Mental Health Screening Differences in Non-English Speaking Patients: Results From a Retrospective Cohort Study.
| Autor: | Müller, Frank, Abdelnour, Alyssa M., Rutaremara, Diana N., Arnetz, Judith E., Achtyes, Eric D., Alshaarawy, Omayma, Holman, Harland T. |
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| Předmět: |
PSYCHIATRIC diagnosis
ENGLISH language HEALTH services accessibility CONFIDENCE intervals PSYCHOLOGY of refugees COMMUNICATION barriers MEDICAL screening RETROSPECTIVE studies ACQUISITION of data REGRESSION analysis MANN Whitney U Test PATIENTS' attitudes MEDICAL records DESCRIPTIVE statistics CHI-squared test QUESTIONNAIRES RESEARCH funding HEALTH equity ODDS ratio DATA analysis software LONGITUDINAL method |
| Zdroj: | Journal of Primary Care & Community Health; 9/15/2023, p1-9, 9p |
| Abstrakt: | Purpose: To assess differences in mental health screening based on patient's preferred language. Methods: For this retrospective cohort study, data for 85 725 unique patients from 10 primary care clinics in West Michigan were analyzed if patients received at least 1 mental health screening with the Patient Health Questionnaire 4 (PHQ-4) within a 12-month period (10/15/2021-10/14/2022). A general linear regression model was used to assess the adjusted odds ratios (aOR) of being screened. Results: Patients having a preferred language other than English (n = 2755) had an 87.0% chance of receiving the recommended mental health screening, compared to 76.7% of English-speaking patients (P <.001). A multivariable model revealed decreased screening odds for Kinyarwanda (aOR 0.29, 95% CI 0.19-0.45) and Persian/Dari/Pashto (aOR 0.46, 95% CI 0.23-0.91) speaking patients and higher screening odds for Spanish (aOR 1.45, 95% CI 1.19-1.77), Bosnian (aOR 2.13, 95% CI 1.11-4.11), and Vietnamese (aOR 2.25 95% CI 1.64-3.08) speaking patients compared to English speaking patients. Conclusions: Results highlight the inequities between the language groups that are probably the result of the challenges to access multilingual depression and anxiety screening instruments. Furthermore, providers may be prone to bias about who they think "needs" a mental health screening. We suggest that measures are implemented to ensure consistency in mental health screening regardless of a patients' preferred language. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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