title: Predicting Help-Seeking Attitudes Toward Mental Health Services Among American Indian Older Adults: Is Andersen's Behavioral Model a Good Fit?
abstract: American Indian (AI) older adults are vulnerable to mental health disparities, yet very little is known about the factors associated with help-seeking for mental health services among them. The purpose of this study was to investigate the utility of Andersen's Behavioral Model in explaining AI older adults' help-seeking attitudes toward professional mental health services. Hierarchical regression analysis was used to examine predisposing, enabling, and need variables as predictors of help-seeking attitudes toward mental health services in a sample of 233 AI older adults from the Midwest. The model was found to have limited utility in the context of older AI help-seeking attitudes, as the proportion of explained variance was low. Gender, perceived stigma, social support, and physical health were significant predictors, whereas age, perceived mental health, and health insurance were not.
authors.affiliation: University of South Dakota, Sioux Falls, USA Soonhee.Roh@usd.edu.
authors.forename: Soonhee
authors.initials: S
authors.lastname: Roh
authors.affiliation: Tulane University, New Orleans, LA, USA.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Burnette
authors.affiliation: Wichita State University, KS, USA.
authors.forename: Kyoung Hag
authors.initials: KH
authors.lastname: Lee
authors.affiliation: San Francisco State University, CA, USA.
authors.forename: Yeon-Shim
authors.initials: YS
authors.lastname: Lee
authors.affiliation: New York University, New York City, USA.
authors.forename: James I
authors.initials: JI
authors.lastname: Martin
authors.affiliation: University of South Dakota, Vermillion, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Lawler
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude / Q000208:ethnology; D005260:Female; D006304:Health Status; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008297:Male; D008603:Mental Health; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012737:Sex Factors; D057545:Social Stigma; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States
keywords: American Indian; help-seeking; mental health; older adults; service utilization