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Factors Associated with Mental Health Screening among Church-affiliated African American Populations
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Abstract
Background: Long-standing barriers prevent African Americans from utilizing mental health services. Churches have been culturally responsive locations in African American communities for delivering effective health interventions and services. This study examines factors associated with mental health screening among church-affiliated African-American populations.
Methods: This cross-sectional study used baseline data from the Healthy Actions to Impact Mind and Soul, an intervention designed to increase mental health screening for church-affiliated African-American adults in Kansas City, MO. Self-administered surveys collected data on mental health screening, violence and healthcare discrimination experiences, mental health-related attitudes, mental health status, religious coping, and socio-demographics. Analytic methods included descriptive statistics and logistic regression analyses.
Results: Study participants (N=180; mean age=52) were mostly women (81%); 58% reported they or a family member had ever experienced violence (gunshot, abuse, etc.), 18% had experienced<strong> </strong>discrimination in a healthcare setting in the last 12 months, and 74% perceived that mental health was serious in their community. A total of 38% had been screened for mental health, and 44% reported they would “definitely” get mental health screening if it were offered at their church. After adjusting for socio-demographics, perceived stress, and anxiety, individuals who had experienced violence had increased odds of past mental health screening (Adjusted Odds Ratio [aOR]=3.36; 95% CI: 1.61-6.99; p=0.001) as did people who believed that mental health problems was “very serious” in their community (aOR=2.87; 95% CI: 1.21- 6.81; p=0.02). Individuals who had experienced healthcare discrimination had increased odds of “definitely” being willing to get mental health screening at their church (aOR=2.52; 95% CI: 1.02 - 6.25; p=0.044) as did people who believed that mental health was “very serious” in their community (aOR=2.81; 95% CI: 1.21- 6.53; p=0.016). Religious coping was not associated with past mental health screening or willingness to be screened at church.
Conclusion: The possibility of a perpetrator attending the same church as a victim may explain why experience with violence is not positively associated with willingness to be screened at church. Mental health screening at African-American churches has the potential to increase mental health screening among populations that are exposed to violence and healthcare discrimination.
Type
Thesis (Open Access)
Date
2024-05
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Degree
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Embargo Lift Date
2025-05-17