Sexual orientation moderates the association between health care utilization-related factors and mental health service nonutilization among United States military veterans.
Cindy J Chang, Ian C Fischer, Kelly L Harper, Nicholas A Livingston, Colin A Depp, Sonya B Norman, Robert H Pietrzak
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引用次数: 0
Abstract
This study examined mental health treatment nonutilization among sexual minority versus heterosexual Veterans with demonstrated psychiatric need. Data were analyzed from 820 Veterans with psychiatric need who participated in the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. military Veterans. Results revealed that current mental health service nonutilization did not differ between sexual minority versus heterosexual Veterans (70.5% vs. 74.0%). Significant interactions between sexual orientation and sex assigned at birth, primary source of health care (Veteran Affairs [VA] vs. non-VA), and beliefs that peers would blame them for their mental health problems were observed in analyses predicting current mental health treatment utilization. Among Veterans primarily utilizing VA health care, sexual minority Veterans were less likely than heterosexual Veterans to engage in mental treatment; among those primarily using non-VA, this pattern was reversed. Sexual minority Veterans were significantly more likely than heterosexual Veterans to report not knowing where to get help, not having adequate transportation, and having difficulty scheduling an appointment. Taken together, the results of this study suggest that rates of mental health nonutilization are high for both sexual minority and heterosexual Veterans, and that factors that influence utilization may differ by sexual orientation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
本研究调查了性取向少数群体与异性恋退伍军人中未使用心理健康治疗的情况，这两种退伍军人都有明显的精神病治疗需求。研究分析了 820 名有精神疾病需求的退伍军人的数据，这些退伍军人参加了 "全国退伍军人健康与复原力研究"（National Health and Resilience in Veterans Study），该研究对具有全国代表性的美军退伍军人样本进行了调查。结果显示，性取向少数群体退伍军人与异性恋退伍军人目前未使用心理健康服务的比例并无差异（70.5% 对 74.0%）。在预测当前心理健康治疗利用率的分析中，性取向与出生时性别、主要医疗来源（退伍军人事务局与非退伍军人事务局）以及认为同伴会将其心理健康问题归咎于自己的想法之间存在显著的交互作用。在主要使用退伍军人事务部医疗服务的退伍军人中，与异性恋退伍军人相比，性少数群体退伍军人接受心理治疗的可能性较低；而在主要使用非退伍军人事务部医疗服务的退伍军人中，这种情况正好相反。与异性恋退伍军人相比，性取向少数群体退伍军人更有可能报告不知道去哪里寻求帮助、没有足够的交通工具以及难以安排预约。综合来看，本研究的结果表明，性取向少数群体退伍军人和异性恋退伍军人不使用心理健康服务的比例都很高，而影响使用率的因素可能因性取向而异。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。
期刊介绍：
Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
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