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.) |
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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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