دورية أكاديمية
Why are African immigrants in Montreal reluctant to use mental health services?: a systematic inventory of reasons.
| العنوان: | Why are African immigrants in Montreal reluctant to use mental health services?: a systematic inventory of reasons. |
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| المؤلفون: | Boukpessi TB; Université du Québec À Trois-Rivières, Trois-Rivières, Canada., Kpanake L; Université du Québec-TELUQ, Québec, Canada. lonzozou.kpanake@teluq.ca., Gagnier JP; Université du Québec À Trois-Rivières, Trois-Rivières, Canada. |
| المصدر: | Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2024 Sep; Vol. 59 (9), pp. 1509-1517. Date of Electronic Publication: 2023 Oct 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8804358 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-9285 (Electronic) Linking ISSN: 09337954 NLM ISO Abbreviation: Soc Psychiatry Psychiatr Epidemiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Berlin] : Springer International, [c1988- |
| مواضيع طبية MeSH: | Mental Health Services*/statistics & numerical data , Emigrants and Immigrants*/psychology , Emigrants and Immigrants*/statistics & numerical data , Patient Acceptance of Health Care*/ethnology , Patient Acceptance of Health Care*/psychology , Patient Acceptance of Health Care*/statistics & numerical data, Humans ; Female ; Male ; Adult ; Surveys and Questionnaires ; Middle Aged ; Quebec ; Africa/ethnology ; Young Adult ; Aged ; Depression/ethnology ; Depression/psychology ; Self Efficacy ; Cultural Competency ; Black People/psychology ; Black People/statistics & numerical data ; Adolescent ; Factor Analysis, Statistical |
| مستخلص: | Purpose: Previous research has shown that non-Caucasian immigrants in Western countries are less likely than native-born people to use mental health services. This study examined the reasons underlying reluctance to use mental health services among African immigrants in Montreal, Canada. Methods: The study participants were 280 African immigrants who had experienced symptoms suggesting depression but did not use formal mental health services. They were presented with a questionnaire that contained 65 statements referring to reasons for not using formal mental health services while experiencing those symptoms and were asked to indicate their degree of agreement with each of the statements on a scale of 0-10. Responses were then analyzed using factor analysis. Results: An eight-factor structure of reasons was found: "Minimizing symptoms and perceived self-efficacy" (61% of the sample), "Relying on spiritual care" (56% of the sample), "Cost and waiting time" (45% of the sample), "Influence of significant others" (34% of the sample), "Lack of cultural competence" (32% of the sample), "Fear of stigmatization" (23% of the sample), "Nature of the consultation" (10% of the sample) and "Social models" (8% of the sample). Scores on these factors were related to participants' demographics. Conclusion: Effectively addressing the underutilization of mental health services among African immigrants requires a multifaceted approach rather than one focused on a single barrier. Our findings suggest critical points that could help develop tailored interventions to address the various barriers to care. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.) |
| References: | Whitley R, Wang J, Fleury M-J, Liu A, Caron J (2017) Mental health status, health care utilization, and service satisfaction among immigrants in Montreal: an epidemiological comparison. Can J Psychiatry 62(8):570–579. https://doi.org/10.1177/0706743716677724. (PMID: 10.1177/070674371667772427836931) Boukpessi TB, Kpanake L, Gagnier JP (2021) Willingness to use mental health services for depression among African immigrants and White Canadian-born people in the province of Quebec. Canada J Immigr Minor Health 23(2):320–328. https://doi.org/10.1007/s10903-020-01061-y. (PMID: 10.1007/s10903-020-01061-y32740883) Whitley R, Kirmayer LJ, Groleau D (2006) Understanding immigrants’ reluctance to use mental health services: a qualitative study from Montreal. Can J Psychiatry 51(4):205–209. https://doi.org/10.1177/070674370605100401. (PMID: 10.1177/07067437060510040116629344) Nadeem E, Lange JM, Miranda J (2008) Mental health care preferences among low-income and minority women. Arch Womens Ment Health 11(2):93–102. https://doi.org/10.1007/s00737-008-0002-0. (PMID: 10.1007/s00737-008-0002-0184639402689381) Castaneda A, Rask S, Koponen P, Mӧlsӓ M, Koskinen S (2012) Maahanmuuttajen terveys ja hyvinvointi, Tutkimus venӓlӓis-somalialais- ja kurditaustaisista Suomessa. [Migrant health and wellbeing. A study on persons of Russian, Somali and Kurdish origin in Finland]. National Institute for Health and Welfare [THL], Helsinki: Finland. Vang ZM, Sigouin J, Flenon A, Gagnon A (2017) Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethn Health 22(3):209–241. https://doi.org/10.1080/13557858.2016.1246518. (PMID: 10.1080/13557858.2016.124651827809589) McDonald JT, Kennedy S (2004) Insights into the healthy immigrant effect: health status and health service use of immigrants to Canada. Soc Sci Med 59(8):1613–1627. https://doi.org/10.1016/j.socscimed.2004.02.004. (PMID: 10.1016/j.socscimed.2004.02.00415279920) Newbold KB (2005) Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect. Soc Sci Med 60(6):1359–1370. https://doi.org/10.1016/j.socscimed.2004.06.048. (PMID: 10.1016/j.socscimed.2004.06.04815626530) Fenta H, Hyman I, Noh S (2006) Mental health service utilization by Ethiopian immigrants and refugees in Toronto. J Nerv Ment Dis 194(12):925–934. https://doi.org/10.1097/01.nmd.0000249109.71776.58. (PMID: 10.1097/01.nmd.0000249109.71776.5817164631) Thomson MS, Chaze F, George U, Guruge S (2015) Improving immigrant population’s access to mental health services in Canada: a review of barriers and recommendations. J Immigr Minor Health 17(6):1895–1905. https://doi.org/10.1007/s10903-015-0175-3. (PMID: 10.1007/s10903-015-0175-325742880) Mental Health Commission of Canada (2012) Changing directions, changing lives: the mental health strategy for Canada. Mental Health Commission of Canada, Calgary. Derr AS (2016) Mental health service use among immigrants in the United States: a systematic review. Psychiatr Serv 67(3):265–274. https://doi.org/10.1176/appi.ps.201500004. (PMID: 10.1176/appi.ps.20150000426695493) Wu MC, Kviz FJ, Miller AM (2009) Identifying individual and contextual barriers to seeking mental health services among Korean American immigrant women. Issues Ment Health Nurs 30(2):78–85. https://doi.org/10.1080/01612840802595204. (PMID: 10.1080/0161284080259520419212865) Kpanake L, Dassa SK, Mullet E (2009) Why most Togolese people do not seek care for malaria in health care facilities: a theory-driven inventory of reasons. Psychol Health Med 14(4):502–510. https://doi.org/10.1080/13548500902890095. (PMID: 10.1080/1354850090289009519697259) Bagnulo A, Muñoz Sastre MT, Kpanake L, Sorum PC, Mullet E (2019) Why patients want to take or refuse to take antibiotics: an inventory of motives. BMC Public Health 19(1):441. https://doi.org/10.1186/s12889-019-6834-x. (PMID: 10.1186/s12889-019-6834-x310291106487028) Knipscheer JW, De Jong EE, Kleber RJ, Lamptey E (2000) Ghanaian migrants in the Netherlands: general health, acculturative stress and utilization of mental health care. J Commun Psychol 28(4):459–476. https://doi.org/10.1002/1520-6629(200007). (PMID: 10.1002/1520-6629(200007)) Knipscheer JW, Kleber RJ (2008) Help-seeking behavior of West African migrants. J Community Psychol 36(7):915–928. https://doi.org/10.1002/jcop.20264. (PMID: 10.1002/jcop.20264) Apter MJ (2001) Motivational styles in everyday life: a guide to reversal theory. American Psychological Association, Washington. (PMID: 10.1037/10427-000) Memon A, Taylor K, Mohebati LM, Sundin J, Cooper M, Scanlon T, de Visser R (2016) Perceived barriers to accessing mental health services among black and minority ethnic (BME) communities: a qualitative study in Southeast England. BMJ Open 6:e012337. https://doi.org/10.1136/bmjopen-2016-012337. (PMID: 10.1136/bmjopen-2016-012337278527125128839) Alang SM (2016) Black folk don’t get no severe depression: Meanings and expressions of depression in a predominantly black urban neighborhood in Midwestern United States. Soc Sci Med 157(1):1–8. https://doi.org/10.1016/j.socscimed.2016.03.032. (PMID: 10.1016/j.socscimed.2016.03.03227054710) Kpanake L (2018) Cultural concepts of the person and mental health in Africa. Transcult Psychiatry 55(2):198–218. https://doi.org/10.1177/1363461517749435. (PMID: 10.1177/136346151774943529400136) Kirmayer LJ (2007) Psychotherapy and the cultural concept of the person. Transcult Psychiatry 44(2):232–257. https://doi.org/10.1177/1363461506070794. (PMID: 10.1177/136346150607079417576727) Masemola HC, Moodley SV, Shirinde J (2022) Perceptions and attitudes of black men in a rural district of South Africa towards depression and its treatment. S Afr Fam Pract 64(1):a5557. https://doi.org/10.4102/safp.v64i1.5557. (PMID: 10.4102/safp.v64i1.5557) Chaumba J (2011) Health status, use of health care resources, and treatment strategies of Ethiopian and Nigerian immigrants in the United States. Soc Work Health Care 50(6):466–481. https://doi.org/10.1080/00981389.2011.581999. (PMID: 10.1080/00981389.2011.58199921774587) Khawaja NG, White KM, Schweitzer R, Greenslade J (2008) Difficulties and coping strategies of Sudanese refugees: a qualitative approach. Transcult Psychiatry 45(3):489–512. https://doi.org/10.1177/1363461508094678. (PMID: 10.1177/136346150809467818799645) McCann TV, Mugavin J, Renzaho A, Lubman DI (2016) Sub-Saharan African migrants youths’ help-seeking barriers and facilitators for mental health and substance use problems: a qualitative study. BMC Psychiatry 16:275. https://doi.org/10.1186/s12888-016-0984-5. (PMID: 10.1186/s12888-016-0984-5274843914971683) Creese G, Wiebe B (2012) Survival employment: gender and deskilling among African immigrants in Canada. Int Migr 50(5):56–76. https://doi.org/10.1111/j.1468-2435.2009.00531.x. (PMID: 10.1111/j.1468-2435.2009.00531.x) Okeke-Ihejirika P, Salami B, Karimi A (2018) African immigrant women’s experience in western host societies: a scoping review. J Gend Stud 27(4):428–444. https://doi.org/10.1080/09589236.2016.1229175. (PMID: 10.1080/09589236.2016.1229175) Beiser M, Hou F, Hyman I, Tousignant M (2002) Poverty, family process, and the mental health of immigrant children in Canada. Am J Public Health 92(2):220–227. https://doi.org/10.2105/ajph.92.2.220. (PMID: 10.2105/ajph.92.2.220118182951447046) Bhui K, Warfa N, Edonya P, McKenzie K, Bhugra D (2007) Cultural competence in mental health care: a review of model evaluations. BMC Health Serv Res 7:15. https://doi.org/10.1186/1472-6963-7-15. (PMID: 10.1186/1472-6963-7-15172667651800843) Ellis BH, Lincoln AK, Charney ME, Ford-Paz R, Benson M, Strunin L (2010) Mental health utilization of Somali adolescents: religion, community, and school as gateways to healing. Transcult Psychiatry 47(5):789–811. https://doi.org/10.1177/1363461510379933. (PMID: 10.1177/136346151037993321088104) Allen D (2008) Cultural competency training in a global society. Springer, New York. Good M-JD, Willen SS, Hannah SD, Vickery K, Park LT (2011) Shattering culture: American medicine responds to cultural diversity. Russell Sage Foundation, New York. Hansen MC, Cabassa LJ (2012) Pathways to depression care: help-seeking experiences of low-income Latinos with diabetes and depression. J Immigr Minor Health 14(6):1097–1106. https://doi.org/10.1007/s10903-012-9590-x. (PMID: 10.1007/s10903-012-9590-x22367667) Pettersen RJ, Debesay J (2023) Substance use and help-seeking barriers: a qualitative study of East African migrants’ experiences of access to Norwegian healthcare services. BMC Health Serv Res 23(1):107. https://doi.org/10.1186/s12913-023-09110-6. (PMID: 10.1186/s12913-023-09110-6367260969891897) |
| معلومات مُعتمدة: | 950-230745 Canada Research Chairs |
| فهرسة مساهمة: | Keywords: African immigrants; Canada; Help-seeking behavior; Mental health service |
| تواريخ الأحداث: | Date Created: 20231007 Date Completed: 20240824 Latest Revision: 20240828 |
| رمز التحديث: | 20240828 |
| DOI: | 10.1007/s00127-023-02566-1 |
| PMID: | 37805584 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1433-9285 |
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| DOI: | 10.1007/s00127-023-02566-1 |