As high-profile reviews have appeared and international interest has grown, sophisticated studies of the U.S. population continue to document racial and ethnic disparities in initiation of mental health care and in continuity of care. Many explanations focus on cultural factors: trust and treatment receptiveness, stigma, culturally distinctive beliefs about mental illness and mental health, culturally sanctioned ways of expressing mental health-related suffering and coping styles, and client preferences for alternative interventions and treatment-seeking pathways, as well as unresponsive programs and providers. The research itself has become more rigorous and informative, but it continues to lack theoretical focus and does not yet yield cumulative findings. Too few studies have addressed community and regional differences or differences between mental health treatment programs and systems, or considered mental health-related policies that are very likely linked to disparities. Theoretically well-formulated studies on representative samples can provide a comprehensive explanation of access disparities in cultural and culture-related terms that inform a broad-based plan of remedial intervention.

中文翻译：

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获得护理的文化差异。

随着备受瞩目的评论的出现和国际关注的增长，对美国人口的深入研究继续记录了在精神卫生保健的开始和保健的连续性方面的种族和族裔差异。许多解释集中在文化因素上：信任和治疗的接受度，污名，关于精神疾病和心理健康的独特文化信仰，表达与心理健康有关的痛苦和应对方式的文化认可方式，以及客户偏爱替代性干预措施和寻求治疗的途径，以及反应迟钝的程序和提供程序。这项研究本身已经变得更加严格和丰富，但是它仍然缺乏理论上的关注并且还没有产生累积的发现。很少有研究针对社区和地区的差异或精神卫生治疗计划和系统之间的差异，或考虑了与精神卫生相关的政策，这些政策很可能与差异有关。从理论上讲，对代表性样本进行精心组织的研究可以以文化和与文化相关的术语提供对获取差异的全面解释，从而为广泛的补救干预计划提供依据。