评估使用情况:发短信热线应用程序为经济贫困的青少年提供心理健康危机护理。

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0

摘要

背景:由于美国犹他州青少年自杀人数急剧增加,立法机构资助开发了一款全天候发短信的智能手机应用程序,该应用程序以犹他州学龄人口为对象,使用西班牙语和英语。其他地方(荷兰)的最新研究表明,费用阻碍了经济困难人群寻求帮助。我们评估了 COVID-19 开始期间贫困与应用程序使用之间的关系:我们采用贝叶斯时空方法对当地人口统计、健康的社会决定因素和 COVID-19 感染率进行了建模,并对使用率进行了研究:结果:在控制了普遍研究的自杀危机协变量后,显示出应用程序的使用率因人口的经济状况而异,弱势青少年的使用率相对增幅最大:事实证明,这条以西班牙语/英语双语、短信(SMS)为基础的智能手机应用危机热线能有效地为特定人群中的青少年提供心理保健服务。所讨论的群体位于贫困率较高和/或人口密度较低(农村地区)的人口普查区组(CBGs - neighborhoods)。随着 COVID-19 大流行的发展,这些人群对危机热线的使用率相对于总人口有所增加。然而,流动性较高地区(我们的住房不安全替代指标)和非白人人口较多地区的青少年使用危机热线的次数相对减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing access: Texting hotline app provides mental health crisis care for economically deprived youth

Background

Due to rapidly increasing youth suicides in the U.S state of Utah, the legislature funded creation of a 24/7 texting-based smartphone app in Spanish and English targeting Utah's school aged population. Recent research elsewhere (in the Netherlands) suggests cost inhibits help seeking among the economically disadvantaged. We evaluate the relationship between poverty and app usage during the onset of the COVID-19.

Method

Local demographics, social determinants of health and COVID-19 infection rates were modeled using a Bayesian spatio-temporal approach examining usage rates.

Results

When controlling for generally researched suicide crisis covariates, app usage is shown to vary depending on economic status of the population, with the largest relative increases in use among disadvantaged youth.

Discussion

This bilingual Spanish/English, texting (SMS) based, smart phone app crisis hotline proved effective at providing adolescents from certain populations access to mental health care. The groups discussed are in Census Block Groups (CBGs – neighborhoods) with higher poverty, and/or lower population density (rural areas). The usage of the crisis hotline by these populations increased relative to the overall population as the COVID-19 pandemic unfolded. However, adolescents from areas of higher mobility (our proxy for housing insecure) and those in areas with larger non-White populations had a relative decrease in usage.
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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