TY - JOUR
AU - B. Le Cook
AU - J. D. Brown
AU - S. Loder
AU - L. Wissow
A1 - 
AB - 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.
BT - Journal of immigrant and minority health / Center for Minority Public Health
C5 - Healthcare Disparities
CP - 6
CY - United States
DO - 10.1007/s10903-014-0010-2
IS - 6
JF - Journal of immigrant and minority health / Center for Minority Public Health
N2 - 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.
PP - United States
PY - 2014
SN - 1557-1920; 1557-1912
SP - 1093
EP - 1102
EP - 
T1 - Acculturation differences in communicating information about child mental health between Latino parents and primary care providers
T2 - Journal of immigrant and minority health / Center for Minority Public Health
TI - Acculturation differences in communicating information about child mental health between Latino parents and primary care providers
U1 - Healthcare Disparities
U2 - 24705736
U3 - 10.1007/s10903-014-0010-2
VL - 16
VO - 1557-1920; 1557-1912
Y1 - 2014
ER -