Archives of Women's Mental Health
Volume 11, Issue 2, 2008, Pages 93-102

Mental health care preferences among low-income and minority women (Article)

Nadeem E.* , Lange J.M. , Miranda J.
  • a Department of Health Services, School of Public Health, University of California, Los Angeles, 10920 Wilshire Boulevard, Los Angeles, CA 90024-6505, United States, Health Services Research Center, University of California, Los Angeles, 10920 Wilshire Boulevard, Los Angeles, CA 90024-6505, United States, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 10920 Wilshire Boulevard, Los Angeles, CA 90024-6505, United States
  • b Department of Biostatistics, University of Washington, Box 357232, Seattle, WA 98195, United States
  • c Health Services Research Center, University of California, Los Angeles, 10920 Wilshire Boulevard, Los Angeles, CA 90024-6505, United States, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 10920 Wilshire Boulevard, Los Angeles, CA 90024-6505, United States

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). © 2008 Springer-Verlag.

Author Keywords

Treatment preferences Minority women Depression Stigma

Index Keywords

depression immigrant lowest income group Europe poverty minority group mental health human Health Behavior friend middle aged Odds Ratio Ethnic Groups priority journal Aged European American Central America social support African American Hispanic Americans mental health care patient counseling United States Humans family Hispanic Minority Groups Emigrants and Immigrants female Aged, 80 and over Africa emotional disorder Spirituality Article Questionnaires adult major clinical study European Continental Ancestry Group Patient Acceptance of Health Care attitude to health African Americans somatization
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-45849098293&doi=10.1007%2fs00737-008-0002-0&partnerID=40&md5=a2c2fcff48d14fd491d51b771d93f8df
DOI: 10.1007/s00737-008-0002-0
ISSN: 14341816
Cited by: 60
Original Language: English