Use of mental health-related services among immigrant and US-born Asian Americans:: Results from the National Latino and Asian American study
Use of mental health-related services among immigrant and US-born Asian Americans:: Results from the National Latino and Asian American study
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DOI：
10.2105/ajph.2006.098541
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发表时间：
2007-01-01
影响因子：
12.7
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Abe-Kim, Jennifer;Takeuchi, David T.;Alegria, Margarita
目标。我们调查了亚裔美国人的全国样本中与精神健康相关的服务使用率(即任何普通医疗和专科精神健康服务)以及对护理的主观满意度和感知的帮助，特别关注与移民相关的因素。数据来源于全国拉美裔和亚裔美国人研究(2002-2003)。约8.6%的总样本(n=2095)寻求任何与精神健康相关的服务；34.1%的可能确诊的个人寻求任何服务。与心理健康相关的服务使用率、主观满意度和感知的乐于助人的比率因出生地和代际而异。在美国出生的亚裔美国人表现出比移民美国人更高的服务使用率。确诊的第三代或以后的人在过去12个月中有较高的服务使用率(62.6%)。亚裔美国人表现出任何类型的精神健康相关服务的使用率低于普通人群，尽管根据出生状况和世代状况，这种模式也有重要的例外。我们的结果强调了移民相关因素在了解亚裔美国人使用服务方面的重要性。
Objectives. We examined rates of mental health-related service use (i.e., any, general medical, and specialty mental health services) as well as subjective satisfaction with and perceived helpfulness of care in a national sample of Asian Americans, with a particular focus on immigration-related factors.Methods. Data were derived from the National Latino and Asian American Study (2002-2003).Results. About 8.6% of the total sample (n = 2095) sought any mental health-related services; 34.1% of individuals who had a probable diagnosis sought any services. Rates of mental health-related service use, subjective satisfaction, and perceived helpfulness varied by birthplace and by generation. US-born Asian Americans demonstrated higher rates of service use than did their immigrant counterparts. Third-generation or later individuals who had a probable diagnosis had high (62.6%) rates of service use in the previous 12 months.Conclusions. Asian Americans demonstrated lower rates of any type of mental health-related service use than did the general population, although there are important exceptions to this pattern according to nativity status and generation status. Our results underscore the importance of immigration-related factors in understanding service use among Asian Americans.