Migrant mental health: a model for indicators of mental health and health care consumption.
Health Psychol
; 26(1): 96-104, 2007 Jan.
Article
en En
| MEDLINE
| ID: mdl-17209702
ABSTRACT
OBJECTIVE:
This study explores the relationship between mental health and health care consumption among migrants in the Netherlands.DESIGN:
Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling. MAIN OUTCOMEMEASURES:
Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?"RESULTS:
The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities.CONCLUSIONS:
Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.
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Banco de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
/
Emigración e Inmigración
/
Trastornos Mentales
/
Servicios de Salud Mental
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País como asunto:
Africa
/
America do sul
/
Asia
/
Caribe ingles
/
Europa
/
Suriname
Idioma:
En
Año:
2007
Tipo del documento:
Article