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Evaluating culturally and linguistically integrated care for Latinx adults with mental and substance use disorders.
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- معلومة اضافية
- المصدر:
Publisher: Informa Healthcare Country of Publication: England NLM ID: 9608374 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3419 (Electronic) Linking ISSN: 13557858 NLM ISO Abbreviation: Ethn Health Subsets: MEDLINE
- بيانات النشر:
Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire ; Cambridge, MA : Carfax, c1996-
- الموضوع:
- نبذة مختصرة :
Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments ( n = 107). Study outcomes were depression symptom severity, anxiety symptom severity, illicit drug use, emergency department utilization and homelessness status. Pre-post analyses were conducted using paired t -test and McNemar test to examine changes in study outcomes. Multivariable regression model estimated through generalized estimating equations explored the influence of the intervention on study outcomes. Results were presented in adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: Participants were less likely to report depressive symptoms (AOR: 0.496, 95%CI: 0.296-0.832), less likely to report anxiety symptoms (AOR: 0.539, 95%CI: 0.329-0.884), and less likely to experience homelessness (AOR: 0.556, 95%CI: 0.328-0.943) at 6-month assessment compared to baseline. Participants were also less likely to report depressive symptoms (AOR: 0.378, 95%CI: 0.209-0.684), less likely to report anxiety symptoms (AOR: 0.471, 95%CI: 0.270-0.821), less likely to experience homelessness (AOR: 0.333, 95%CI: 0.189-0.587), and less likely to utilize the emergency department in the past 30 days (AOR: 0.397, 95%CI: 0.188-0.837) at 12-month assessment compared to baseline. Conclusions: Integrating culturally responsive behavioral and primary health care services is critical for addressing the needs of Latinx adults with mental and substance use disorders, and other chronic diseases. This initiative has the potential to reduce disparities in access to and engagement in care for Latinx adults.
- Contributed Indexing:
Keywords: Latino; Substance use; behavioral health; homelessness; integrated care; mental health
- الموضوع:
Date Created: 20191108 Date Completed: 20220407 Latest Revision: 20221207
- الموضوع:
20221213
- الرقم المعرف:
10.1080/13557858.2019.1685653
- الرقم المعرف:
31694382
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