Assessing the mental health needs and barriers to care among a diverse sample of Asian American older adults.
Assessing the mental health needs and barriers to care among a diverse sample of Asian American older adults.
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DOI：
10.1007/s11606-010-1612-6
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发表时间：
2011-06
影响因子：
5.7
通讯作者：
Quyen Ngo-Metzger
中科院分区：
文献类型：
--
作者：
Sorkin, Dara H.;Hannah Nguyen;Quyen Ngo-Metzger
亚裔美国人代表了不同文化和移民经历的混合体，这可能使他们面临不同的心理健康问题风险。然而，与非西班牙裔白人相比，来自不同亚洲亚群的老年人的心理健康需求知之甚少。比较华人、菲律宾人、南亚人、日本人、韩国人和越南老年人（55岁及以上）与非西班牙裔白人的精神困扰患病率；并检查亚组在利用心理健康服务方面的差异。对响应2007年加州健康访谈调查的以人口为基础的加州成年人样本的横断面分析。采用多变量logistic回归分析检验了六个不同亚洲亚组和非西班牙裔白人在心理健康状况和心理健康服务使用方面的亚组差异，并对受访者的人口统计学和健康特征、社会经济地位和英语水平进行了调整。共有20,712名受访者参与了调查。菲律宾(优势比= 2.25;95% CI=1.14-4.47]和韩裔美国人[aOR=2.10；95% CI=1.06-4.17]与非西班牙裔白人相比，他们更有可能报告精神困扰的症状，但他们很少去看初级保健提供者[菲律宾语：aOR=0.41；95%可信区间= 0.18 - -0.90;韩国:aOR = 0.24;95% CI = 0.08-0.69]或服用过处方药[菲律宾语：aOR=0.20；95%可信区间= 0.10 - -0.40;韩国:aOR = 0.15;95% CI=0.05-0.40]，即使在调整了受访者的人口统计学和健康特征、社会经济地位和英语水平等指标后也是如此。相比之下，日裔美国人报告精神困扰症状的可能性较小[aOR=0.43；95% CI=0.21-0.90]，与非西班牙裔白人相比，他们较少使用心理健康服务。这项研究的结果不仅突出了老年亚裔美国人未满足的心理健康需求，而且还说明了不同亚裔群体之间的显著差异。与这些患者密切合作的临床医生应定期筛查和评估与心理健康需求相关的亚洲老年人症状。
Asian Americans represent a mix of cultures and immigration experiences, which may put them differentially at risk for mental health problems. Yet, little is known about the mental health needs of older adults from various Asian subgroups compared to non-Hispanic whites. To compare the prevalence rates of mental distress of Chinese, Filipino, South Asian, Japanese, Korean, and Vietnamese older adults (aged 55 and older) to that of non-Hispanic whites; and to examine subgroup differences in utilization of mental health services. A cross-sectional analysis of a population-based sample of California adults responding to the 2007 California Health Interview Survey. Multivariable logistic regression analysis was used to examine subgroup differences in mental health status and use of mental health services among the six different Asian subgroups and non-Hispanic whites, adjusting for respondents’ demographic and health characteristics, socioeconomic status, and English-language proficiency. A total of 20,712 respondents were included. Filipino [aOR=2.25; 95% CI=1.14-4.47] and Korean Americans [aOR=2.10; 95% CI=1.06-4.17] were more likely to report symptoms indicative of mental distress compared to non-Hispanic whites, yet were less likely to have seen a primary care provider [Filipino: aOR=0.41; 95% CI=0.18-0.90; Korean: aOR=0.24; 95% CI = 0.08-0.69] or have taken a prescription medication [Filipino: aOR=0.20; 95% CI=0.10-0.40; Korean: aOR=0.15; 95% CI=0.05-0.40], even after adjusting for indicators of respondents’ demographic and health characteristics, socioeconomic status, and English-language proficiency. In contrast, Japanese Americans were less likely to report symptoms indicative of mental distress [aOR=0.43; 95% CI=0.21-0.90], and were less likely to make use of mental health services compared to non-Hispanic whites. The findings from this study not only highlight the unmet mental health needs among older Asian Americans, but also illustrate significant variations among the various Asian subgroups. Clinicians who work closely with these patients should regularly screen and assess older Asian adults for symptoms related to their mental health needs.
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