Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Subin Na, Sang Kyoung Kahng, Phyllis Solomon
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引用次数: 0

Abstract

This study investigated the relationship between perceived discrimination, help-seeking behaviors, and the adequacy of social participation services among individuals with serious mental illness in South Korea. Data were drawn from a 2020 survey conducted by the National Human Rights Commission of Korea, involving 607 participants who used community-based mental health rehabilitation facilities. Structural equation modeling was employed to examine the extent to which perceived discrimination in healthcare, employment, and personal-social relationships affects help-seeking behaviors, including the mediating effect of perceived adequacy of social participation services. Results revealed that experiences of discrimination in healthcare and employment significantly influenced help-seeking, whereas discrimination in personal-social relationships did not. Although the adequacy of social participation services positively impacted help-seeking, it did not mediate the relationship between discrimination and help-seeking behaviors. The findings suggest addressing discrimination in healthcare and employment and expanding diverse, accessible social participation services are crucial for encouraging help-seeking among individuals with serious mental illness across regions in Korea.

歧视对韩国严重精神疾病患者求助行为的影响:社会参与服务的作用
本研究旨在探讨韩国严重精神疾病患者的歧视感知、求助行为与社会参与服务充分性之间的关系。数据来自韩国国家人权委员会2020年进行的一项调查,涉及607名使用社区精神健康康复设施的参与者。本研究采用结构方程模型检验在医疗保健、就业和个人-社会关系中感知到的歧视对求助行为的影响程度,包括感知到的社会参与服务充分性的中介作用。结果显示,在医疗保健和就业方面的歧视经历显著影响了寻求帮助,而在个人-社会关系方面的歧视没有影响。虽然社会参与服务的充分性正向影响求助行为,但它并没有中介歧视与求助行为之间的关系。研究结果表明,解决医疗保健和就业方面的歧视问题,扩大多样化、可获得的社会参与服务,对于鼓励韩国各地严重精神疾病患者寻求帮助至关重要。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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