Mental health service utilization by Ethiopian immigrants and refugees in Toronto

被引:82
|
作者
Fenta, Haile
Hyman, Ilene
Noh, Samuel
机构
[1] Ctr Addict & Mental Hlth, Toronto, ON, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[3] Sunnybrook & Womens Coll Hlth Sci Ctr, Ctr Res Womens Hlth, Toronto, ON, Canada
[4] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada
关键词
mental health; service utilization; migration; Ethiopians;
D O I
10.1097/01.nmd.0000249109.71776.58
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this study was to examine the mental health service utilization patterns of Ethiopians in Toronto. A cross-sectional epidemiological survey of 342 randomly selected adults was conducted, based on a conceptual model of healthcare utilization suggested by Anderson and Newman. The results suggested that 5% of the respondents sought mental health services from healthcare professionals and 8% consulted nonhealthcare professionals. Although Ethiopians' utilization rate of mental health services did not greatly differ from the rates of the general population of Ontario (6%), only a small proportion (12.5%) of Ethiopians with mental disorders used services from healthcare professionals, mostly family physicians. The data also suggested that Ethiopians were more likely to consult traditional healers than healthcare professionals for mental health problems (18.8% vs. 12.5%). In multivariate logistic regression analyses, while the number of somatic symptoms experienced was positively associated with increased mental healthcare utilization (OR = 1.515, p < 0.05), having a mental disorder was associated with decreased mental healthcare utilization (OR = 0.784, p < 0.01). Our findings have important implications for mental health services. On the one hand, the findings suggest that somatic symptoms could lead to increased use of mental health services, particularly family physicians' services. On the other hand, the data suggested that although the mental healthcare needs of Ethiopians are high, they use fewer mental health services from healthcare professionals. It would seem that family physicians could play important role in identifying and treating Ethiopian clients with somatic symptoms, as these symptoms may reflect mental disorder.
引用
收藏
页码:925 / 934
页数:10
相关论文
共 50 条
  • [1] Health service utilization by ethiopian immigrants and refugees in Toronto
    Fenta H.
    Hyman I.
    Noh S.
    [J]. Journal of Immigrant and Minority Health, 2007, 9 (4) : 349 - 357
  • [2] Factors Associated with Mental Health Service Utilization Among Ethiopian Immigrants and Refugees
    Ayele, Selam G.
    Thompson-Robinson, Melva
    Andrews, Johanna
    Francis, Carolee Dodge
    [J]. JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2020, 22 (05) : 965 - 972
  • [3] Factors Associated with Mental Health Service Utilization Among Ethiopian Immigrants and Refugees
    Selam G. Ayele
    Melva Thompson-Robinson
    Johanna Andrews
    Carolee Dodge Francis
    [J]. Journal of Immigrant and Minority Health, 2020, 22 : 965 - 972
  • [4] Determinants of depression among Ethiopian immigrants and refugees in Toronto
    Fenta, H
    Hyman, I
    Noh, S
    [J]. JOURNAL OF NERVOUS AND MENTAL DISEASE, 2004, 192 (05) : 363 - 372
  • [5] Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers
    Salami, Bukola
    Salma, Jordana
    Hegadoren, Kathleen
    [J]. INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2019, 28 (01) : 152 - 161
  • [6] Mental health of immigrants and refugees
    Pumariega, AJ
    Rothe, E
    Pumariega, JB
    [J]. COMMUNITY MENTAL HEALTH JOURNAL, 2005, 41 (05) : 581 - 597
  • [7] Mental Health of Immigrants and Refugees
    Andrés J. Pumariega
    Eugenio Rothe
    JoAnne B. Pumariega
    [J]. Community Mental Health Journal, 2005, 41 : 581 - 597
  • [8] The mental health of immigrants and refugees
    不详
    [J]. SANTE MENTALE AU QUEBEC, 2020, 45 (02): : 9 - 10
  • [9] MENTAL HEALTH IMPACT ON IMMIGRANTS AND REFUGEES
    Varkula, Mackenzie
    Ghori, Ambreen
    Molina, Carlos E.
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2016, 55 (10): : S356 - S356
  • [10] An exploratory study on the mental health of immigrants, refugees and non-status people living with HIV in Toronto
    Wong, Josephine Pui-Hing
    Li, Alan Tai-Wai
    Poon, Maurice Kwong-Lai
    Fung, Kenneth Po-Lun
    [J]. INTERNATIONAL JOURNAL OF MIGRATION HEALTH AND SOCIAL CARE, 2013, 9 (03) : 122 - +