Mental Health Care Preferences Among Low-income and Minority Women

Overview

Journal Arch Womens Ment Health

Publisher Springer

Specialties Gynecology & Obstetrics
Psychiatry
Psychology

Date 2008 May 9

PMID 18463940

Citations 36

Authors

Erum Nadeem

Jane M Lange

Jeanne Miranda

Affiliations

Soon will be listed here.

Abstract

Mental health care preferences are examined among 1,893 low-income immigrant and U.S.-born women with an acknowledged emotional problem (mean age = 29.1, SD = 89.6). Ethnicity, depression, somatization, and stigma are examined as they relate to mental health care preferences (medication, individual and group counseling, faith, family/friends). Seventy-eight percent of participants counseling would be helpful; 55%; group counseling; and 32% medication. Faith was cited by 81%; family and friends were endorsed by 65%. Minorities had lower odds than Whites of endorsing medication (Black immigrants: OR = 0.27, p < 0.001, U.S.-born Blacks: OR = 0.30, p < 0.001, immigrant Latinas: OR = 0.50, p < 0.01). Most minorities also had higher odds of endorsing faith compared to Whites (Black immigrants: OR = 3.62, p < 0.001; U.S.-born Blacks, OR = 3.85, p < 0.001; immigrant Latinas: OR = 9.76, p < 0.001). Being depressed was positively associated with endorsing medication (OR = 1.93, p < 0.001), individual counseling (OR = 2.66, p < 0.001), and group counseling (OR = 1.35, p < 0.01). Somatization was positively associated with endorsing medication (OR = 1.29, p < 0.05) and faith (OR = 1.37, p < 0.05). Stigma-concerns reduced the odds of endorsing group counseling (OR = 0.58, p < 0.001). Finally, being in mental health treatment was related to increased odds of endorsing medication (OR = 3.88, p < 0.001) and individual counseling (OR = 2.29, p = 0.001).

Citing Articles

Harnessing Human-Centered Design for Evidence-Based Psychosocial Interventions and Implementation Strategies in Community Settings: Protocol for Redesign to Improve Usability, Engagement, and Appropriateness.

Lyon A, Munson S, Pullmann M, Mosser B, Aung T, Fortney J JMIR Res Protoc. 2025; 14:e65446.

PMID: 39879590 PMC: 11822321. DOI: 10.2196/65446.

Awareness and use of support services following mass violence incidents.

Rancher C, Moreland A, Galea S, Davies F, Bottomley J, Abba-Aji M J Psychiatr Res. 2024; 180:79-85.

PMID: 39383713 PMC: 11606753. DOI: 10.1016/j.jpsychires.2024.10.001.

Pastors as Partners in Care: African Immigrant Pastors' on Mental Health Care Referral Processes for Young Congregants Experiencing Symptoms of Psychosis in the US.

Myers N, Meeker R, Odeng V Community Ment Health J. 2024; 61(1):138-146.

PMID: 39162968 PMC: 11703927. DOI: 10.1007/s10597-024-01335-x.

Why are African immigrants in Montreal reluctant to use mental health services?: a systematic inventory of reasons.

Boukpessi T, Kpanake L, Gagnier J Soc Psychiatry Psychiatr Epidemiol. 2023; 59(9):1509-1517.

PMID: 37805584 DOI: 10.1007/s00127-023-02566-1.

Can a Home-Based Collaborative Care Model Reduce Health Services Utilization for Older Medicaid Beneficiaries Living with Depression and Co-occurring Chronic Conditions? A Quasi-experimental Study.

Steinman L, Xing J, Court B, Coe N, Yip A, Hill C Adm Policy Ment Health. 2023; 50(5):712-724.

PMID: 37233831 PMC: 11753177. DOI: 10.1007/s10488-023-01271-0.

References

Lowe B, Schulz U, Grafe K, Wilke S . Medical patients' attitudes toward emotional problems and their treatment. What do they really want?. J Gen Intern Med. 2006; 21(1):39-45. PMC: 1484618. DOI: 10.1111/j.1525-1497.2005.0266.x. View

Otote D, Ohaeri J . Depressive symptomatology and short-term stability at a Nigerian psychiatric care facility. Psychopathology. 2000; 33(6):314-23. DOI: 10.1159/000029165. View

Arean P, Miranda J . Do primary care patients accept psychological treatments?. Gen Hosp Psychiatry. 1996; 18(1):22-7. DOI: 10.1016/0163-8343(95)00075-5. View

Edge D, Baker D, Rogers A . Perinatal depression among black Caribbean women. Health Soc Care Community. 2004; 12(5):430-8. DOI: 10.1111/j.1365-2524.2004.00513.x. View

Schreiber R, Stern P, Wilson C . Being strong: how black West-Indian Canadian women manage depression and its stigma. J Nurs Scholarsh. 2000; 32(1):39-45. DOI: 10.1111/j.1547-5069.2000.00039.x. View

Nadeem E, Lange J, Edge D, Fongwa M, Belin T, Miranda J . Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care?. Psychiatr Serv. 2007; 58(12):1547-54. DOI: 10.1176/ps.2007.58.12.1547. View

Kirmayer L, Young A . Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med. 1998; 60(4):420-30. DOI: 10.1097/00006842-199807000-00006. View

Wang P, Lane M, Olfson M, Pincus H, Wells K, Kessler R . Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):629-40. DOI: 10.1001/archpsyc.62.6.629. View

Adewuya A, Makanjuola R . Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatry Psychiatr Epidemiol. 2005; 40(11):865-8. DOI: 10.1007/s00127-005-0965-3. View

10.

Edge D, Rogers A . Dealing with it: Black Caribbean women's response to adversity and psychological distress associated with pregnancy, childbirth, and early motherhood. Soc Sci Med. 2005; 61(1):15-25. DOI: 10.1016/j.socscimed.2004.11.047. View

11.

Miranda J, Green B, Krupnick J, Chung J, Siddique J, Belin T . One-year outcomes of a randomized clinical trial treating depression in low-income minority women. J Consult Clin Psychol. 2006; 74(1):99-111. DOI: 10.1037/0022-006X.74.1.99. View

12.

Halbert C, Armstrong K, Gandy Jr O, Shaker L . Racial differences in trust in health care providers. Arch Intern Med. 2006; 166(8):896-901. DOI: 10.1001/archinte.166.8.896. View

13.

Williams Jr J, Barrett J, Oxman T, Frank E, Katon W, Sullivan M . Treatment of dysthymia and minor depression in primary care: A randomized controlled trial in older adults. JAMA. 2000; 284(12):1519-26. DOI: 10.1001/jama.284.12.1519. View

14.

Hutchinson G, Gilvarry C . Ethnicity and dissatisfaction with mental health services. Br J Psychiatry. 1998; 172:95-6. DOI: 10.1192/bjp.172.1.95c. View

15.

Kessler R, Chiu W, Demler O, Merikangas K, Walters E . Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):617-27. PMC: 2847357. DOI: 10.1001/archpsyc.62.6.617. View

16.

Cooper L, Gonzales J, Gallo J, Rost K, Meredith L, Rubenstein L . The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients. Med Care. 2003; 41(4):479-89. DOI: 10.1097/01.MLR.0000053228.58042.E4. View

17.

Spitzer R, Williams J, Kroenke K, Linzer M, deGruy 3rd F, Hahn S . Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994; 272(22):1749-56. View

18.

Kessler R, Berglund P, Demler O, Jin R, Merikangas K, Walters E . Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):593-602. DOI: 10.1001/archpsyc.62.6.593. View

19.

Makanjuola J, Olaifa E . Masked depression in Nigerians treated at the Neuro-Psychiatric Hospital Aro, Abeokuta. Acta Psychiatr Scand. 1987; 76(5):480-5. DOI: 10.1111/j.1600-0447.1987.tb02907.x. View

20.

Sussman L, ROBINS L, Earls F . Treatment-seeking for depression by black and white Americans. Soc Sci Med. 1987; 24(3):187-96. DOI: 10.1016/0277-9536(87)90046-3. View