Mental Illness and Help-seeking Behavior Among Mariel Cuban and Haitian Refugees in South Florida

Portes, Alejandro; Kyle, David; Eaton, William W.

doi:10.2307/2137309

Cited by 168 publications

(99 citation statements)

References 23 publications

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“…Access to care for some refugees is therefore hindered by a lack of familiarity with available services. 19 Community consultations with refugee populations living in NSW have confirmed this, and others, as significant issues for recent arrivals (NSW Refugee Health Service and the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors [STARTTS] unpublished reports).…”

Section: Problems Refugees Face When Accessing Health Servicesmentioning

confidence: 84%

Problems refugees face when accessing health services

Lamb¹,

Smith²

2002

NSW Public Health Bull.

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Section: Problems Refugees Face When Accessing Health Servicesmentioning

confidence: 84%

Problems refugees face when accessing health services

Lamb¹,

Smith²

2002

NSW Public Health Bull.

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“…The articles present findings from the seven epidemiological studies: the ECA Wells, Hough, Golding, Burnam, & Karno, 1987;Wells, Hough, Golding, Burnam, & Karno, 1989), NCS , MAPSS (Peifer, Hu, & Vega, 2000;Vega, Kolody, & Aguilar-Gaxiola, 2001;Vega et al, 1999), the Puerto Rico Mental Health Utilization Study (PRMHUS; AlbizuGarcia, Alegría, Freeman, & Vera, 2001;Alegría et al, 1991;Pescosolido, Wright, Alegría, & Vera, 1998;Vera, Alegría, Freeman, Robles, Pescosolido, & Pena, 1998), South Florida Refugee Study (Portes et al, 1992), National Surveys on Drug Use and Health (NSDUH; Harris et al, 2005), and the Robert Wood Johnson Foundation's Healthcare for Communities Study (RWJF HCS; Wells et al, 2001;Young, Klap, Sherbourne, & Wells, 2001). The 16 publications are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Seven Harris et al, 2005;Hough et al, 1987;Portes et al, 1992;Wells et al, 1987;Wells et al, 2001;Young et al, 2001) articles compared service use rates of Latinos with other racial and/or ethnic groups. For instance, Alegría et al (2002) used NCS data to compare the use of outpatient mental health services between Latinos (i.e., Mexican Americans, Cubans, Puerto Ricans and other Latinos), non-Latino Whites, and African Americans in a national representative sample of the non-institutionalized U.S. population.…”

Section: Study Designsmentioning

confidence: 99%

“…The other eight articles (Albizu-Garcia et al, 2001;Alegria et al, 2002;Portes et al, 1992;Vera et al, 1998;Wells et al, 1989) specified a service use model or framework. Andersen's (1995) Behavioral Model of Health Service Use was the most commonly used, appearing in seven reports.…”

Section: Theoretical Models or Frameworkmentioning

confidence: 99%

“…Six articles (Alegría et al, 1991;Hough et al, 1987;Portes et al, 1992;Wells et al, 1987Wells et al, , 1989Young et al, 2001) defined service use as a continuous variable measuring the frequency of services used over a specified period of time. Hough and colleagues (1987) using data from the ECA Los Angeles site measured the number of times respondents' visited specialty mental health, general health, and other human services in the previous 6-months for problems with emotions, nerves, drugs, alcohol or mental health.…”

Section: Dependent Variablesmentioning

confidence: 99%

See 2 more Smart Citations

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

318

177

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Since the early 1980s, epidemiological studies using state-of-the-art methodologies have documented the unmet mental health needs of Latinos adults in the U.S. and Puerto Rico. This paper reviews 16 articles based on seven epidemiological studies, examines studies methodologies, and summarizes findings about how Latino adults access mental health services. Studies consistently report that, compared to non-Latino Whites, Latinos underutilize mental health services, are less likely to receive guideline congruent care, and rely more often on primary care for services. Structural, economic, psychiatric, and cultural factors influence Latinos' service access. In spite of the valuable information these studies provide, methodological limitations (e.g., reliance on cross-sectional designs, scarcity of mixed Latino group samples) constrict knowledge about Latinos access to mental health services. Areas for future research and development needed to improve Latinos' access and quality of mental health care are discussed.

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Ability to Obtain Medical Care for the Uninsured

Cunningham¹,

Kemper²

1998

JAMA

102

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Context.-Communities differ in the way that medical care for medically indigent persons is organized and delivered, which is likely to result in differences across communities in the ability of uninsured persons to obtain medical care. Changes in the health care system, many of which are driven locally, may further exacerbate these differences. Objective.-To examine the extent of variation across US communities in the ability of uninsured persons to obtain medical care and the extent to which health status and other characteristics of the uninsured population account for these differences. Design.-Analysis of the 1996-1997 Community Tracking Study Household Survey. Setting.-A nationally representative sample of the US civilian, noninstitutionalized population residing in 60 randomly selected communities. Larger sample sizes were obtained for 12 of these communities, which were randomly selected to represent metropolitan areas in the United States with more than 200 000 persons. Participants.-A total of 60 446 individuals and 7200 uninsured persons. Main Outcome Measures.-The percentage of persons who either did not obtain needed medical care in the previous year or postponed receiving needed medical care in the previous year. Results.-Differences between communities with the highest percentage of uninsured persons reporting difficulty obtaining care and communities with the lowest percentage were more than 2-fold (41.4% vs 18.5%, PϽ.05). Little of the variation across communities is accounted for by differences in health status or sociodemographic characteristics of the uninsured population. The pattern of variation across communities in the ability of uninsured persons to obtain medical care is not correlated with variations in the ability of privately insured persons to obtain care (Pearson r, 0.04). Simulation results indicate that expanding private or public insurance coverage would not only increase the ability of uninsured persons to obtain medical care but would also reduce the variation across communities. Conclusions.-If people are uninsured, where they live is an important factor in determining the difficulty they have in obtaining care. This is likely to persist given that care for uninsured persons is driven largely by state and local policy, and health system changes are constraining clinicians' ability and willingness to serve uninsured persons in many parts of the country.

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Mental Illness and Help-seeking Behavior Among Mariel Cuban and Haitian Refugees in South Florida

Cited by 168 publications

References 23 publications

Problems refugees face when accessing health services

Problems refugees face when accessing health services

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Ability to Obtain Medical Care for the Uninsured

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