The Importance of Family Factors and Generation Status: Mental Health Service Use Among Latino and Asian Americans
The Importance of Family Factors and Generation Status: Mental Health Service Use Among Latino and Asian Americans
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DOI：
10.1037/a0032901
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发表时间：
2013-07-01
影响因子：
3.3
通讯作者：
Chen, Chih-Nan
中科院分区：
文献类型：
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作者：
Chang, Janet;Natsuaki, Misaki N.;Chen, Chih-Nan
本研究利用来自全国拉丁裔和亚裔美国人研究的数据，以检查种族和代际差异的家庭文化冲突和家庭凝聚力，以及如何影响这种家庭冲突和凝聚力的终身服务使用不同的世代状态拉丁裔美国人（n = 2,554）和亚裔美国人（n = 2,095）。研究结果显示，第一代亚裔美国人的家庭文化冲突比他们的拉丁裔同行，但第三代拉丁裔美国人有更高的家庭冲突比他们的亚裔美国人同行。第一代拉丁裔和亚裔美国人的家庭凝聚力最高。Logistic回归分析结果表明，拉丁裔美国人谁报告较高的家庭文化冲突和较低的家庭凝聚力更有可能使用心理健康服务。对于亚裔美国人，家庭文化冲突，而不是家庭凝聚力，与服务使用。相对于第三代亚裔美国人，家庭文化冲突程度较高的第二代亚裔美国人更有可能使用心理健康服务。鉴于有凝聚力的家庭纽带似乎不鼓励服务使用的一部分，拉丁裔美国人，无论一代的地位，需要进一步的研究，以确定这种趋势在多大程度上源于更大程度上依赖家庭的支持，而不是与心理健康治疗相关的耻辱。心理健康提供者和治疗计划需要解决家庭文化冲突在亚裔美国人，特别是第二代和拉丁裔美国人生活中的作用，因为冲突的家庭关系可能会激发寻求帮助的行为，并揭示实质性的潜在痛苦。
The present study utilized data from the National Latino and Asian American Study to examine ethnic and generational differences in family cultural conflict and family cohesion and how the effects of such family conflict and cohesion on lifetime service use vary by generation status for Latino Americans (n = 2,554) and Asian Americans (n = 2,095). Findings revealed that first-generation Asian Americans reported greater family cultural conflict than their Latino counterparts, but third-generation Latino Americans had higher family conflict than their Asian American counterparts. First-generation Latino and Asian Americans had the highest levels of family cohesion. Results from logistic regression analyses indicated that Latino Americans who reported higher family cultural conflict and lower family cohesion were more likely to use mental health services. For Asian Americans, family cultural conflict, but not family cohesion, was associated with service use. Relative to third-generation Asian Americans, second-generation Asian Americans with higher family cultural conflict were more likely to use mental health services. Given that cohesive familial bonds appear to discourage service use on the part of Latino Americans irrespective of generation status, further research is needed to ascertain the extent to which this tendency stems from greater reliance on family support as opposed to the stigma associated with mental health treatment. Mental health providers and treatment programs need to address the role of family cultural conflict in the lives of Asian Americans, particularly second generation, and Latino Americans across generations, because conflictual family ties may motivate help-seeking behaviors and reveal substantial underlying distress.