Mental health care preferences among low-income and minority women

Erum Nadeem, Jane M. Lange, Jeanne Miranda

Research output: Contribution to journalArticlepeer-review

61 Scopus citations

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).

Original languageEnglish (US)
Pages (from-to)93-102
Number of pages10
JournalArchives of Women's Mental Health
Volume11
Issue number2
DOIs
StatePublished - Jun 2008
Externally publishedYes

Keywords

  • Depression
  • Minority women
  • Stigma
  • Treatment preferences

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Psychiatry and Mental health

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