Changes in the Sociocultural Reality of Chinese Immigrants: Challenges and Opportunities in Help-Seeking Behaviour

Chung, Irene W.

doi:10.1177/0020764009105647

Cited by 32 publications

(57 citation statements)

References 21 publications

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“…Another possible bias in our study findings was a tendency to underreport mental health symptoms and service use, especially among Asians, because of a perception of stigma attached to mental disorders (37–40). Also, despite the robust sample size of the NESARC study, our sample size was insufficient to examine mental service utilization in the past year for respondents diagnosed as having a DSM-IV disorder.…”

Section: Discussionmentioning

confidence: 85%

“…Furthermore, because wave 1 of the NESARC study did not assess posttraumatic stress disorder, which is prevalent among Asian refugee groups affected by war and genocide (20,21), the prevalence of anxiety disorders may have been underestimated. Limited English proficiency, acculturation, or factors associated with lower mental health service use (2,17,18,23,37,40) were not measured by this study. Because visits to nontraditional providers were not measured as part of mood or anxiety disorder treatment and were excluded from the analysis for substance use service use, inferences cannot be made about help seeking from indigenous healers or religious leaders.…”

Section: Discussionmentioning

confidence: 97%

“…Policy implications of this study include facilitating greater access to psychiatric treatment and increasing culturally sensitive services for Asians, especially those with mood disorders (42). Clinical implications for practitioners include increasing awareness that depression among Asians often goes undetected and increasing empathy for Asians, who experience unique sociocultural stressors (37). Service and research sectors should collaborate in building evidence-based community health care facilities, training existing mental health workers, providing psychoeducation about early detection and treatment of mood disorders, and further identifying barriers to participation in mental health programs by Asians.…”

Section: Discussionmentioning

confidence: 99%

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Mental Health Service Use by Persons of Asian Ancestry WithDSM-IVMental Disorders in the United States

Lee¹,

Martins²,

Keyes³

et al. 2011

Psychiatric Services

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Objectives This study compared the prevalence and odds of mental health service utilization among people of Asian ancestry with lifetime DSM-IV mood, anxiety, alcohol, and drug use disorders with utilization by members of other racial and ethnic groups with similar disorders. Methods Between 2001 and 2002, a total of 43,093 noninstitutionalized individuals were assessed by the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study of lifetime prevalence of DSM-IV psychiatric disorders and mental health service utilization among various ethnic and racial groups. Results Among individuals with lifetime mood disorders, Asians had significantly lower mental health service utilization compared with whites (odds ratio [OR]=.31, 95% confidence interval [CI]=.21–.46), Hispanics (OR=.49, CI=.33–71), and Native Americans (OR=.27, CI=.15–.48) but similar utilization compared with blacks. There were no statistically significant differences in lifetime mental health service utilization for alcohol and drug use disorders among racial and ethnic groups. Conclusions Asians with lifetime mood disorders underutilized mental health services even after adjustment was made for socioeconomic variables and years of residency in the United States. Future studies of culture-specific attitudes, correlates, and barriers to mental health service utilization are warranted.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Mental Health Service Use by Persons of Asian Ancestry WithDSM-IVMental Disorders in the United States

Lee¹,

Martins²,

Keyes³

et al. 2011

Psychiatric Services

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show abstract

“…Underutilization of formal health services was reported in Chinese and other Asian populations, and underdiagnosis of milder forms of AD at a young age was reported in black children. 8,[39][40][41] Information about AD incidence or prevalence in lower income countries in Africa, 42 Latin America, and South East Asia 43 is limited, although rates of ASD are reportedly increasing in Vietnam, 44 making it difficult to determine whether the observed AD risk reflects rates from country of origin or if it is a migratory phenomenon. Voluntary migration involves physical relocation and is often preceded by uncertainty, with refugees sometimes facing life-threatening situations; after arriving, immigrants may end up in low-SES neighborhoods, becoming socially vulnerable.…”

Section: Discussionmentioning

confidence: 99%

Autism Spectrum Disorders and Race, Ethnicity, and Nativity: A Population-Based Study

Becerra¹,

Ehrenstein

Heck³

et al. 2014

Pediatrics

150

104

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OBJECTIVE: Our understanding of the influence of maternal race/ethnicity and nativity and childhood autistic disorder (AD) in African Americans/blacks, Asians, and Hispanics in the United States is limited. Phenotypic differences in the presentation of childhood AD in minority groups may indicate etiologic heterogeneity or different thresholds for diagnosis. We investigated whether the risk of developing AD and AD phenotypes differed according to maternal race/ethnicity and nativity. METHODS: Children born in Los Angeles County with a primary AD diagnosis at ages 3 to 5 years during 1998–2009 were identified and linked to 1995–2006 California birth certificates (7540 children with AD from a cohort of 1 626 354 births). We identified a subgroup of children with AD and a secondary diagnosis of mental retardation and investigated heterogeneity in language and behavior. RESULTS: We found increased risks of being diagnosed with AD overall and specifically with comorbid mental retardation in children of foreign-born mothers who were black, Central/South American, Filipino, and Vietnamese, as well as among US-born Hispanic and African American/black mothers, compared with US-born whites. Children of US African American/black and foreign-born black, foreign-born Central/South American, and US-born Hispanic mothers were at higher risk of exhibiting an AD phenotype with both severe emotional outbursts and impaired expressive language than children of US-born whites. CONCLUSIONS: Maternal race/ethnicity and nativity are associated with offspring’s AD diagnosis and severity. Future studies need to examine factors related to nativity and migration that may play a role in the etiology as well as identification and diagnosis of AD in children.

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“…Moral and character weaknesses are also viewed as causing mental illness. In addition to the lack of ethnic-specific services, the mental health problems of Asian immigrants are amplified because of social isolation, limited job skills, lack of financial resources for health care, ineligibility for health insurance, lack of knowledge of community resources, sense of personal failure in meeting family obligations, and lack of knowledge about mental illness (Chung 2010).…”

Section: Asian Cultural Perspectives Of Mental Healthmentioning

confidence: 99%

The Evolution of Community Mental Health Services in Asian American Communities

2011

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This paper explores the history of Asian immigration to the United States, and its intersections with the mental health system. As mental health care have evolved since the 1960s from institutions to the community, public mental health services for Asian Americans have become increasingly culturally relevant. Major policy shifts, trends in immigration, and mental health practice will be presented with a focus on the Bridge Program at the Charles B. Wang Community Health Center. Integrative practice and research models that extend evidence-based knowledge to Asian American communities and practice implications are discussed.

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Changes in the Sociocultural Reality of Chinese Immigrants: Challenges and Opportunities in Help-Seeking Behaviour

Abstract: There are varied socio-cultural factors that need to be considered in mental health outreach services in immigrant communities.

Cited by 32 publications

References 21 publications

Mental Health Service Use by Persons of Asian Ancestry WithDSM-IVMental Disorders in the United States

Mental Health Service Use by Persons of Asian Ancestry WithDSM-IVMental Disorders in the United States

Autism Spectrum Disorders and Race, Ethnicity, and Nativity: A Population-Based Study

The Evolution of Community Mental Health Services in Asian American Communities

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