美洲印第安人/阿拉斯加原住民/美洲原住民的心理健康素养和患者-心理健康提供者关系

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-20 DOI:10.1016/j.puhe.2025.105786

Xuewei Chen , Carrie Winterowd , Ming Li , Gary L. Kreps

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引用次数: 0

摘要

目的探讨心理健康素养与患者-心理健康提供者关系的关系，特别是美国印第安人/阿拉斯加原住民/美洲原住民（AI/AN）患者对心理健康专业人员及其服务的获取、信任和利用。研究设计我们进行了一项横断面在线调查，以收集有关心理健康素养及其对AI/AN患者信任和与心理健康提供者互动的影响的数据。方法对563例成人AI/AN患者进行问卷调查，采用滚雪球抽样的方法进行分发。我们使用多成分测量法评估心理健康素养，并进行线性回归，以检查其与关键因素的关系，包括社会人口统计学特征、精神卫生保健获取、对精神卫生服务提供者/专家的信任、使用精神卫生服务的频率、对精神卫生服务提供者/专家的一般健康信息和COVID-19信息的信任。以及他们对心理健康提供者/专家提供的服务的满意程度。结果：心理健康素养是影响AI/AN患者与心理健康提供者关系的主要因素。报告精神卫生素养水平较低的患者可能没有定期获得精神卫生保健，对精神卫生提供者/专家的信任度较低，对精神卫生提供者/专家提供的服务的满意度较低，对精神卫生专家提供的COVID-19信息的信任度较低。结论心理健康素养是影响AI/AN患者与心理健康服务提供者关系的关键因素。提高心理健康素养的干预措施可以提高这一人群对心理健康服务的信任和满意度。

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Mental health literacy and patient-mental health provider relationships among American Indian/Alaska Native/Native American people

Objectives

This study examines the relationship between mental health literacy and the patient-mental health provider relationships, particularly American Indian/Alaska Native/Native American (AI/AN) patients’ access to, trust in, and utilization of mental health professionals and their services.

Study design

We conducted a cross-sectional online survey to collect data on mental health literacy and its impact on AI/AN patients' trust and interactions with their mental health providers.

Methods

A total of 563 AI/AN adult patients completed the survey, which was disseminated using snowball sampling. We assessed mental health literacy using a multi-component measure and performed linear regressions to examine its associations with key factors including socio-demographic characteristics, mental health care access, trusting in mental health providers/specialists, the frequency of using mental health services, trusting in mental health providers/specialists for general health information and for COVID-19 information, as well as their level of satisfaction with the services received from mental health providers/specialists.

Results

We identified mental health literacy as a major factor associated with patient-mental health provider relationships among AI/AN patients. Patients reporting lower levels of mental health literacy were likely to report having no regular access to mental health care, lower levels of trust in mental health providers/specialists, less satisfaction with the services received from mental health providers/specialists, and less trust in mental health specialists for COVID-19 information.

Conclusions

Mental health literacy is a key factor influencing the patient-mental health provider relationships among AI/AN patients. Interventions to enhance mental health literacy may improve trust and satisfaction with mental health services in this population.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.