Depression and Help-Seeking Among Native Hawaiian Women

Park, Van Ta; Kaholokula, Joseph Keawe‘aimoku; Chao, P.; Antonio, Mapuana

doi:10.1007/s11414-017-9584-5

Cited by 14 publications

(11 citation statements)

References 30 publications

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“…Mental health help-seeking behaviors. Participants completed the mental health services questionnaire, which was developed and used for other 6 studies with Vietnamese Americans and Native Hawaiians (Ta Park, Goyal, et al, 2017;Ta Park, Kaholokula, Chao, & Antonio, 2017). The questionnaire assesses past year and lifetime use and satisfaction of mental health services.…”

Section: Methodsmentioning

confidence: 99%

Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Park

Goyal

Suen

et al. 2019

McN: The American Journal of Maternal/Child Nursing

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Callouts: 1) Chinese American women may first disclose depressive symptoms to their spouses and that they could rely on them for emotional and instrumental support. 2) Practicing postpartum traditions out of respect for older family members is common among Chinese American women, even if they do not necessarily believe in them. 3) For Chinese American women, barriers to help-seeking include mental health care costs, lack of services or not knowing where the services are, stigma, and language/cultural barriers. 4) Chinese American women may report sadness or PPD with clinicians, but may not meet the diagnostic criteria for PPD of standard screening tests. 5) Outreach and educational programs are necessary to increase the Chinese American community's awareness about PPD and help-seeking benefits, and reduce PPD associated stigma.

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Section: Methodsmentioning

confidence: 99%

Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Park

Goyal

Suen

et al. 2019

McN: The American Journal of Maternal/Child Nursing

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“…[3][4][5][6][7][8][9] Despite this risk, extant data suggest that NHPIs are underrepresented in mental health services. 3,[10][11][12][13][14] For example, national admissions data indicate NHPIs and Asian Americans collectively seek substance use treatment at half the rate of other racial groups (5.3% vs. 10.4% for non-NHPIs and non-Asian Americans) and account for only 1% of admissions 15 despite composing 7% of the U.S. population. 1 In Los Angeles County, which has a large, growing NHPI population of over 65,000, 1 few NHPIs have been reported to enter public treatment (0.09% in 2011, 0.07% in 2015), 13 and only 4 NHPIs enrolled in a NHPI-specific County integrated care program over a two-year period.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

Subica

Aitaoto

Link

et al. 2019

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Objective: This study examined the mental health status, need for services, and unmet need of community-dwelling Native Hawaiian and other Pacific Islander (NHPI) adults.Method: Survey data were collected from 223 NHPI adults of Samoan or Marshallese heritage. Surveys were translated into Samoan and Marshallese using back translation and cultural expert feedback. Participants' severity of depression, anxiety, and alcohol use, plus their perceived need for, and avoidance/delay of, mental health services were obtained. Logistic regressions calculated adjusted odds ratios for past-year: (1) perceived need for services, and (2) avoidance/delay of needed services, controlling for depression, anxiety, and alcohol use. Results:Participants' screened prevalence of major depression, generalized anxiety disorder, and alcohol use disorder was 21%, 12%, and 22% respectively. Over the past year, 35% and 26% of all participants reported needing services and avoiding/delaying needed services, respectively. Urban Samoan and rural Marshallese participants did not significantly vary in mean depression, anxiety, or alcohol use despite demonstrating significant demographic differences. Female gender and greater familiarity/contact with persons with mental illness significantly predicted greater odds for needing services, and avoiding/delaying services. Conclusion:Community-dwelling NHPI participants reported heavy burden of depression, anxiety, and alcohol use, and high perceived need for services yet low levels of help-seeking. The large unmet need found in the study sample suggests a gap may exist between service need and engagement in U.S. NHPI communities that could be targeted using culturally tailored approaches that promote engagement in care.

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“…This study used the cut-score of 16 or greater as an indication of depression [34,35]. The CES-D has been used and validated with Asian Americans [36][37][38]. Compared with the original internal consistency estimate (based on Cronbach's alpha) reported for the CES-D of 0.85 [33], the estimate yielded for this study was 0.90.…”

Section: Methodsmentioning

confidence: 95%

Promising Results from the Use of a Korean Drama to Address Knowledge, Attitudes, and Behaviors on School Bullying and Mental Health among Asian American College-Aged Students

Park

Diwata

Win

et al. 2020

IJERPH

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The limited research on bullying, mental health (MH), and help-seeking for Asian American (ASA) college students is concerning due to the public health importance. Korean drama (K-Drama) television shows may be an innovative approach to improve knowledge, attitudes, and behaviors (KAB) on bullying. This study examined whether the KAB about school bullying improved after watching a K-Drama and asked participants about their perspectives of using a K-Drama as an intervention. A convenience sample of college students (n = 118) watched a K-Drama portraying school bullying and MH issues. Pre-/post-tests on KAB on bullying were conducted. Interviews (n = 16) were used to understand their experiences with K-Dramas. The mean age was 22.1 years (1.6 SD), 83.9% were female, and 77.1% were ASAs. Many reported experiences with anxiety (67.8%), depression (38.1%), and school bullying victim experience (40.8%). Post-test scores revealed significant differences in knowledge by most school bullying variables (e.g., victim; witness) and MH issues. There were varying significant findings in post-test scores in attitudes and behaviors by these variables. Participants reported that they “love” the drama, felt an emotional connection, and thought that K-Dramas can be an educational tool for ASAs. K-Dramas may be an effective population-level tool to improve health outcomes among ASAs.

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Depression and Help-Seeking Among Native Hawaiian Women

Cited by 14 publications

References 30 publications

Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

Promising Results from the Use of a Korean Drama to Address Knowledge, Attitudes, and Behaviors on School Bullying and Mental Health among Asian American College-Aged Students

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