title: Attitudes Toward Mental Health Services Among American Indians by Two Age Groups.
abstract: This study examined determinants of attitudes toward mental health services with a sample of American Indian younger-old-adults (aged 50-64, n = 158) and American Indian older-old adults (aged 65 and older, n = 69). Adapting Andersen's behavioral model of healthcare utilization, predisposing factors, mental health needs, and enabling factors were considered as potential predictors. Female and those with higher levels of social support tend to report more positive attitudes toward mental health services. Culture-influenced personal belief was associated with negative attitudes toward mental health services among American Indian younger-old -adults. Age and higher chronic medical conditions were significantly related to negative attitudes toward mental health services. Health insurance was positively associated with positive attitudes toward mental health services in the American Indian older-old adults. Findings indicate that practitioners should engage how culture, social support, and chronic conditions influence the response to mental health needs when working with older American Indians.
authors: Department of Social Work, University of South Dakota, 365 Health Science Center, 1400 West 22nd Street, Sioux Falls, SD, 57105, USA. Soonhee.Roh@usd.edu.
authors: Soonhee
authors: S
authors: Roh
authors: Division of Counseling and Psychology in Education, University of South Dakota, 414 E. Clark St., Vermillion, SD, 57069, USA.
authors: Kathleen A
authors: KA
authors: Brown-Rice
authors: School of Social Work, Wichita State University, 1845 Fairmount Street, Wichita, KS, 67260, USA.
authors: Kyoung Hag
authors: KH
authors: Lee
authors: School of Social Work, San Francisco State University, 1600 Holloway Ave, San Francisco, CA, 94132, USA.
authors: Yeon-Shim
authors: YS
authors: Lee
authors: Gerontology Program, San Francisco State University, 1600 Holloway Ave, San Francisco, CA, 94132, USA.
authors: Darlene
authors: D
authors: Yee-Melichar
authors: Department of Social Work, Concordia University Wisconsin, 12800 N Lake Shore Dr, Mequon, WI, 53097, USA.
authors: Elizabeth P
authors: EP
authors: Talbot
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002908:Chronic Disease / Q000523:psychology; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D019458:Insurance Coverage; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D012737:Sex Factors
keywords: American Indians; Mental health services; Older adults; Social stigma; Social support