Ethnic differences in mental health service use among White, Chinese, South Asian and South East Asian populations living in Canada
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Health services in Canada are publicly funded. However, the use of health services, especially mental health services, by ethnic minority groups in Canada, has not been well studied.
The objectives of the study were to estimate the 12-month prevalence of mental health service use by ethnicities, overall and among those with major depression, and to identify factors associated with mental health services use in different ethnic groups in Canada.
Data from the Canadian Community Health Survey (CCHS-1.1) were used. Participants included in this analysis were white who were born in Canada (n = 108,192), white immigrants (n = 10,892), Chinese (n = 1,785), South Asian (n = 1,214), and South East Asian immigrants (n = 818). Participants were selected using multiple staged, stratified random sampling procedures from household residents aged 12 years or older in ten provinces.
White people were more likely to have used mental health services than Chinese participants and those from South Asian and South East Asian regions. The Chinese participants appeared to be less likely to have used mental health services than those in the South Asian and South East Asian groups, in those without major depression.
In Canada, Asian immigrants are less likely to use mental health service use than white people. More studies are needed to examine factors affecting mental health service use in Asian immigrants living in North America.
- Abe-Kim J, Takeuchi DT, Hong S, Zane N, Sue S, Spencer MS, Appel H, Nicdao E, Alegria M (2007) Use of mental health-related services among immigrant and US-born Asian Americans: results from the national Latino and Asian American Study. Am J Public Health 97:91–98 CrossRef
- American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (3rd edn—revised version). American Psychiatric Association, Washington
- Beiser M, Hou F (2001) Language acquisition, unemployment and depressive disorder among Southeast Asian refugees: a 10-year study. Soc Sci Med 53:1321–1334 CrossRef
- Belanger A, Caron Melenfant E, Martel L, Carriere Y, Hicks C, Rowe G (2005) Population projections of visible minority groups, Canada, provinces and regions, 2001–2017. Statistics Canada, Ottawa
- Breslau J, Chang DF (2006) Psychiatric disorders among foreign-born and US-born Asian–Americans in a US national survey. Soc Psychiatry Psychiatr Epidemiol 41:943–950 CrossRef
- Hu T, Snowden LR, Jerrell JM, Nguyen TD (1991) Ethnic populations in public mental health services: choices and level of use. Am J Public Health 81:1429–1434 CrossRef
- International Organization for Migration (IOM) (2003) World migration 2003: managing migration: challenges and responses for people on the move. International Organization for Migration, Geneva
- Kessler RC, Andrews G, Mroczek D, Ustun B, Wittchen H (1998) The World Health Organization composite international diagnostic interview short form (CIDISF). Int J Methods Psychiatr Res 7:171–185 CrossRef
- Kinzie JD (1985) Overview of clinical issues in the treatment of Southeast Asian refugees. In: Owan TC (eds) Southeast Asian mental health: treatment, prevention, services, training, and research. U.S. Government Printing Office, Washington, pp 113–136
- Klimidis S, McKenzie D, Lewis J, Minas H (2000) Continuity of contact with psychiatric services: immigrants and Australian-born patients. Soc Psychiatry Psychiatr Epidemiol 35:554–563 CrossRef
- Mojtabai R, Olfson M (2006) Treatment seeking for depression in Canada and the United States. Psychiatr Serv 57:631–639 CrossRef
- Murray CJ, Lopez AD (1996) The global burden of disease: A comprehensive assessment of mortality and disability from disease, injuries, and risk factors in 1990 and projected to 2020. Harvard University Press, USA
- Rhodes AE, Fung K (2004) Self-reported use of mental health services versus administrative records: care to recall? Int J Methods Psychiatr Res 13(3):165–175 CrossRef
- Schmidley D (2003) The foreign-born population in the United States: March 2002. US Census Bureau, Washington
- Shen YC, Zhang MY, Huang YQ, He YL, Liu ZR, Cheng H, Tsang A, Lee S, Kessler RC (2006) Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychol Med 36:257–267 CrossRef
- Snowden LR (2007) Explaining mental health treatment disparities: ethnic and cultural differences in family involvement. Cult Med Psychiatry 31:389–402 CrossRef
- Stata Corp (2003) Stata statistical software: release 8.0. college station. Stata Corporation, TX
- Sue S (1999) Asian American mental health: what we know and don’t know. In: Lonner WJ, Dinnel DL (eds) Merging past, present, and future in cross-cultural psychology. Swets and Zeitlinger, Lisse, the Netherlands, pp 82–89
- Takeuchi DT, Chung RC, Lin KM, Shen H, Kurasaki K, Chun CA, Sue S (1998) Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. Am J Psychiatry 155:1407–1414
- Takeuchi DT, Zane N, Hong S, Chae DH, Gong F, Gee GC, Walton E, Sue S, Alegria M (2007) Immigration-related factors and mental disorders among Asian Americans. Am J Public Health 97:84–90 CrossRef
- Tiwari SK, Wang JL (2006) The epidemiology of mental and substance use-related disorders among white, Chinese, and other Asian populations in Canada. Can J Psychiatry 51:904–912
- Ethnic differences in mental health service use among White, Chinese, South Asian and South East Asian populations living in Canada
Social Psychiatry and Psychiatric Epidemiology
Volume 43, Issue 11 , pp 866-871
- Cover Date
- Print ISSN
- Online ISSN
- D. Steinkopff-Verlag
- Additional Links
- ethnic differences
- mental health service use
- major depressive episode
- Asian immigrants
- Industry Sectors
- Author Affiliations
- 1. Dept. of Psychiatry, Dept. of Community Health Services, Faculty of Medicine, University of Calgary, Calgary, AB, Canada
- 2. Room 127, Heritage Medical Research Building, 3330 Hospital Drive NW, Calgary, AB, Canada, T2N 4N1