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Journal of Immigrant and Minority Health
Erschienen in: Journal of Immigrant and Minority Health 6/2012

01.12.2012 | Original Paper

Pathways to Depression Care: Help-Seeking Experiences of Low-Income Latinos with Diabetes and Depression

verfasst von: Marissa C. Hansen, Leopoldo J. Cabassa

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 6/2012

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Abstract

This qualitative study examines help-seeking pathways to depression care of low-income Latinos with diabetes and major depression. A purposive sample (N = 19) of Spanish-speaking, immigrant, low-income Latinos was selected from a randomized clinical trial targeting Latinos with diabetes and major depression. Four focus groups followed by 10 in-depth qualitative interviews were conducted. Narratives were analyzed using the constant comparative method informed by grounded theory. Need for formal care was described in relation to acute somatic symptoms, functional impairment, and mood changes. Treatment initiation occurred through family members and primary care physicians who encouraged or inhibited help-seeking. Adherence to depression care focused on interpersonal aspects of care, evaluated symptom relief, and improved functioning. Help-seeking barriers included self-reliance, language barriers, stigma, competing health demands, and structural barriers. Findings from this study highlight potential points of intervention for developing culturally-appropriate collaborative care approaches for low-income Latinos with diabetes and major depression.
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Metadaten
Titel
Pathways to Depression Care: Help-Seeking Experiences of Low-Income Latinos with Diabetes and Depression
verfasst von
Marissa C. Hansen
Leopoldo J. Cabassa
Publikationsdatum
01.12.2012
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 6/2012
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9590-x

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