Social Disparities in Mental Health Service Use Among Children and Youth in Ontario: Evidence From a General, Population-Based Survey.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Mahdis Kamali, Jordan Edwards, Laura N Anderson, Eric Duku, Katholiki Georgiades
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引用次数: 1

Abstract

Objectives: To examine differences in mental health-related service contacts between immigrant, refugee, racial and ethnic minoritized children and youth, and the extent to which social, and economic characteristics account for group differences.

Methods: The sample for analyses includes 10,441 children and youth aged 4-17 years participating in the 2014 Ontario Child Health Study. The primary caregiver completed assessments of their child's mental health symptoms, perceptions of need for professional help, mental health-related service contacts, experiences of discrimination and sociodemographic and economic characteristics.

Results: Adjusting for mental health symptoms and perceptions of need for professional help, children and youth from immigrant, refugee and racial and ethnic minoritized backgrounds were less likely to have mental health-related service contacts (adjusted odds ratios ranged from 0.54 to 0.79), compared to their non-immigrant peers and those who identified as White. Group differences generally remained the same or widened after adjusting for social and economic characteristics. Large differences in levels of perceived need were evident across non-migrant and migrant children and youth.

Conclusion: Lower estimates of mental health-related service contacts among immigrant, refugee and racial and ethnic minoritized children and youth underscore the importance and urgency of addressing barriers to recognition and treatment of mental ill-health among children and youth from minoritized backgrounds.

Abstract Image

Abstract Image

安大略省儿童和青少年心理健康服务使用的社会差异:来自一般人群调查的证据。
目的:研究移民、难民、种族和少数民族儿童和青少年在心理健康相关服务接触方面的差异,以及社会和经济特征在多大程度上解释了群体差异。方法:分析样本包括参加2014年安大略省儿童健康研究的10,441名4-17岁的儿童和青少年。主要照顾者完成了对其子女的心理健康症状、对专业帮助需求的看法、与心理健康有关的服务联系、遭受歧视的经历以及社会人口和经济特征的评估。结果:调整心理健康症状和对专业帮助需求的看法,与非移民同龄人和白人相比,来自移民、难民和种族和少数民族背景的儿童和青少年与心理健康相关的服务接触的可能性更小(调整后的优势比范围为0.54至0.79)。在对社会和经济特征进行调整后,群体差异通常保持不变或扩大。在感知需求水平上,非移民和移民儿童和青年之间存在明显差异。结论:移民、难民和种族和族裔少数群体儿童和青年接触心理健康相关服务的估计较低,这突显了解决少数群体背景儿童和青年在认识和治疗精神疾病方面的障碍的重要性和紧迫性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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