284:1519–1526PubMedCrossRef Williams JW Jr, Barrett J, Oxman T, Frank E, Katon W, Sullivan M, Cornell J, Sengupta A (2000) Treatment of dysthymia and minor depression in primary care: a randomized controlled trial in older adults. JAMA 284:1519–1526PubMedCrossRef
Metadaten
Titel
Mental health care preferences among low-income and minority women
verfasst von
Erum Nadeem
Jane M. Lange
Jeanne Miranda
Publikationsdatum
01.06.2008
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 2/2008
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-008-0002-0

Weitere Artikel der Ausgabe 2/2008

Archives of Women's Mental Health 2/2008 Zur Ausgabe

Neu in den Fachgebieten Neurologie und Psychiatrie

Schützt Olivenöl vor dem Tod durch Demenz?

10.05.2024 Morbus Alzheimer Nachrichten

Konsumieren Menschen täglich 7 Gramm Olivenöl, ist ihr Risiko, an einer Demenz zu sterben, um mehr als ein Vierten reduziert – und dies weitgehend unabhängig von ihrer sonstigen Ernährung. Dafür sprechen Auswertungen zweier großer US-Studien.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.