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Latinos and mental health care

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Sometimes researchers do what's called "a review of the literature," which means they go back and read numerous studies on a given subject and then distill the results and observations into a book review of sorts. I love those. It means I don't have to read the studies myself, but I still glean interesting information. Below, Humberto Marin, M.D., Javier I. Escobar, M.D., and William A. Vega, Ph.D. review the literature on Hispanics and mental health. Here's what they found:

"Although Hispanics are the largest minority in the United States, we have only fragmentary information and scarce guidelines on the frequency, recognition, and treatment of mental illness in this population.


"In reviewing the literature on this issue, the authors found that Hispanics are younger, poorer, and less educated than the average American; have an average unemployment rate; are heterogeneous in aspects such as race/genetics, health care access/utilization, acculturation, and legal status; differ in risk of some mental illnesses and in risky behaviors according to birthplace/ acculturation; are at increasing risk of behaviors and health issues that complicate mental illness and its treatment, such as obesity, diabetes, and sedentary lifestyle; have less access to health and mental health care and receive less care and lower-quality care; tend to receive mental health care in primary care settings, often face linguistic barriers, and are more likely not to have mental disorders detected; seem less likely to suffer from depression and anxiety but tend to have more persistent mental illnesses; are more likely to somatize distress and to report psychotic symptoms in the absence of a formal thought disorder; do not appear to differ from Caucasians in drug metabolism and pharmacokinetics; seem to have lower medication adherence, which could be a function of socioeconomic and linguistic or educational factors; seem to respond well to adapted psychotherapeutic and psychosocial interventions and receive significant additional benefit from supplemental services such as case management, collaborative care, and quality improvement interventions."

Wow. That's a lotta semicolons.

Comments

The "findings" sounds vague enough to be applicable to almost any race.

Betcha poor Hispanics are much more similar to poor blacks and po white folks. Why segregate?

Now here's a statistic:

Hungary has the highest national suicide rate in the world at 66 per hundred thousand (for comparison, the U.S. rate in 2001 was 11 per hundred thousand).

The country has had the highest rate worldwide going back to the 1960s, when data first began to be recorded on a nation-by-nation basis.

Why? Maybe its the song...

http://www.phespirit.info/gloomysunday/article_02.htm

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About

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Liz Spikol is senior contributing editor of Philadelphia Weekly. She writes the award-winning column The Trouble With Spikol, which began as a chronicle of her struggle with mental illness, and has since expanded into humorous musings on everything from graphic novels to how to use a mop. She also writes the paper's book review column, Lit Gloss. This blog -- named one of the Top 10 Bipolar Blogs of 2007 by PsychCentral -- is about mental illness policy, news, personal journeys and more.