Acculturation Differences in Communicating Information about Child Mental Health Between Latino Parents and Primary Care Providers
| Autor: | Lawrence S. Wissow, Benjamin Lê Cook, Jonathan D. Brown, Stephen Loder |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Parents medicine.medical_specialty Adolescent Epidemiology media_common.quotation_subject Immigration Resistance (psychoanalysis) Article Physicians Primary Care Young Adult Medicine Humans Association (psychology) Child media_common Physician-Patient Relations business.industry Public health Communication Mental Disorders Public Health Environmental and Occupational Health Infant Hispanic or Latino Mental illness medicine.disease Mental health Acculturation Mental Health Child Preschool business Psychosocial Clinical psychology |
| Popis: | Significant Latino-white disparities in youth mental health care access and quality exist yet little is known about Latino parents’ communication with providers about youth mental health and the role of acculturation in influencing this communication. We estimated regression models to assess the association between time in the US and the number of psychosocial issues discussed with the medical assistant (MA) and doctor, adjusting for child and parent mental health and sociodemographics. Other proxies of acculturation were also investigated including measures of Spanish and English language proficiency and nativity. Parent’s length of time in the US was positively associated with their communication of: their child’s psychosocial problems with their child’s MA, stress in their own life with their child’s MA, and their child’s school problems with their child’s doctor. These differences were especially apparent for parents living in the US for >10 years. Parent–child language discordance, parent and child nativity were also significantly associated with communication of psychosocial problems. Greater provider and MA awareness of variation in resistance to communicating psychosocial issues could improve communication, and improve the prevention, diagnosis and treatment of youth mental illness. |
| Databáze: | OpenAIRE |
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