TY - JOUR
T1 - Mental health care preferences among low-income and minority women
AU - Nadeem, Erum
AU - Lange, Jane M.
AU - Miranda, Jeanne
N1 - Funding Information:
This research was funded by National Institute of Mental Health Grants MHR01070260 and MH56864. Writing of this article was funded through three centers: Resource Centers for Minority Aging Research/Center for Health Improvement of Minority Elderly (RCMAR/CHIME) funded by National Institute of Health/National Institute on Aging (3P03AG021684), UCLA/Drew Project EXPORT funded by the National Institute of Health/National Center for Minority Health and Health Disparities (1P20MD00148-01), and UCLA-RAND Center for Research on Quality in Managed Care (MH068639-01) and the John D. and Catherine T. MacArthur Foundation.
PY - 2008/6
Y1 - 2008/6
N2 - 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).
AB - 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).
KW - Depression
KW - Minority women
KW - Stigma
KW - Treatment preferences
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U2 - 10.1007/s00737-008-0002-0
DO - 10.1007/s00737-008-0002-0
M3 - Article
C2 - 18463940
AN - SCOPUS:45849098293
SN - 1434-1816
VL - 11
SP - 93
EP - 102
JO - Archives of Women's Mental Health
JF - Archives of Women's Mental Health
IS - 2
ER -