scholarly journals Use of Mental Health–Related Services Among Immigrant and US-Born Asian Americans: Results From the National Latino and Asian American Study

2007 ◽  
Vol 97 (1) ◽  
pp. 91-98 ◽  
Author(s):  
Jennifer Abe-Kim ◽  
David T. Takeuchi ◽  
Seunghye Hong ◽  
Nolan Zane ◽  
Stanley Sue ◽  
...  
2011 ◽  
Vol 26 (S2) ◽  
pp. 1655-1655
Author(s):  
H. Appel ◽  
A. Ai ◽  
B. Huang

IntroductionAsian Americans and Latino women underutilize mental health services.Studies show Asian American women have higher depression scores and less physical activity than their male counterparts. Ethnic minorities are deterred from seeking mental health care in a timely manner or from following appropriate treatment guidelines. Asian American women are less likely to seek mental health services compared to Latina and white women. Mental health issues in Asian and Latina women may be masked by psychosomatic complaints. Data from the National Latino Asian American Study, the first comprehensive epidemiological study of Asian Americans and Latinos in the USA.ObjectivesTo examine the behavioral, chronic and mental health issues in Latina and Asian American women.Methods3,012 Asian American and Latina American women from six ethnic subgroups (Chinese, Filipino, Vietnamese, Cuban, Mexican, and Puerto Rican Americans) from metropolitan areas were interviewed. Measures include behavioral, drug, chronic health conditions, and mental health issues, and frequency of health service seeking using T-tests and ANOVA.ResultsThe results showed Asian Americans women have less heart disease compared with Latina American women, but higher rates of smoking. More Filipinos rated their health as “Excellent” compared with Chinese and Vietnamese, and experience less major depressive disorder than their Asian counterparts. All three Asian American subgroups experience less anxiety than Latina American women.ConclusionsWhile raters of mental health problems may be low, they are unique in how they manifest themselves, and in the distinct ways in which they seek health services. There are marked differences among major ethnic subgroups.


2020 ◽  
Vol 44 (1) ◽  
pp. 59-71
Author(s):  
Keith Chan

Abstract Asian older adults are a fast-growing population in the United States. Because Asian older adults are a largely immigrant population, acculturation has an impact on their perceived discrimination, which is negatively associated with health and mental health. Discrimination can be overt, characterized by distrust and direct messages that are hostile and exclusionary, or covert, characterized by unfair treatment and messages that are negative and degrading. This study investigates the association of acculturation with perceived overt and covert discrimination, measured by the Everyday Discrimination Scale, with a sample of 348 foreign-born older Asian Americans from the National Latino and Asian American Study. Acculturation was measured by English-speaking ability, immigration-related variables, and ethnic identity. Results indicated that perceived covert discrimination was more prevalent than overt discrimination among older Asians. Among acculturation variables, only citizenship was associated with higher perceived covert and overt discrimination. Identifying with the same race was associated with higher covert discrimination. Findings suggest that higher acculturation is associated with greater exposure to discrimination for Asian older adults. Efforts to increase access and utilization of social and health-related services should consider the context of older Asians’ experiences as a discriminated immigrant group in the United States.


2007 ◽  
Author(s):  
David Takeuchi ◽  
Oanh Meyer ◽  
Nolan Zane ◽  
Stanley Sue ◽  
Manveen Dhindsa ◽  
...  

2008 ◽  
Vol 98 (3) ◽  
pp. 485-492 ◽  
Author(s):  
David H. Chae ◽  
David T. Takeuchi ◽  
Elizabeth M. Barbeau ◽  
Gary G. Bennett ◽  
Jane Lindsey ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S515-S516
Author(s):  
Lan Doan ◽  
Yumie Takata ◽  
Karen Hooker ◽  
Carolyn Mendez-Luck ◽  
and Veronica L Irvin

Abstract Cardiovascular disease (CVD) is the leading cause of death for Asian American (AA), Native Hawaiian, and Pacific Islander (NHPI) older adults, and AAs/NHPIs have not enjoyed decreases in CVD mortality rates, as have non-Hispanic whites (NHWs). Heterogeneity exists in the prevalence of traditional CVD risk factors for AAs/NHPIs. Health-related quality of life (HRQOL) reflect physical and mental burdens beyond clinical burdens, which may help explain discrepant CVD rates and risk factors in AAs/NHPIs. We examined HRQOL among NHW and AA/NHPI Medicare Advantage enrollees with and without a CVD (i.e., coronary artery disease, congestive heart failure, myocardial infarction, and stroke) using the Medicare Health Outcomes Survey. The sample included 655,914 older adults who were 65 years or older, self-reported as AA/NHPI or NHW, and were enrolled in Medicare Advantage plans in 2011-2015. HRQOL was measured using the Veterans RAND 12-item survey and is composed of a physical component score (PCS) and mental component score (MCS), where higher scores reflect better physical and mental health, respectively. Multivariable linear regression was used to explore HRQOL and CVD prevalence. Asian Indian, Filipino, Vietnamese, Other Asian, and NHPI subgroups had lower overall PCS, and all AA/NHPI subgroups had lower overall MCS, compared to NHWs. Among those reporting having any CVD, PCS varied by CVD outcomes and subgroups, whereas MCS was lower for all CVD outcomes and for all but one AA/NHPI subgroups (Japanese), compared to NHWs. Attention to mental health for AA/NHPI older adults could be important for the equitable realization of healthy aging.


Social Work ◽  
2020 ◽  
Vol 65 (2) ◽  
pp. 114-122
Author(s):  
Carol A Leung

Abstract Suicide was the ninth leading cause of death for Asian Americans in 2017. The growth of Asian American populations has led to more discussions about suicide prevention efforts. A 128-item needs assessment survey was administered at cultural events in 10 predominantly immigrant Asian communities. In five years, 1,840 respondents (61 percent response rate) filled out the survey anonymously to express their health and mental health concerns. This study aims to identify factors and help-seeking behaviors associated with having suicidal concerns among Asian Americans in various subgroups. Among the respondents, 1,314 rated the intensity of their concerns about suicide with an average of 0.74 (SD = 1.11) on a four-point rating scale in that 13.7 percent rated their concerns as severe. Taiwanese respondents expressed the highest intensity score (1.09) compared with other ethnic groups (from 0.29 to 1.04). A logistic regression analysis found that each unit of health concerns on a four-point rating scale significantly increases the likelihood of suicide concerns by 46 times among Asian Americans. Consistent with previous studies, immigrants were likely to share mental health problems with friends and physicians. Effective suicide prevention requires mental health awareness programming for the Asian American community.


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