Abstract
Literature concur that there is a disparity between epidemiological prevalence and mental health services (MHS) utilization rates for Latino and Asian Americans. This study adapted the behavioral model of health service use to examine factors associated with MHS use among Latino and Asian Americans. The model consists of predisposing, enabling, and need factors. This study used the National Latino and Asian American Study data, including six ethnic groups. The outcome measure for this study was the use of MHS in the past 12 months. Age, sex, and education predicted higher odds of MHS use among Latinos, none of which were significant among Asians. Needs factors were strongly associated with higher odds of MHS use among Latinos and Asians.
Notes
Eleven DSM-IV diagnoses include: five anxiety disorders (Panic disorder, agoraphobia, social phobia, generalized anxiety disorder, and posttraumatic stress disorder); two mood disorders (Major depressive disorder and dysthymia); and four substance use disorders (Alcohol abuse, alcohol dependence, drug abuse, and drug dependence).
References
Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., Spencer, M. S., et al. (2007). Use of mental health-related services among immigrant and US-born Asian Americans: Results from the National Latino and Asian American study. American Journal of Public Health, 97(1), 91–98.
Aguilera, A., & Lopez, S. R. (2008). Community determinants of Latinos’ use of mental health services. Psychiatric Services, 59(4), 408–413. doi:10.1176/appi.ps.59.4.408.
Alegria, M., Canino, G., Ríos, R., Vera, M., Calderón, J., Rusch, D., et al. (2002). Mental health care for Latinos: Inequalities in use of specialty mental health services among Latinos, African Americans, and Non-Latino whites. Psychiatric Services, 53(12), 1547–1555. doi:10.1176/appi.ps.53.12.1547.
Alegría, M., Cao, Z., McGuire, T. G., Ojeda, V. D., Sribney, B., Woo, M., et al. (2006). Health insurance coverage for vulnerable populations: Contrasting Asian Americans and Latinos in the United States. Inquiry, 43(3), 231–254.
Alegria, M., Lin, J., Chen, C., Duan, N., Cook, B., & Meng, X. (2012). The impact of insurance coverage in diminishing racial and ethnic disparities in behavioral health services. Health Services Research, 47(3), 1322–1344. doi:10.1111/j.1475-6773.2012.01403.x.
Alegría, M., Mulvaney-Day, N., Woo, M., Torres, M., Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the National Latino and Asian American study. American Journal of Public Health, 97(1), 76–83. doi:10.2105/ajph.2006.087197.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.
Andersen, R. M. (2008). National health surveys and the behavioral model of health services use. Medical Care, 46(7), 647–653. doi:10.1097/MLR.0b013e31817a835d.
Barreto, R. M., & Segal, S. P. (2005). Use of mental health services by Asian Americans. Psychiatric Services, 56(6), 746–748.
Bauer, A. M., Chen, C.-N., & Alegría, M. (2010). English language proficiency and mental health service use among Latino and Asian Americans with mental disorders. Medical Care, 48(12), 1097–1104. doi:10.1097/MLR.0b013e3181f80749.
Bledsoe, S. E. (2008). Barriers and promoters of mental health services utilization in a Latino context: A literature review and recommendations from an ecosystems perspective. Journal of Human Behavior in the Social Environment, 18(2), 151–183.
Burgess, D. J., Ding, Y., Hargreaves, M., van Ryn, M., & Phelan, S. (2008). The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved, 19(3), 894–911.
Cabassa, L. J., Zayas, L. H., & Hansen, M. C. (2006). Latino adults’ access to mental health care: A review of epidemiological studies. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 316–330. doi:10.1007/s10488-006-0040-8.
Cho, H., & Kim, I. (2013). Factors associated with mental health service use among Latino and Asian Americans. Paper presented at the Annual Conference of the Society for Social Work and Research (SSWR), San Diego, CA.
Cook, B., Alegria, M., Lin, J. Y., & Guo, J. (2009). Pathways and correlates connecting Latino’s mental health with exposure to the United States. American Journal of Public Health, 99(12), 2247–2254. doi:10.2105/AJPH.2008.137091.
Derogatis, L. R. (1977). SCL-90 Administration, scoring and procedures manual—I for R (revised) version and other instruments of the psychopathology rating scale series. Towson, MD: Clinical Psychometric Research.
Gilmer, T. P. D. O., Folsom, D. P., Fuentes, D., Garcia, P., & Jeste, D. V. (2007). Initiation and use of public mental health services by persons with severe mental illness and limited English proficiency. Psychiatric Services, 58(12), 1555–1562.
Heeringa, S. G., Wagner, J., Torres, M., Duan, N., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the collaborative psychiatric epidemiology studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240. doi:10.1002/mpr.179.
Ikemoto, L. C. (1992–1993). Traces of the master narrative in the story of African American/Korean American conflict: How we constructed “Los Angeles”. Southern California Law Review, 66, 1581–1598.
Jang, Y., Chiriboga, D. A., & Okazaki, S. (2009). Attitudes toward mental health services: Age-group differences in Korean American adults. Aging and Mental Health, 13(1), 127–134.
Katz, S. J., Kessler, R. C., Frank, R. G., Leaf, P., Lin, E., & Edlund, M. (1997). The use of outpatient mental health services in the United States and Ontario: The impact of mental morbidity and perceived need for care. American Journal of Public Health, 87(7), 1136–1143.
Kessler, R. C., Zhao, S., Katz, S. J., Kouzis, A. C., Frank, R. G., Edlund, M., et al. (1999). Past year use of outpatient services for psychiatric problems in the national comorbidity survey. American Journal of Psychiatry, 156, 115–123.
Kim, W. (2006). Diversity among Southeast Asian ethnic groups: A study of mental health disorders among cambodians, laotians, miens, and vietnamese. Journal of Ethnic and Cultural Diversity in Social Work, 15(3–4), 83–100. doi:10.1300/J051v15n03_04.
Kim, G., Aguado Loi, C. X., Chiriboga, D. A., Jang, Y., Parmelee, P., & Allen, R. S. (2011). Limited English proficiency as a barrier to mental health service use: A study of Latino and Asian immigrants with psychiatric disorders. Journal of Psychiatric Research, 45(1), 104–110. doi:10.1016/j.jpsychires.2010.04.031.
Kim, G., Chiriboga, D. A., Bryant, A., Huang, C.-H., Crowther, M., & Ma, G. X. (2012). Self-rated mental health among Asian American adults: Association with psychiatric disorders. Asian American Journal of Psychology, 3(1), 44–52. doi:10.1037/a0024318.
Kim, G., Jang, Y., Chiriboga, D. A., Ma, G. X., & Schonfeld, L. (2010). Factors associated with mental health service use in Latino and Asian immigrant elders. Aging and Mental Health, 14(5), 535–542.
Landerman, L. R., Burns, B. J., Swartz, M. S., Wagner, H. R., & George, L. K. (1994). The relationship between insurance coverage and psychiatric disorder in predicting use of mental health services. The American Journal of Psychiatry, 151(12), 1785–1790.
Lee, M. W., Hunter, M., Goss, R, Jr, Bock, R. C., Brewer, S., Stir-Fry Productions, et al. (1995). The Color of Fear. Berkeley, CA: Stir-Fry Seminars & Consulting.
Leong, F. T. L., & Lau, A. S. L. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research, 3(4), 201–214.
Mydans, S. (1992, May 3). Riot in Los Angeles: Pocket of tension; A target of rioters, Koreatown is bitter, armed and determined, The New York Times. Retrieved from http://www.nytimes.com/1992/05/03/us/riot-los-angles-pocket-tension-target-rioters-koreatown-bitter-armed-determined.html?src=pm&pagewanted=1.
Peifer, K. L., Hu, T., & Vega, W. (2000). Help seeking by persons of Mexican origin with functional impairments. Psychiatric Services, 51, 1293–1298.
Pennell, B., Bowers, A., Carr, D., Chardoul, S., Cheung, G., Dinkelmann, K., et al. (2004). The development and implementation of the National Comorbidity Survey Replication, the National Survey of American Life, and the National Latino and Asian American Survey. International Journal of Methods in Psychiatric Research, 13(4), 241–269.
Spencer, M. S., & Chen, J. (2004). Effect of discrimination on mental health service utilization among Chinese Americans. American Journal of Public Health, 94(5), 809–814.
Spencer, M. S., Chen, J., Gee, G. C., Fabian, C. G., & Takeuchi, D. T. (2010). Discrimination and mental health-related service use in a national study of Asian Americans. American Journal of Public Health, 100(12), 2410–2417.
StataCorp. (2009). Stata statistical software: Release 11. College Station, TX: StataCorp LP.
Takeuchi, D. T., Alegría, M., Jackson, J. S., & Williams, D. R. (2007). Immigration and mental health: Diverse findings in Asian, Black, and Latino populations. American Journal of Public Health, 97(1), 11–12. doi:10.2105/ajph.2006.103911.
Trivedi, A. N., & Ayanian, J. Z. (2006). Perceived discrimination and use of preventive health services. Journal of General Internal Medicine, 21(6), 553–558.
Uehara, E. S., Takeuchi, D. T., & Smukler, M. (1994). Effects of combining disparate groups in the analysis of ethnic differences: Variations among Asian American mental health service consumers in level of community functioning. American Journal of Community Psychology, 22(1), 83–99.
U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, SAMHSA, Center for Mental Health Services.
Vega, W. A., Zimmerman, R., Gil, A., Warheit, G. J., & Apospori, E. (1993). Acculturation strain theory: Its application in explaining drug use behavior among Cuban and other Hispanic youth. In M. R. De La Rosa & J.-L. R. Adrados (Eds.), NIDA research mongraph series (Vol. 130, pp. 144–166)., Drug abuse among minority youth: Advances in research and methodology Rockville, MD: National Institution on Drug Abuse.
Vélez Ortiz, D., & Cole, S. A. (2008). Culture, place of origin, and service delivery for Latino older adult immigrants: The case of Puerto Rican older adults. Journal of Gerontological Social Work, 51(3–4), 300–314. http://www.ncbi.nlm.nih.gov/pubmed/19043905.
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640. doi:10.1001/archpsyc.62.6.629.
Xu, Y., Okuda, M., Hser, Y.-I., Hasin, D., Liu, S.-M., Grant, B. F., et al. (2011). Twelve-month prevalence of psychiatric disorders and treatment-seeking among Asian Americans/Pacific islanders in the United States: Results from the national epidemiological survey on alcohol and related conditions. Journal of Psychiatric Research, 45(7), 910–918. doi:10.1016/j.jpsychires.2010.12.009.
Young, K. (1998). Help seeking for emotional/psychological problems among Chinese Americans in the Los Angeles area: An examination of the effects of acculturation. Doctoral dissertation. Los Angeles: University of California.
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Cho, H., Kim, I. & Velez-Ortiz, D. Factors Associated with Mental Health Service Use Among Latino and Asian Americans. Community Ment Health J 50, 960–967 (2014). https://doi.org/10.1007/s10597-014-9719-6
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DOI: https://doi.org/10.1007/s10597-014-9719-6