Uptake of health services for common mental disorders by first-generation Turkish and Moroccan migrants in the Netherlands

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• 作者：Thijs Fassaert (1) (2)
  Matty AS de Wit (1)
  Arnoud P Verhoeff (1) (3)
  Wilco C Tuinebreijer (4)
  Wim HM Gorissen (5)
  Aartjan TF Beekman (6) (7)
  Jack Dekker (8) (9)
  
• 刊名：BMC Public Health
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：9
• 期：1
• 全文大小：239KB
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  62. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/9/307/prepub
  
• 作者单位：Thijs Fassaert (1) (2)
  Matty AS de Wit (1)
  Arnoud P Verhoeff (1) (3)
  Wilco C Tuinebreijer (4)
  Wim HM Gorissen (5)
  Aartjan TF Beekman (6) (7)
  Jack Dekker (8) (9)
  
  1. Department of Epidemiology Documentation & Health Promotion, Municipal Health Service, Amsterdam, the Netherlands
  2. Department of Social Medicine, Academic Medical Centre (AMC/UvA), Amsterdam, the Netherlands
  3. Department of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, the Netherlands
  4. Department of Public Mental Health Care, Municipal Health Service, Amsterdam, the Netherlands
  5. Arkin Academy, Arkin Mental Health Institute, Amsterdam, the Netherlands
  6. Department of Psychiatry, VU University, Amsterdam, the Netherlands
  7. GGZ inGeest, Amsterdam, the Netherlands
  8. Department of Clinical Psychology, VU University Amsterdam, the Netherlands
  9. Research Department, Arkin Mental Health Institute, Amsterdam, the Netherlands
  
• ISSN：1471-2458

文摘

Background Migration and ethnic minority status have been associated with higher occurrence of common mental disorders (CMD), while mental health care utilisation by non-Western migrants has been reported to be low compared to the general population in Western host countries. Still, the evidence-base for this is poor. This study evaluates uptake of mental health services for CMD and psychological distress among first-generation non-Western migrants in Amsterdam, the Netherlands. Methods A population-based survey. First generation non-Western migrants and ethnic Dutch respondents (N = 580) participated in structured interviews in their own languages. The interview included the Composite International Diagnostic Interview (CIDI) and the Kessler psychological distress scale (K10). Uptake of services was measured by self-report. Data were analysed using weighting techniques and multivariate logistic regression. Results Of subjects with a CMD during six months preceding the interview, 50.9% reported care for mental problems in that period; 35.0% contacted specialised services. In relation to CMD, ethnic groups were equally likely to access specialised mental health services. In relation to psychological distress, however, Moroccan migrants reported less uptake of primary care services (OR = 0.37; 95% CI = 0.15 to 0.88). Conclusion About half of the ethnic Dutch, Turkish and Moroccan population in Amsterdam with CMD contact mental health services. Since the primary purpose of specialised mental health services is to treat "cases", this study provides strong indications for equal access to specialised care for these ethnic groups. The purpose of primary care services is however to treat psychological distress, so that access appears to be lower among Moroccan migrants.