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Model Minority at Risk: Expressed Needs of Mental Health by Asian American Young Adults

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Abstract

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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References

  1. Centers for Disease Control and Prevention (CDC). (2008). 10 leading causes of deaths, United States, 2005 (Vol. 2008). Atlanta: CDC.

    Google Scholar 

  2. Hovey, J. D., Kim, S. E., & Seligman, L. D. (2006). The influences of cultural values, ethnic identity, and language use on the mental health of Korean American college students. The Journal of Psychology, 140(5), 499–511.

    PubMed  Google Scholar 

  3. Yeh, M., Hough, R. L., McCabe, K., Lau, A., & Garland, A. (2004). Parental beliefs about the causes of child problems: Exploring racial/ethnic patterns. Journal of the American Academy of Child and Adolescent Psychiatry, 43(5), 605–612.

    Article  PubMed  Google Scholar 

  4. Shrake, E. K., & Rhee, S. (2004). Ethnic identity as a predictor of problem behaviors among Korean American adolescents. Adolescence, 39(155), 601–622.

    PubMed  Google Scholar 

  5. Mossakowski, K. N. (2003). Coping with perceived discrimination: Does ethnic identity protect mental health? Journal of Health and Social Behavior, 44(3), 318–331.

    Article  PubMed  Google Scholar 

  6. Gee, G. C., Delva, J., & Takeuchi, D. T. (2007). Relationships between self-reported unfair treatment and prescription medication use, illicit drug use, and alcohol dependence among Filipino Americans. American Journal of Public Health, 97(5), 933–940.

    Article  PubMed  Google Scholar 

  7. Gee, G. C. (2002). A multilevel analysis of the relationship between institutional and individual racial discrimination and health status. American Journal of Public Health, 92(4), 615–623.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. Gee, G. C., Spencer, M., Chen, J., Yip, T., & Takeuchi, D. T. (2007). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science & Medicine, 64(10), 1984–1996.

    Article  Google Scholar 

  10. Ku, L., & Matani, S. (2000). Immigrants’ access to health care and insurance on the cusp of welfare reform (No.). Washington, DC: The Urban Institute.

    Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. President’s Advisory Commission on Asian Americans and Pacific Islanders. (2003). Asian Americans and Pacific Islanders addressing health disparities: Opportunities for building a healthier America. Washington, DC: Government Printing Office.

    Google Scholar 

  13. US Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity: A supplement to mental health (No. SMA-01-3613). Washington, DC: US Government Printing Office.

    Google Scholar 

  14. Krueger, R. A. (1988). Focus groups: A practical guide for applied research. Newbury Park, CA: Sage.

    Google Scholar 

  15. Morgan, D. L. (1998). Focus groups in qualitative research. Newbury Park, CA: Sage.

    Google Scholar 

  16. Garland, A. F., Lau, A. S., Yeh, M., McCabe, K. M., Hough, R. L., & Landsverk, J. A. (2005). Racial and ethnic differences in utilization of mental health services among high-risk youths. American Journal of Psychiatry, 162(7), 1336–1343.

    Article  PubMed  Google Scholar 

  17. Leal, C. C. (2005). Stigmatization of Hispanic children, pre-adolescents, and adolescents with mental illness: Exploration using a national database. Issues in Mental Health Nursing, 26(10), 1025–1041.

    Article  PubMed  Google Scholar 

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Acknowledgement

This research was funded by Asian American Health Initiative, Montgomery County Department of Health and Human Services, Maryland. This publication was also partially supported by the NCI Grant U01 CA114582 ATECAR-Asian Community Cancer Network (Grace X. Ma, Ph.D., Principal Investigator). The authors thank the research coordinators and note-takers Bertina Su and Jennifer Choi, research assistants (Jamie Lok, Viktor Pattianakotta, Margaret Lahey, Teddy Weng, Laura Sambataro, and Chris Daniels) who helped us in recruiting participants, transcribing focus group discussion, and translating/interpreting diverse languages. They were mostly University of Maryland undergraduate/graduate students. The research team appreciates the support of AAHI staff (Julie Bawa, Lisa Canda, Perry Chan, Roanne Calizo, Anne Poblador, and Christine Liang). We are grateful for the numerous community-based organizations, faith-based organizations, stakeholders and leaders from each community, and focus group participants.

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Correspondence to Sunmin Lee.

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Lee, S., Juon, HS., Martinez, G. et al. Model Minority at Risk: Expressed Needs of Mental Health by Asian American Young Adults. J Community Health 34, 144–152 (2009). https://doi.org/10.1007/s10900-008-9137-1

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