Model minority at risk: expressed needs of mental health by Asian American young adults.

Model minority at risk: expressed needs of mental health by Asian American young adults.
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DOI:
10.1007/s10900-008-9137-1
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发表时间:
2009-04
影响因子:
5.9
通讯作者:
Ma GX
Ma GX
中科院分区:
医学4区
文献类型:
--
作者:
Lee S;Juon HS;Martinez G;Hsu CE;Robinson ES;Bawa J;Ma GX

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本研究的目的是获得和讨论有关心理健康问题的深入信息,包括第1.5代和第2代亚裔美国年轻人的状况,障碍和潜在的解决方案。作为健康需求评估项目的一部分,研究人员对来自马里兰州蒙哥马利县八个亚裔美国人社区(亚洲印度人、柬埔寨人、中国人、印度尼西亚人、韩国人、台湾人、泰国人和越南人)的17名年轻人(主要是第一代或第二代)进行了两个焦点小组。我们开发了一个开放式问题的主持人指南,并使用它来收集定性数据。使用软件,我们组织和确定紧急主题的主要类别。参与者报告了影响亚裔美国年轻人心理健康的几个常见压力来源,包括:满足父母对高学术成就的期望和不辜负“模范少数民族”刻板印象的压力;平衡两种不同文化和与父母沟通的困难;基于强烈家庭价值观的家庭义务;以及由于种族或文化背景而受到的歧视或孤立。年轻的亚裔美国人倾向于不寻求专业帮助他们的心理健康问题;相反,他们使用个人支持网络-亲密的朋友,重要的人,和宗教社区。与会者认为,亚洲文化规范,不认为精神问题的重要性,以及相关的耻辱寻求专业护理可能会破坏他们的心理健康帮助寻求行为。我们的研究结果支持需要提供文化上适当的计划,以提高人们对心理健康的认识,并为医疗服务提供者提供文化上适当的护理。
The objective of this study is to obtain and discuss in-depth information on mental health problems, including the status, barriers, and potential solutions in 1.5 and 2nd generation Asian American young adults. As a part of the Health Needs Assessment project, the researchers conducted two focus groups with 17 young adults (mainly 1.5 or 2nd generation) from eight Asian American communities (Asian Indian, Cambodian, Chinese, Indonesian, Korean, Taiwanese, Thai, and Vietnamese) in Montgomery County, Maryland. We developed a moderator's guide with open-ended questions and used it to collect qualitative data. Using a software, we organized and identified emergent themes by major categories. Participants reported a several common sources of stress that affect the mental health of Asian American young adults including: pressure to meet parental expectations of high academic achievement and live up to the “model minority” stereotype; difficulty of balancing two different cultures and communicating with parents; family obligations based on the strong family values; and discrimination or isolation due to racial or cultural background. Young Asian Americans tend not to seek professional help for their mental health problems; instead they use personal support networks—close friends, significant others, and religious community. Participants suggested that Asian cultural norms that do not consider mental problems important, and associated stigma of seeking professional care might undermine their mental health help seeking behavior. Our findings support a need for delivering culturally appropriate programs to raise awareness of mental health and cultural training for health providers to deliver culturally appropriate care.
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