Socioeconomic status, ethnicity, psychological distress, and readiness to utilize a mental health facility

Am J Psychiatry. 1990 Oct;147(10):1333-40. doi: 10.1176/ajp.147.10.1333.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acculturation
  • Age Factors
  • Depression / psychology*
  • Female
  • Health Behavior
  • Hispanic or Latino / psychology*
  • Humans
  • Life Change Events
  • Male
  • Mental Health Services / statistics & numerical data*
  • Models, Theoretical*
  • Patient Acceptance of Health Care*
  • Psychiatric Status Rating Scales
  • Regression Analysis
  • Sex Factors
  • Social Class
  • Social Support