Pragmatic Help Seeking: How Sexual and Gender Minority Groups Access Mental Health Care in a Rural State

Willging, Cathleen E.; Salvador, Melina; Kano, Miria

doi:10.1176/ps.2006.57.6.871

Cited by 99 publications

(73 citation statements)

References 8 publications

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“…Willging et al studied rural lesbian, gay, bisexual and transgender populations seeking mental health care. 22 He conducted a series of interviews with patients to determine whether barriers to care based on the stigma associated with mental health exist in an already stigmatized population. This notion was confirmed, with one interviewee saying, 'We have our ways.…”

Section: Resultsmentioning

confidence: 99%

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Exposing some important barriers to health care access in the rural USA

et al. 2015

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Section: Resultsmentioning

confidence: 99%

“…We fix ourselves here.' 22 Some patients feel that they are the victims of the prejudice of their health care providers. 27 In South Carolina, Vyavaharkar et al studied the quality of life of HIV patients in the rural Southeast.…”

Section: Resultsmentioning

confidence: 99%

Exposing some important barriers to health care access in the rural USA

et al. 2015

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“…Disclosure to health care providers is critical to receiving appropriate care and it has been suggested that routine questions about Downloaded by [University of California, San Francisco] at 10:58 20 February 2015 sexual identity could assist in this process. However, studies have demonstrated that non-disclosure to health providers is not uncommon (Clover, 2006;Steele, Tinmouth, & Lu, 2006;Wilging, Salvador, & Kano, 2006). In addition, disclosure appears to be more difficult for lesbians, as well as gay and bisexual men of color (Bernstein et al, 2008;Klitzman & Greenberg, 2002).…”

Section: Program Implicationsmentioning

confidence: 99%

Social Care Networks and Older LGBT Adults: Challenges for the Future

Brennan-Ing

Seidel

Larson³

et al. 2013

Journal of Homosexuality

131

101

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Research on service needs among older adults rarely addresses the special circumstances of lesbian, gay, bisexual, and transgender (LGBT) individuals, such as their reliance on friend-centered social networks or the experience of discrimination from service providers. Limited data suggests that older LGBT adults underutilize health and social services that are important in maintaining independence and quality of life. This study explored the social care networks of this population using a mixed-methods approach. Data were obtained from 210 LGBT older adults. The average age was 60 years, and 71% were men, 24% were women, and 5% were transgender or intersex. One-third was Black, and 62% were Caucasian. Quantitative assessments found high levels of morbidity and friend-centered support networks. Need for and use of services was frequently reported. Content analysis revealed unmet needs for basic supports, including housing, economic supports, and help with entitlements. Limited opportunities for socialization were strongly expressed, particularly among older lesbians. Implications for senior programs and policies are discussed.

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“…The negative relationship of self-reliant attitudes and help-seeking behavior has been portrayed as a byproduct of cultural values or preferences. For example, rural communities have been described as having cultures of self-reliance, and these attitudes are associated with underutilizing mental health services (Fuller et al 2000;Willging et al 2006). Ortega and Alegria (2002) found that for a community sample of Puerto Ricans living in low income areas on the island of Puerto Rico, self reliance was negatively associated with use of mental health services.…”

Section: Mental Healthcare Service Utilization and Ethnicitymentioning

confidence: 99%

Examining Latino Differences in Mental Healthcare Use: The Roles of Acculturation and Attitudes Towards Healthcare

Berdahl

Stone

2009

Community Ment Health J

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Latinos are less likely to use mental health services compared to non-Latino whites, but little research has examined the relative contribution of acculturation and attitudes towards healthcare. In the current study, we analyze data from a nationally representative sample of Mexicans, Cubans, Puerto Ricans and non-Latino whites from the 2002-2003 Medical Expenditure Panel Survey (n = 30,234). Findings show different utilization patterns in use of specialty, non-specialty, and any type of mental healthcare across the three Latino subgroups. The predictive efficacy of acculturation variables on ethnic group differences varies by subgroup. Self-reliant attitudes towards healthcare are associated with lower use, but these attitudes do not explain the ethnic gaps in use.

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Pragmatic Help Seeking: How Sexual and Gender Minority Groups Access Mental Health Care in a Rural State

Abstract: Although persons from sexual and gender minority groups often experience positive outcomes as a result of help seeking, some LGBT people remain vulnerable to anti-LGBT sentiments that persist within secular and sacred sectors of rural health care systems.

Cited by 99 publications

References 8 publications

Exposing some important barriers to health care access in the rural USA

Exposing some important barriers to health care access in the rural USA

Social Care Networks and Older LGBT Adults: Challenges for the Future

Examining Latino Differences in Mental Healthcare Use: The Roles of Acculturation and Attitudes Towards Healthcare

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