Document Detail

Self-reliance, mental health need, and the use of mental healthcare among island Puerto Ricans.
MedLine Citation:
PMID:  12385566     Owner:  NLM     Status:  MEDLINE    
This paper examines the relationship between self-reliance (preference to solve emotional problems on one's own) and 5 mental healthcare utilization outcomes for Puerto Ricans living in low-income areas. A random probability community sample of noninstitutionalized Puerto Ricans, ages 18-69, living in low-income areas of the island were selected and interviewed in 1992-93 and 1993-94. A series of logistic regression models tested the association between self-reliance and 5 mental health utilization measures, after adjusting for covariates measuring predisposing, enabling, need and barrier factors: any use of mental health services, any use of general health services for mental healthcare, any use of specialty care, use of psychotropic medications, and retention in mental healthcare. Self-reliance was found to be negatively associated with all 5 dependent service utilization measures. Those with a positive self-reliant attitude were 40% less likely to use care on any of the 5 outcome measures. An interaction was also observed between definite need for mental healthcare and having a self-reliant attitude when predicting mental health service use. Definite needers with a self-reliant attitude were 54%-58% less likely to use mental health services compared with definite needers who did not have a self-reliant attitude. Further, decreases in self-reliant attitude over the two data collection periods were associated with increases in mental health service use. Our findings suggest that self-reliance is a significant and robust predictor of mental healthcare utilization among Puerto Ricans living in low-income areas of the island.
Alexander N Ortega; Margarita Alegría
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Mental health services research     Volume:  4     ISSN:  1522-3434     ISO Abbreviation:  Ment Health Serv Res     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-18     Completed Date:  2003-02-20     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9815815     Medline TA:  Ment Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-40     Citation Subset:  IM    
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520-8034, USA.
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MeSH Terms
Health Knowledge, Attitudes, Practice*
Health Services Accessibility*
Logistic Models
Mental Health Services / utilization*
Middle Aged
Odds Ratio
Patient Acceptance of Health Care / psychology*
Poverty Areas
Puerto Rico
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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