This study utilized Andersen's model of health behavior to explore factors associated with mental health service utilization. We also examine rates for mental health service use, treatment preferences, and barriers to care. Data were collected utilizing web-based surveys. The sample consisted of first and second-generation African immigrants who had struggled with emotional or behavioral problems in the past 12 months (N = 323). Hierarchical logistic regression analyses were conducted to examine predictors of mental health service utilization. The majority of participants (79.5%) met criteria for probable major depression, and 63% sought mental health services. Findings showed that mental health service utilization was more significantly predicted by enabling and need factors. Age (odds ratio [OR] = 1.03), religiosity (OR = 1.11), acculturative stress (OR = 1.68), neighborhood risk (OR = 0.54), and work-productivity loss (OR = 2.93) were associated with increased likelihood of mental health service use (p < 0.05). Most common barriers to service use were hopes of self-healing (56.3%) followed by financial barriers (46.2%). Findings highlight the need for public health initiatives to increase mental health literacy and financial accessibility to mental health services in response to the high mental health need and identified barriers to care in this population.

中文翻译：

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美国非洲移民心理健康服务利用情况

本研究利用安徒生的健康行为模型来探索与心理健康服务利用相关的因素。我们还检查了心理健康服务使用率、治疗偏好和护理障碍。数据是利用基于网络的调查收集的。样本包括在过去 12 个月内与情绪或行为问题作斗争的第一代和第二代非洲移民（N = 323）。进行了分层逻辑回归分析以检查心理卫生服务利用的预测因素。大多数参与者 (79.5%) 符合可能的严重抑郁症的标准，63% 的人寻求心理健康服务。研究结果表明，支持因素和需求因素更能显着预测精神卫生服务的利用。年龄（比值比 [OR] = 1.03）、宗教信仰（OR = 1.11）、文化压力（OR = 1.68）、邻里风险（OR = 0.54）和工作生产力损失（OR = 2.93）与心理健康服务使用（p < 0.05)。使用服务的最常见障碍是希望自愈 (56.3%)，其次是经济障碍 (46.2%)。调查结果强调了公共卫生举措的必要性，以提高心理健康素养和心理健康服务的经济可及性，以应对该人群的高心理健康需求和确定的护理障碍。