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Determinants to Tele-Mental Health Services Utilization Among California Adults: Do Immigration-Related Variables Matter?
Siddiq, Hafifa; Choi, Kristen R; Jackson, Nicholas; Saadi, Altaf; Gelberg, Lillian; Ponce, Ninez A; Takada, Sae.
Afiliación
  • Siddiq H; Mervyn M. Dymally College of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA. hafifashabaik@cdrewu.edu.
  • Choi KR; Division of General and Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. hafifashabaik@cdrewu.edu.
  • Jackson N; School of Nursing, UCLA, Los Angeles, CA, USA.
  • Saadi A; Department of Health Policy and Management, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
  • Gelberg L; Division of General and Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
  • Ponce NA; Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Takada S; Department of Health Policy and Management, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
Article en En | MEDLINE | ID: mdl-39235551
ABSTRACT
To investigate the relationship of predisposing, enabling, need, and immigration-related factors to tele-mental health services utilization among California adults, we conducted a secondary analysis of two waves of the California Health Interview Survey (CHIS) collected between 2015 and 2018 (N = 78,345). A series of logistic regression models were conducted to examine correlates and predictors to tele-mental health services use. Approximately 1.3% reported the use of tele-mental health services. Overall, health insurance status, severe psychological distress, perceived need for mental health services, and identifying as Asian, remained strong predictors for tele-mental health service use. When accounting for all factors, we found that being a non-citizen was associated with lower odds of tele-mental health service use (AOR = 0.47, CI = 0.26, 0.87, p < 0.05). These findings suggest that citizenship, resources to access, and perceived need for mental health care collectively are the most significant factors driving the use of tele-mental health services. There is a need to address inequitable access to tele-mental health services among immigrants who do not qualify for healthcare coverage due to citizenship status.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Immigr Minor Health Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Immigr Minor Health Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos