TY - JOUR
KW - African Americans/psychology
KW - Aged
KW - Aged, 80 and over
KW - Asian Americans/psychology
KW - Attitude to Health/ethnology
KW - Culture
KW - European Continental Ancestry Group/psychology
KW - Health Knowledge, Attitudes, Practice/ethnology
KW - Hispanic Americans/psychology
KW - Humans
KW - Mental Disorders/psychology
KW - Patient Preference/ethnology
KW - Primary Health Care
AU - D. E. Jimenez
AU - S. J. Bartels
AU - V. Cardenas
AU - S. S. Dhaliwal
AU - M. Alegria
A1 - 
AB - BACKGROUND: Beliefs concerning the causes of mental illness may help to explain why there are significant disparities in the rates of formal mental health service use among racial/ethnic minority elderly as compared with their white counterparts. This study applies the cultural influences on mental health framework to identify the relationship between race/ethnicity and differences in 1) beliefs on the cause of mental illness, 2) preferences for type of treatment, and 3) provider characteristics. METHOD: Analyses were conducted using baseline data collected from participants who completed the cultural attitudes toward healthcare and mental illness questionnaire, developed for the Primary Care Research in Substance Abuse and Mental Health for the Elderly study, a multisite randomized trial for older adults (65+) with depression, anxiety, or at-risk alcohol consumption. The final sample consisted of 1,257 non-Latino whites, 536 African Americans, 112 Asian Americans, and 303 Latinos. RESULTS: African Americans, Asian Americans, and Latinos had differing beliefs regarding the causes of mental illness when compared with non-Latino whites. Race/ethnicity was also associated with determining who makes healthcare decisions, treatment preferences, and preferred characteristics of healthcare providers. CONCLUSIONS: This study highlights the association between race/ethnicity and health beliefs, treatment preferences, healthcare decisions, and consumers' preferred characteristics of healthcare providers. Accommodating the values and preferences of individuals can be helpful in engaging racial/ethnic minority patients in mental health services.
BT - The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
C5 - Healthcare Disparities
CP - 6
CY - United States
DO - 10.1097/JGP.0b013e318227f876
IS - 6
JF - The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
N2 - BACKGROUND: Beliefs concerning the causes of mental illness may help to explain why there are significant disparities in the rates of formal mental health service use among racial/ethnic minority elderly as compared with their white counterparts. This study applies the cultural influences on mental health framework to identify the relationship between race/ethnicity and differences in 1) beliefs on the cause of mental illness, 2) preferences for type of treatment, and 3) provider characteristics. METHOD: Analyses were conducted using baseline data collected from participants who completed the cultural attitudes toward healthcare and mental illness questionnaire, developed for the Primary Care Research in Substance Abuse and Mental Health for the Elderly study, a multisite randomized trial for older adults (65+) with depression, anxiety, or at-risk alcohol consumption. The final sample consisted of 1,257 non-Latino whites, 536 African Americans, 112 Asian Americans, and 303 Latinos. RESULTS: African Americans, Asian Americans, and Latinos had differing beliefs regarding the causes of mental illness when compared with non-Latino whites. Race/ethnicity was also associated with determining who makes healthcare decisions, treatment preferences, and preferred characteristics of healthcare providers. CONCLUSIONS: This study highlights the association between race/ethnicity and health beliefs, treatment preferences, healthcare decisions, and consumers' preferred characteristics of healthcare providers. Accommodating the values and preferences of individuals can be helpful in engaging racial/ethnic minority patients in mental health services.
PP - United States
PY - 2012
SN - 1545-7214; 1064-7481
SP - 533
EP - 542
EP - 
T1 - Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care
T2 - The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
TI - Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care
U1 - Healthcare Disparities
U2 - 21992942
U3 - 10.1097/JGP.0b013e318227f876
VL - 20
VO - 1545-7214; 1064-7481
Y1 - 2012
ER -