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Titolo:
Comparative use of biomedical services and traditional healing options by American Indian veterans
Autore:
Gurley, D; Novins, DK; Jones, MC; Beals, J; Shore, JH; Manson, SM;
Indirizzi:
Univ Colorado, Hlth Sci Ctr, NCAIAN MHR, Dept Psychiat, Denver, CO 80220 USA Univ Colorado Denver CO USA 80220 HR, Dept Psychiat, Denver, CO 80220 USA Ctr Hlth Serv & Policy Res, Denver, CO USA Ctr Hlth Serv & Policy Res Denver CO USA rv & Policy Res, Denver, CO USA UCHSC, Dept Psychiat, Div Amer Indian & Alaska Native Programs, Denver, COUSA UCHSC Denver CO USA Amer Indian & Alaska Native Programs, Denver, COUSA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 1, volume: 52, anno: 2001,
pagine: 68 - 74
SICI:
1075-2730(200101)52:1<68:CUOBSA>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH SERVICES; UNITED-STATES; PSYCHIATRIC-DISORDERS; ALTERNATIVE MEDICINE; ADDICTIVE-DISORDERS; PREVALENCE; PATTERNS; LIFETIME;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Gurley, D Univ Colorado, Hlth Sci Ctr, NCAIAN MHR, Dept Psychiat, Campus Box A011-13,4455 E 12th Ave, Denver, CO 80220 USA Univ Colorado Campus Box A011-13,4455 E 12th Ave Denver CO USA 80220
Citazione:
D. Gurley et al., "Comparative use of biomedical services and traditional healing options by American Indian veterans", PSYCH SERV, 52(1), 2001, pp. 68-74

Abstract

Objective: This study described sen ice use among American Indian, veterans, compared use patterns across biomedical care and traditional healing options, and tested whether utilization varied as a function of need or availability. Methods: A cross-sectional survey of 621 male combat veterans selected from tribal rolls was conducted between 1992 and 1995 in American Indian reservation communities in the Southwest and in the Northern Plains. Measures included assessments of demographic characteristics, physical and mental health conditions, and self-reports of any use during the past year of Veterans Administration (VA), Indian Health Service (IHS), and other biomedical services as well as participation in traditional ceremonies and use of indigenous healing options. Results: Tribal groups were similar in sociodemographic characteristics and in number of health problems and mental and substance use problems during the past year. The same types of services from IHS were available to the two groups, and the geographic distance to these services was similar. VA facilities were more readily available in the Northern Plains than in the Southwest, where they were far from reservation boundaries. Use of IHS services was similar for the two tribal groups, but useof VA services was significantly less in the Southwest. Overall, biomedical sen ices were used more in the Northern Plains, reflecting greater use ofVA facilities. However, these differences in overall health service disappeared when traditional healing options were considered. Use of traditional healing was greater in the Southwest, offsetting lower biomedical service use. Conclusions: When the full array of options is examined, service use functions according to need for health care, but the kind of services used varies according to availability.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 15:58:39