Objective: Racial inequities in mental health care utilization (MHCU) are well documented. Marginalized racial groups are more likely to report psychosis-like experiences (PLEs) and are at elevated risk for racial discrimination and trauma, impacting PLE severity. Little is known about how factors associated with race impact treatment seeking among individuals reporting PLEs. The present study examined associations between race, trauma, discrimination, PLEs, and MHCU among people endorsing high levels of PLEs. Method: Participants were Asian/Asian American, Black/African American, or White/European American college students ages 18-25 years meeting PLE self-report measure cutoff scores (N = 177). Binary logistic and multiple linear regressions were used to examine associations between past, current, and prospective MHCU and race, potentially traumatic events, discrimination, and PLEs. Results: Participants endorsing more PLEs were more likely to report past and current treatment and to be considering future services. Asian/Asian American and Black/African American participants were less likely to endorse past, current, and prospective future mental health care. Potentially traumatic events predicted increased utilization of past treatment. Conclusions: Results suggest service differences among participants, such that Black/African American and Asian/Asian American young adults reporting PLEs were less likely than White/European American counterparts to seek treatment even when accounting for traumatic events and discrimination. These findings highlight the need to further elucidate MHCU among marginalized racial groups experiencing psychosis-like symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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具有高水平类似精神病经历的个体的心理保健利用：与种族和潜在创伤事件的关联。

目标：精神卫生保健利用（MHCU）方面的种族不平等有据可查。边缘化种族群体更有可能报告类似精神病的经历 (PLE)，并且遭受种族歧视和创伤的风险较高，从而影响 PLE 的严重程度。关于种族相关因素如何影响报告 PLE 的个体寻求治疗，人们知之甚少。本研究调查了支持高水平 PLE 的人中种族、创伤、歧视、PLE 和 MHCU 之间的关联。方法：参与者是年龄在 18-25 岁且符合 PLE 自我报告测量截止分数的亚裔/亚裔美国人、黑人/非裔美国人或白人/欧洲裔美国大学生 (N = 177)。使用二元逻辑回归和多元线性回归来检查过去、当前和未来 MHCU 与种族之间的关联，潜在的创伤事件、歧视和 PLE。结果：认可更多 PLE 的参与者更有可能报告过去和当前的治疗并考虑未来的服务。亚裔/亚裔美国人和黑人/非裔美国人参与者不太可能支持过去、当前和未来的心理健康护理。潜在的创伤事件预示着过去治疗的利用率会增加。结论：结果表明参与者之间的服务差异，例如报告 PLE 的黑人/非裔美国人和亚裔/亚裔美国年轻人比白人/欧洲裔美国人寻求治疗的可能性更低，即使考虑到创伤事件和歧视。这些发现强调需要进一步阐明经历类似精神病症状的边缘种族群体中的 MHCU。