ABSTRACT

Guided by Andersen’s Health Service Use Model, this study examined the predisposing, enabling, and need factors of MH service use among middle-aged and older lesbians. Data were collected from 455 lesbians ages 50 and over through a national online survey. Ordered logistic regression was conducted to examine the predictors of mental health counseling use. Results show that those who were widowed and single were more likely to participate in MH counseling than those who were partnered. Being out to healthcare providers, the number of mental health conditions, and being unsatisfied with sex were positively associated with participation in MH counseling. The study highlights the need to tailor MH service among those who are widowed and single and the importance of enhancing MH referral and integrating MH service in primary care for this population. Further, sexual health should be treated as an integral part of psychological wellbeing in MH treatment.

摘要

本研究以安徒生的健康服务使用模型为指导，考察了中老年女同性恋者使用 MH 服务的易感因素、促成因素和需求因素。通过全国在线调查收集了 455 名 50 岁及以上的女同性恋者的数据。进行有序逻辑回归以检查心理健康咨询使用的预测因素。结果表明，丧偶和单身的人比有伴侣的人更有可能参加 MH 咨询。向医疗保健提供者出柜、心理健康状况的数量以及对性不满意与参与 MH 咨询呈正相关。该研究强调了为丧偶和单身人群量身定制 MH 服务的必要性，以及加强 MH 转诊和将 MH 服务整合到该人群初级保健中的重要性。