Racial and Ethnic Differences Among Active-Duty Service Members in Use of Mental Health Care and Perceived Mental Health Stigma: Results From the 2018 Health Related Behaviors Survey
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作者:
Piro, Lauren
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Navy Med Readiness & Training Command New England, Newport, RI USANavy Med Readiness & Training Command New England, Newport, RI USA
Piro, Lauren
[1
]
Luo, Huabin
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East Carolina Univ, Brody Sch Med, Dept Publ Hlth, 115 Heart Dr, Greenville, NC 27834 USANavy Med Readiness & Training Command New England, Newport, RI USA
Luo, Huabin
[2
]
Jones, Katherine
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East Carolina Univ, Brody Sch Med, Dept Publ Hlth, 115 Heart Dr, Greenville, NC 27834 USANavy Med Readiness & Training Command New England, Newport, RI USA
Jones, Katherine
[2
]
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Lazorick, Suzanne
[2
]
Cummings, Doyle M.
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East Carolina Univ, Brody Sch Med, Dept Publ Hlth, 115 Heart Dr, Greenville, NC 27834 USANavy Med Readiness & Training Command New England, Newport, RI USA
Cummings, Doyle M.
[2
]
Saeed, Sy Atezaz
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East Carolina Univ, Brody Sch Med, Dept Psychiat & Behav Med, Greenville, NC USANavy Med Readiness & Training Command New England, Newport, RI USA
Saeed, Sy Atezaz
[3
]
机构:
[1] Navy Med Readiness & Training Command New England, Newport, RI USA
[2] East Carolina Univ, Brody Sch Med, Dept Publ Hlth, 115 Heart Dr, Greenville, NC 27834 USA
[3] East Carolina Univ, Brody Sch Med, Dept Psychiat & Behav Med, Greenville, NC USA
Introduction The prevalence of mental health disorders is rising among US service members; however, research is limited on their use of mental health care. The objective of our study was to determine whether racial and ethnic disparities exist in the use of mental health care and perceived mental health stigma among active-duty service members. Methods We obtained data from a sample of 17,166 active-duty service members who participated in the 2018 Department of Defense Health Related Behavior Survey (HRBS). Racial and ethnic groups included Black, Hispanic, White, and other. Yes-no questions about use of mental health care and perceived mental health stigma were our outcome variables. We used multiple logistic regression to assess racial and ethnic differences in mental health care use and perceived mental health stigma by service members. Significance was set at P <.05. Results In 2018, approximately 25.5% of service members self-reported using mental health services, and 34.2% self-reported perceived mental health stigma. Hispanic service members (AOR = 0.78) and service members in the "other" racial and ethnic group (AOR = 0.81) were less likely than their White counterparts to have used mental health care. Black (AOR = 0.68) and Hispanic (AOR = 0.86) service members were less likely than their White counter-parts to self-report perceived mental health stigma. Conclusion The 2018 HRBS showed racial and ethnic differences in mental health care use and perceived stigma among US active-duty service members. Perceived stigma was a barrier to use of mental health care among service members with a mental health condition. Culture-sensitive programs customized for different racial and ethnic groups are needed to promote mental health care and reduce perceptions of stigma associated with its use.
机构:
Walter Reed Natl Mil Med Ctr, Psychiat Continu Serv, Directorate Behav Hlth, Bethesda, MD 20814 USAWalter Reed Natl Mil Med Ctr, Psychiat Continu Serv, Directorate Behav Hlth, Bethesda, MD 20814 USA
Zumwalde, Jennifer K.
Hawkins, Brent L.
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Univ North Carolina Wilmington, Sch Appl Hlth & Human Sci, Recreat Therapy Degree Program, Wilmington, NC 28403 USAWalter Reed Natl Mil Med Ctr, Psychiat Continu Serv, Directorate Behav Hlth, Bethesda, MD 20814 USA
Hawkins, Brent L.
Young, Kathleen M.
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Walter Reed Natl Mil Med Ctr, Psychiat Continu Serv Clin, Directorate Behav Hlth, Bangor, ME USA
Acadia Hosp, Psychiat Dept, Bangor, ME USAWalter Reed Natl Mil Med Ctr, Psychiat Continu Serv, Directorate Behav Hlth, Bethesda, MD 20814 USA
机构:
Idaho State Univ, Dept Psychol, 921 S 8th Ave,Stop 8112, Pocatello, ID 83209 USAIdaho State Univ, Dept Psychol, 921 S 8th Ave,Stop 8112, Pocatello, ID 83209 USA
Goode, Jonathan
Swift, Joshua K.
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Idaho State Univ, Dept Psychol, 921 S 8th Ave,Stop 8112, Pocatello, ID 83209 USAIdaho State Univ, Dept Psychol, 921 S 8th Ave,Stop 8112, Pocatello, ID 83209 USA
机构:
Iowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USAIowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USA
Seidman, Andrew J.
Wade, Nathaniel G.
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Iowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USAIowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USA
Wade, Nathaniel G.
Vogel, David L.
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Iowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USAIowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USA
Vogel, David L.
Armistead-Jehle, Patrick
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Munson Army Hlth Ctr, Dept Behav Hlth, Ft Leavenworth, KS USAIowa State Univ, Dept Psychol, W-112 Lagomarcino Hall,901 Stange Rd, Ames, IA 50011 USA
机构:
Marquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USAMarquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USA
Ong, Lee Za
Callender, Karisse A.
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Marquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USAMarquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USA
Callender, Karisse A.
Blalock, Kacie M.
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Louisiana State Univ, Dept Psychol, One Univ Pl, Shreveport, LA 71115 USAMarquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USA
Blalock, Kacie M.
Holzbauer, Jerome J.
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1744 North 58th St, Milwaukee, WI 53208 USAMarquette Univ, Dept counselor Educ & Counseling Psychol, POB 1881, Milwaukee, WI 53201 USA
Holzbauer, Jerome J.
AUSTRALIAN JOURNAL OF REHABILITATION COUNSELLING,
2021,
27
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: 50
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73
机构:
Educ Univ Hong Kong, Dept Psychol, Hong Kong, Peoples R China
Educ Univ Hong Kong, Ctr Psychosocial Hlth, Hong Kong, Peoples R China
Educ Univ Hong Kong, Dept Psychol, 10 Lo Ping Rd, Hong Kong, Peoples R ChinaEduc Univ Hong Kong, Dept Psychol, Hong Kong, Peoples R China
Chan, Kevin Ka Shing
Tsui, Jack Ka Chun
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Educ Univ Hong Kong, Dept Psychol, Hong Kong, Peoples R ChinaEduc Univ Hong Kong, Dept Psychol, Hong Kong, Peoples R China