Heehyul Moon1, Yeon-Shim Lee2, Soonhee Roh3, Catherine E Burnette4. 1. Kent School of Social Work, University of Louisville, 2217 S 3rd St. Oppenheim Hall #210, Louisville, KY, 40292, USA. Heehyul.moon@louisville.edu. 2. School of Social Work, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, 94132, USA. 3. Department of Social Work, University of South Dakota, 365 Health Science Center, 1400 West 22nd Street, Sioux Falls, SD, 57105, USA. 4. School of Social Work, Tulane University, 127 Elk Place, Room 409, New Orleans, LA, 70112, USA.
Abstract
OBJECTIVE: Our objective was to identify the factors that impact mental health service use among American Indian (AI) older adults living in South Dakota compared to their White counterparts. DESIGN AND METHODS: Using a cross-sectional design with 735 participants (n = 502 Whites, n = 233 AIs), we used ordinal regressions to analyze the extent to which predisposing, need, and enabling/hindering factors predicted the level of mental health service utilization. RESULTS: White older adults used more mental health services as compared with AI older adults. For both groups, more adverse childhood experiences along with prior negative experience with mental health service use were significantly related to an increased level of mental health service use. Compared to their White counterparts, AI older adults who reported a higher level of depressive symptoms, better self-perceived physical health, and a more positive attitude toward mental health services tended to use more mental health services. CONCLUSIONS: To reduce mental health disparities among AI older adults, community, local government, and academic partners should pay attention to how to encourage the use of mental health services to meet the unique needs of AI older adults.
OBJECTIVE: Our objective was to identify the factors that impact mental health service use among American Indian (AI) older adults living in South Dakota compared to their White counterparts. DESIGN AND METHODS: Using a cross-sectional design with 735 participants (n = 502 Whites, n = 233 AIs), we used ordinal regressions to analyze the extent to which predisposing, need, and enabling/hindering factors predicted the level of mental health service utilization. RESULTS: White older adults used more mental health services as compared with AI older adults. For both groups, more adverse childhood experiences along with prior negative experience with mental health service use were significantly related to an increased level of mental health service use. Compared to their White counterparts, AI older adults who reported a higher level of depressive symptoms, better self-perceived physical health, and a more positive attitude toward mental health services tended to use more mental health services. CONCLUSIONS: To reduce mental health disparities among AI older adults, community, local government, and academic partners should pay attention to how to encourage the use of mental health services to meet the unique needs of AI older adults.
Entities:
Keywords:
American Indians; Mental health service use; Older adults; South Dakota
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