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Am J Psychiatry 1990; 147:1333-1340
Copyright © 1990 by American Psychiatric Association
Socioeconomic status, ethnicity, psychological distress, and readiness to utilize a mental health facility
DF Briones, PL Heller, HP Chalfant, AE Roberts, SF Aguirre-Hauchbaum and WF Farr Jr
Texas Tech University Health Sciences Center, Department of Psychiatry, El Paso 79905.
The effects of minority status versus ethnic culture on Mexican- Americans'
underutilization of mental health services were reassessed through
development and testing of an analytic path model that proposes a sequence
of factors, including Mexican-American ethnicity, socioeconomic status,
degree of social and institutional support, and depression, which culminate
in a person's decision to utilize mental health facilities. The model also
predicts that life stress will affect utilization through its influence on
depression. Data from 783 subjects generally supported the model's
predictions. A multifactorial approach to the causes of mental health
problems and utilization behavior in the Mexican-American population is
suggested.
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