Skip to main content

Advertisement

Log in

Depression, Depression Literacy, and Sociodemographic Characteristics of Korean Americans: A Preliminary Investigation

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Despite the rapid growth in the number of Korean Americans (KAs) and the alarmingly high prevalence of depression in this population, relatively little is known about the impact of depression literacy on KAs’ depression. This study investigated the prevalence of depressive symptoms among a community-based sample of KA adults; the associations among socio-demographic characteristics, depression literacy, and depressive symptoms; and predictors related to depressive symptoms. A sample of 600 KAs completed depression and depression literacy scales, as well as socio-demographic questionnaires. Data analyses were conducted to assess the association between depressive symptoms, depression literacy, and the covariates. Forty-five percent of participants showed elevated depressive symptoms. Marital status, attained educational level, perceived mental health, and depression literacy were significant predictors of depressive symptoms. Given the high prevalence of depressive symptoms in this population, future research should investigate the causal relationships of various predictors of depression and depression literacy, which will facilitate the development of culturally-appropriate interventions and policies concerning mental health for KAs, and early mental health screening for them.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. World Health Organization (WHO). Mental health action plan 2013–2020: WHO library cataloguing-in-publication data. Geneva: WHO Press, World Health Organization; 2013.

    Google Scholar 

  2. World Health Organization (WHO). Depression: let’s talk. Geneva: WHO press, World Health Organization; 2017.

    Google Scholar 

  3. Gabriel A, Violato C. Depression literacy among patients and public: a literature review. Primary Psychiatry. 2010;17:5–64.

    Google Scholar 

  4. Swami V. Mental health literacy of depression: gender differences and attitudinal antecedents in a representative British sample. PLoS ONE. 2012;7(11):e49779.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Van Voorhees BW, Fogel J, Houston TK, Cooper LA, Wang NY, Ford D. Attitudes and illness factors associated with low perceived need for depression treatment among young adults. Soc Psychiatry Psychiatr Epidemiol. 2006;41:746–54.

    PubMed  Google Scholar 

  6. Soorkia R, Snelgar R, Swami V. Factors influencing attitudes towards seeking professional psychological help among South Asian students in Britain. Mental Health Religion Cult. 2011;14:613–23.

    Google Scholar 

  7. Swami V, Furnham A. Preliminary investigation of the psychometric properties of the Psychiatric Skepticism Scale. Scand J Psychol. 2011;52:399–403.

    PubMed  Google Scholar 

  8. Baumeister H, Harter M. Prevalence of mental disorders based on general population surveys. Soc Psychiatry Psychiatr Epidemiol. 2007;42(7):537–46.

    PubMed  Google Scholar 

  9. Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231–43. https://doi.org/10.1037/a0025957.

    Article  PubMed  Google Scholar 

  10. Kim EJ, Yu JH, Kim EY. Pathways linking mental health literacy to professional help-seeking intentions in Korean college students. J Psychiatric Mental Health Nurs. 2020. https://doi.org/10.1111/jpm.12593.

    Article  Google Scholar 

  11. Wang J, Adair C, Fick G, Lai D, Evans B, Perry BW, Jorm A. Depression literacy in Alberta: findings from a general population sample. Can J Psychiatry. 2007;52(7):442–9.

    PubMed  Google Scholar 

  12. Francis L, Weiss BD, Senf JH, Heist K, Hargraves R. Does literacy education improve symptoms of depression and self-efficacy in individuals with low literacy and depressive symptoms? A preliminary investigation. J Am Board Family Med. 2007;20:23–7.

    Google Scholar 

  13. Gazmararian J, Baker D, Parker R, Blazer DG. A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. Arch Intern Med. 2000;160:3307–14.

    CAS  PubMed  Google Scholar 

  14. Deen TL, Bridges AJ, McGahan TC, Andrews AR. Cognitive appraisals of specialty mental health services and their relation to mental health service utilization in the rural population. J Rural Health. 2011;28(2):142–51.

    PubMed  PubMed Central  Google Scholar 

  15. Leong FTL, Lau ASL. Barriers to providing effective mental health services to Asian Americans. Mental Health Serv. Res. 2001;3(4):201–14.

    CAS  Google Scholar 

  16. Karasz A. Cultural differences in conceptual models of depression. Soc Sci Med. 2005;60(7):1625–35.

    PubMed  Google Scholar 

  17. Yi SH, Tidwell R. Adult Korean Americans: their attitudes toward seeking professional counseling services. Community Ment Health J. 2005;41:571–80.

    PubMed  Google Scholar 

  18. Lin KM, Cheung F. Mental health issues for Asian Americans. Psychiatr Serv. 1999;50(6):774–80.

    CAS  PubMed  Google Scholar 

  19. Park SY, Bernstein KS. Depression and Korean American immigrants. Arch Psychiatr Nurs. 2008;22(1):12–9.

    PubMed  Google Scholar 

  20. Kim HJ, Park E, Storr CL, Tran K, Juon HS. Depression among Asian-American adults in the community: systematic review and meta-analysis. PLoS ONE. 2015;10(6):e0127760.

    PubMed  PubMed Central  Google Scholar 

  21. Office of the Surgeon General (US); Center for Mental Health Services (US); National Institute of Mental Health (US). Mental health: culture, race, and ethnicity: a supplement to mental health: a report of the surgeon general. Substance abuse and mental health services administration (US), Rockville (MD). 2001 Aug. Chapter 5.

  22. Spencer MS, Chen J, Gee GC, Fabian CG, Takeuchi DT. Discrimination and mental health–related service use in a national study of Asian Americans. Am J Public Health. 2010;100(12):2410–7.

    PubMed  PubMed Central  Google Scholar 

  23. Ki M, Paik JW, Choi KS, Ryu SH, Han C, Lee K, Ham BJ, Chang HS, Won ES, Jun TY, et al. Delays in depression treatment among Korean population. Asia Pac Psychiatry. 2014;6(4):414–24.

    PubMed  Google Scholar 

  24. Wang PS, Angermeyer M, Borges G, et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):177–85.

    PubMed  PubMed Central  Google Scholar 

  25. US Census Bureau. U.S. Census Bureau: census American fact finder 2011. Washington: US Census Bureau; 2010.

    Google Scholar 

  26. Kuroki YL. Comparison of suicide rates among Asian Americans in 2000 and 2010. Omega (Westport). 2018;77(4):404–11. https://doi.org/10.1177/0030222816678425.

    Article  Google Scholar 

  27. Kung A, Hastings KG, Kapphahn KIE, Wang J. Cross-national comparisons of increasing suicidal mortality rates for Koreans in the Republic of Korea and Korean Americans in the USA, 2003–2012. Epidemiol Psychiatr Sci. 2003. https://doi.org/10.1017/S2045796016000792.

    Article  Google Scholar 

  28. Shern D, Steverman S, Ahmed E, Shea P. Situational analysis: issues of relevance in designing a national strategy to promote mental emotional and behavioral health and to prevent/reduce mental Illlness and substance use disorders. Alexandria: National Association of State Mental Health Program Directors; 2011.

    Google Scholar 

  29. Kazarian SS. Validation of the Armenian center for epidemiological studies depression scale (CES-D) among ethnic Armenians in Lebanon. Int J Soc Psychiatry. 2009;55:442–8.

    PubMed  Google Scholar 

  30. Radloff LS. The CES-D scale: Aa self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.

    Google Scholar 

  31. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean J Health Psychol. 2001;6:59–76.

    Google Scholar 

  32. Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioral therapy interventions on stigmatizing attitudes to depression: randomized controlled trial. Br J Psychiatry. 2004;185:342–9.

    PubMed  Google Scholar 

  33. Massey FJ. The Kolmogorov-Smirnov test for goodness of fit. J Am Stat Assoc. 1951;46(253):68–78.

    Google Scholar 

  34. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates, Publishers; 1988.

    Google Scholar 

  35. Aho K, Derryberry D, Peterson T. Model selection for ecologists: the worldviews of AIC and BIC. Ecology. 2014;95(3):631–6. https://doi.org/10.1890/13-1452.1.

    Article  PubMed  Google Scholar 

  36. Kotz S, Johnson NL, editors. Breakthroughs in statistics, vol. 2. Berlin: Springer; 1992. p. 610–624.

    Google Scholar 

  37. SAS Institute Inc. SAS/STAT® 9.2 User’s Guide. Cary, NC: SAS Institute Inc; 2008.

  38. Bernstein KS, Park S-Y, Shin J, Cho S, Park Y. Acculturation, discrimination and depressive symptoms among Korean immigrants in New York City. Community Ment Health J. 2011;47(1):24–34.

    PubMed  Google Scholar 

  39. Oh DH, Kim SA, Lee HY, Seo JY, Choi B-Y, Nam JH. Prevalence and correlates of depressive symptoms in Korean Adults: results of a 2009 Korean Community Health Survey. J Korean Med Sci. 2013;28:128–35.

    PubMed  PubMed Central  Google Scholar 

  40. Jang SN, Kawachi I, Chang J, Boo K, Shin HG, Lee H, Cho SI. Marital status, gender, and depression: analysis of the baseline survey of the Korean longitudinal study of Ageing. Soc Sci Med. 2009;69(11):1608–15.

    PubMed  Google Scholar 

  41. Sözeri-Varma G. Depression in the elderly: clinical features and risk factors. Aging Dis. 2012;3(6):465–71.

    PubMed  PubMed Central  Google Scholar 

  42. Baird B, Oh KM, Douglas C, Weinstein AA. Health literacy, depression literacy, and depression among older Korean Americans. J Health Commun. 2019;24(5):525–35.

    PubMed  Google Scholar 

  43. Smith D, Blackwood D. Depression in young adults. Adv Psychiatr Treat. 2004;10(1):4–12.

    Google Scholar 

  44. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):617–27.

    PubMed  PubMed Central  Google Scholar 

  45. Brody DJ, Pratt LA, Hughes JP. Prevalence of depression among adults aged 20 and over: United States, 2013–2016. NCHS Data Brief. 2018;303:1–8.

    Google Scholar 

  46. Lisznyai S, Vida K, Németh M, Benczúr Z. Risk factors for depression in the emerging adulthood. Eur J Counsell Psychol. 2014;3(1):54–68.

    Google Scholar 

  47. Cho S, Park SY, Bernstein K, Roh S, Jeon GS. Socio-demographic and health behavioral correlates of depressive symptoms among Korean Americans. Community Ment Health J. 2015;51(4):414–23. https://doi.org/10.1007/s10597-014-9802-z.

    Article  PubMed  Google Scholar 

  48. Akhtar-Danesh N, Landeen J. Relation between depression and sociodemographic factors. Int J Mental Health Syst. 2007;1:4. https://doi.org/10.1186/1752-4458-1-4.

    Article  Google Scholar 

  49. Aczon-Armstrong M, Inouye J, Reyes-Salvail F. Depression and chronic illness: Asian/Pacific Islander adults in Hawaii. Issues Mental Health Nurs. 2013;34:169–79.

    Google Scholar 

  50. Fleishman JA, Zuvekas SH. Global self-rated mental health: associations with other mental health measures and with role functioning. Med Care. 2007;45(7):602–9.

    PubMed  Google Scholar 

  51. Kim G, Kim M, Park S, Jimenez DE, Chiriboga DA. Limited English proficiency and trajectories of depressive symptoms among Mexican American elders. Gerontol. 2018;00:1–9. https://doi.org/10.1093/geront/gny032.

    Article  Google Scholar 

  52. Jang Y, Yoon H, Park NS, Chiriboga DA. Health vulnerability of immigrants with limited English proficiency: a study of older Korean Americans. J Am Geriatr Soc. 2016;7C1(64):1387–521.

    Google Scholar 

  53. Jang Y, Gum AM, Chiriboga DA. Knowledge of depression among Korean American older adults. J Appl Gerontol. 2010;30(5):655–65.

    PubMed  PubMed Central  Google Scholar 

  54. Khuu BP, Lee HY, Zhou AQ, Shin J, Lee RM. Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees. Child Youth Serv Rev. 2016;67(2):220–9.

    Google Scholar 

  55. Choi SE, Liu M, Palaniappan LP, Wang EJ, Wong ND. Gender and ethnic differences in the prevalence of type 2 diabetes among Asian subgroups in California. J Diabetes Complicat. 2013;27:429–35.

    Google Scholar 

  56. Sentell T, Baker KK, Onaka A, Braun K. Low health literacy and poor health status in Asian Americans and Pacific Islanders in Hawaii. J Health Commun. 2011;16:279–94.

    PubMed  Google Scholar 

  57. Bernstein K, Park SY, Nokes KM. Resilience and depressive symptoms among Korean Americans with history of traumatic life experience. Community Ment Health. 2017;53(7):793–801.

    Google Scholar 

Download references

Acknowledgements

The research team would like to acknowledge the participants involved in this study who shared their valuable information with us. Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR002384. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kunsook Bernstein.

Ethics declarations

Conflict of interest

The authors declares that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bernstein, K., Lee, YM., Gona, P.N. et al. Depression, Depression Literacy, and Sociodemographic Characteristics of Korean Americans: A Preliminary Investigation. J Immigrant Minority Health 23, 547–557 (2021). https://doi.org/10.1007/s10903-020-01092-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-020-01092-5

Keywords

Navigation