Further Reduction in Help-Seeking Behaviors Amidst Additional Barriers to Mental Health Treatment in Asian Populations: A Contemporary Review

Naito, Tatsuhiko; Chin, Justin; Kim, Tae Un; Veera, Simrat; Jeannette, Michael; Lomiguen, Christine M

doi:10.7759/cureus.11455

Cited by 8 publications

(10 citation statements)

References 38 publications

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“…Mental illness is often conceived as a representation of personal weakness or lack of willpower in Chinese culture, hence discourages disclosure and help-seeking related to mental health problems ( 51 ). Such barriers to mental health treatment persisted during the pandemic and intertwined with work strain and restrictions due to COVID-19 (e.g., quarantine) ( 52 ). Tailored interventions including linkage to mental health care and training to alter misconceptions about mental disorders are essential to overcome these barriers.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Help-Seeking and Associated Factors Among Public Health Workers During the COVID-19 Outbreak in China

She

Wang

Zhang

et al. 2021

Front. Public Health

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Background: The COVID-19 outbreak in China has created multiple stressors that threaten individuals' mental health, especially among public health workers (PHW) who are devoted to COVID-19 control and prevention work. This study aimed to investigate the prevalence of mental help-seeking and associated factors among PHW using Andersen's Behavioral Model of Health Services Use (BMHSU).Methods: A cross-sectional survey was conducted among 9,475 PHW in five provinces across China between February 18 and March 1, 2020. The subsample data of those who reported probable mental health problems were analyzed for this report (n = 3,417). Logistic and hierarchical regression analyses were conducted to examine the associations of predisposing, enabling, need, and COVID-19 contextual factors with mental health help-seeking.Results: Only 12.7% of PHW reported professional mental help-seeking during the COVID-19 outbreak. PHW who were older, had more days of overnight work, received psychological training, perceived a higher level of support from the society, had depression and anxiety were more likely to report mental help-seeking (ORm range: 1.02–1.73, all p < 0.05) while those worked in Centers for Disease Control and Prevention were less likely to seek help (ORm = 0.57, p < 0.01). The belief that mental health issues were not the priority (64.4%), lack of time (56.4%), and shortage of psychologists (32.7%) were the most frequently endorsed reasons for not seeking help.Conclusions: The application of BMHSU confirmed associations between some factors and PHW's mental health help-seeking. Effective interventions are warranted to promote mental health help-seeking of PHW to ameliorate the negative impact of mental illness and facilitate personal recovery and routine work.

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Section: Discussionmentioning

confidence: 99%

Mental Health Help-Seeking and Associated Factors Among Public Health Workers During the COVID-19 Outbreak in China

She

Wang

Zhang

et al. 2021

Front. Public Health

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“…Cultural practices in medicine and health can complicate patient care for providers that are unaccustomed to working or understanding these populations [18][19][20] . For example, patients may not report use of herbal remedies or vitamins as they may not consider them pertinent or as medications from a Western medicine point of view.…”

Section: Discussionmentioning

confidence: 99%

Recognizing Traditional Chinese Medicine Customs during the COVID-19 Pandemic: A Case Report

Chin¹,

Lomiguen²,

Hon³

et al. 2021

ijcr

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Traditional Chinese Medicine (TCM) is based on the belief of vital energy (qi) within the body and attributes disease with imbalance in energies (yin and yang). The COVID-19 pandemic has necessitated unique physical barriers, including increased physical distancing, use of personal protective equipment (PPE), and telehealth services, which complicate existing efforts to understand alternative health practices. This case report highlights the importance of cultural competency training for healthcare providers, as evident in improved patient care when recognizing and acknowledging TCM customs in association with the COVID-19 pandemic.

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“…Given the cultural stigma and fear associated with mental illness in AAPI communities, discussed above, somatic complaints of physical health problems may be better indicators or warning signs of suicidal behaviors. Casting problems as physiological may shield one from the stigma associated with psychological symptoms (Bollinger et al, 2020; Naito et al, 2020; Yu et al, 2015).…”

Section: Literature Reviewmentioning

confidence: 99%

Sociodemographic and precipitating circumstances associated with suicide among Asian Americans and Pacific Islanders: A survival analysis.

Leung¹,

Lai²

2024

Asian American Journal of Psychology

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The purpose of this study is to understand the contributing factors associated with completed suicides among the Asian American and Pacific Islander (AAPI) population, especially culturally specific risk factors. Drawing on previous theoretical and clinical research related to AAPIs, this study included seven life events preceding suicide, including suicide attempt history, alcohol and substance use problem, physical health problem, job problem, interpersonal violence, and family relationship problem, while controlling for the effects of gender among AAPIs. Utilizing the National Violent Death Reporting System (NVDRS), the sample consisted of 1,428 AAPI suicide decedents from 2008 to 2018. The risk and protective factors were analyzed using interval-censored survival analysis. The analyses indicated that substance abuse (Hazard Ratio = 2.000, p < .001) and completion of high school and beyond (Hazard Ratio = 1.517, p < .001) were associated with the highest increases in suicide risk for AAPI. Suicide attempt history was also a significant predictor of completing suicide (Hazard Ratio = 1.211, p ≤ .05) but suicide decedent with a physical health problem was at a lower risk of completing suicide (Hazard Ratio = 0.396, p < .05). The findings highlight how substance abuse, family relationship problems, and educational pressures may be associated with suicide risk. With these factors in mind, we discuss opportunities to help people in the AAPI population to develop coping skills earlier, address shame and guilt, and navigate high-pressure working environments. What is the public significance of this article?Researchers and practitioners need a thorough understanding of the cultural risks and protective factors connected to suicides among the Asian American and Pacific Islander (AAPI) populations in order to develop strategies to reduce the risk of suicide among AAPIs. Our findings highlighted those factors including nonalcohol substance abuse, interpersonal violence experience, education level, history of suicide attempts, and physical health, may influence suicide among AAPIs through specific, culturally influenced pathways.

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Further Reduction in Help-Seeking Behaviors Amidst Additional Barriers to Mental Health Treatment in Asian Populations: A Contemporary Review

Cited by 8 publications

References 38 publications

Mental Health Help-Seeking and Associated Factors Among Public Health Workers During the COVID-19 Outbreak in China

Mental Health Help-Seeking and Associated Factors Among Public Health Workers During the COVID-19 Outbreak in China

Recognizing Traditional Chinese Medicine Customs during the COVID-19 Pandemic: A Case Report

Sociodemographic and precipitating circumstances associated with suicide among Asian Americans and Pacific Islanders: A survival analysis.

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