Willingness to Use Mental Health Services for Depression Among African Immigrants and White Canadian-Born People in the Province of Quebec, Canada

Boukpessi, Tchaa Balakiyéme; Gagnier, Jean-Pierre

doi:10.1007/s10903-020-01061-y

Cited by 7 publications

(12 citation statements)

References 26 publications

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“…Negative health impacts on employment as an income source and the potential threats to livelihoods could facilitate service need recognition. This supports the suggestion that health service use among African immigrants is largely driven by symptom severity and functional limitations (Boukpessi et al, 2020).…”

Section: Discussionsupporting

confidence: 89%

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Mental health service utilization among African immigrants in the United States

Saasa

Rai

Nikki

et al. 2021

Journal Community Psychology

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This study utilized Andersen's model of health behavior to explore factors associated with mental health service utilization. We also examine rates for mental health service use, treatment preferences, and barriers to care. Data were collected utilizing web-based surveys. The sample consisted of first and second-generation African immigrants who had struggled with emotional or behavioral problems in the past 12 months (N = 323). Hierarchical logistic regression analyses were conducted to examine predictors of mental health service utilization. The majority of participants (79.5%) met criteria for probable major depression, and 63% sought mental health services. Findings showed that mental health service utilization was more significantly predicted by enabling and need factors. Age (odds ratio [OR] = 1.03), religiosity (OR = 1.11), acculturative stress (OR = 1.68), neighborhood risk (OR = 0.54), and work-productivity loss (OR = 2.93) were associated with increased likelihood of mental health service use (p < 0.05). Most common barriers to service use were hopes of self-healing (56.3%) followed by financial barriers (46.2%). Findings highlight the need for public health initiatives to increase mental health literacy and financial accessibility to mental health services in response to the high mental health need and identified barriers to care in this population.

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Section: Discussionsupporting

confidence: 89%

“…This supports the suggestion that health service use among African immigrants is largely driven by symptom severity and functional limitations (Boukpessi et al, 2020).…”

Section: Discussionsupporting

confidence: 87%

Mental health service utilization among African immigrants in the United States

Saasa

Rai

Nikki

et al. 2021

Journal Community Psychology

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“…This was positive given that newcomers (especially those of a non-Caucasian descent) underuse formal supports (e.g. Boukpessi et al, 2021;Kirmayer et al, 2007) and may be more likely to use distraction and suppression as ways to cope, which can be problematic in the long run (Goodman, 2004). The fact that many youth participants also discussed maintaining their home culture despite feeling pressure to change was an important finding as identity formation is prominent during this stage of life.…”

Section: Discussionmentioning

confidence: 98%

“You Have to be Resilient”: A Qualitative Study Exploring Advice Newcomer Youth Have for Other Newcomer Youth

Smith

Crooks

Baker

2022

Child Adolesc Soc Work J

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Research infrequently includes the perspectives of vulnerable and marginalized youth. As the population of newcomer youth in Canada continues to grow, it is imperative that attention is devoted not only to challenges they experience, but also to resilience factors they perceive to support their adjustment and well-being. To address this gap, this qualitative research explored newcomer youths’ experiences and advice for other newcomer youth who have recently arrived in Canada. Thirty-seven newcomer youth from two medium-sized cities in Ontario participated in focus groups. Participants ranged from 14 to 22 in age and identified mostly as female refugees from the Middle East. Through thematic analysis, five overarching themes were found across groups: (1) moving to a new country is hard, (2) maintain a healthy mindset, (3) take an active role in the adjustment process, (4) stay true to who you are, (5) and you are not alone. Youth described hardships that make moving to a new country difficult including lack of belonging due to racism and bullying, insufficient orientation to new systems, language barriers, and high levels of stress. Findings demonstrated youths’ resilience, coping skills, and strategies to lead meaningful lives. Youth discussed resilience strategies such as maintaining a connection with home culture and religion, reframing thinking to be positive, receiving emotional support, accessing community support at newcomer agencies, and building language proficiency. Findings provide implications for professionals working with newcomer youth and reflect the importance of addressing structural barriers and racism. The opportunity for newcomer youth to share experiences as experts in research may also help to promote resilience.

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“…Factors influencing PHSI appear to arise from perspectives centered on the society, family, and the individual. Socially, the accessibility and availability of mental health services ( 8 , 22 ), the type of care provided by the mental health service ( 23 ), social environments, such as a neighborhood context ( 24 ), school settings ( 22 ), and health insurance policy covering mental illness ( 25 ), are common factors related to PHSI. Family factors had a limited focus in research.…”

Section: Introductionmentioning

confidence: 99%

“…Individually, gender, age, education, economic level, characteristics of the mental illness, coping methods to solve problems, help-seeking experience, and adequate informal sources ( 23 ) have varying influences on PHSI. Among them, when referring to the severity of symptoms, the result is inconsistent ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis

Liu

Pan

et al. 2022

Front. Psychiatry

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BackgroundA low intention of professional help seeking hinders the effective treatment of depression. The factors are from the perspectives of the social, family, and individual; however, an understanding of how they interact to predict professional help-seeking intention (PHSI) is not clear.ObjectivesThe objectives of the study was to investigate PHSI toward depression in a Chinese community-dwelling population and construct a predictive model of the PHSI to explore the various factors involved.MethodsStratified random sampling and Kish table methods were used to identify 2,000 community residents. Participants completed a series of questionnaires to measure general characteristics, PHSI, professional help-seeking attitude, depression stigma, depression knowledge, family function, and depression symptoms. Analyses included descriptive statistics and Pearson correlation analysis using SPSS 26.0 and a Structural Equation Model using Amos 22.0.ResultsThe score of the PHSI was 14.92 ± 9.574. Professional help-seeking attitude (r = 0.291, p < 0.001) and depression knowledge (r = 0.077, p = 0.002) were positively related to PHSI, while a negative correlation was found between stigma (r = −0.149, p < 0.001) and PHSI. The model of the PHSI indicated a good fit with a CMIN/DF = 2.740 and RESEA = 0.032. The total effect of the influencing factors on the PHSI was listed in the following order: professional help-seeking attitude (0.676) > stigma (−0.143) > depression knowledge (0.088) > depression symptoms (−0.009) > family function (0.005). The total effect of depression knowledge on PHSI included a direct negative effect (Beta = −0.266, p < 0.001) and an indirect positive effect (0.354) through professional help-seeking attitude and stigma. Also, depression knowledge was negatively associated with stigma (Beta = −0.153, p < 0.001). Depression symptoms were negatively associated with family function (Beta = −0.282, p < 0.001), depression knowledge (Beta = −0.252, p < 0.001), and stigma (Beta = −0.102, p < 0.001), indicating that people with less severe depression symptoms had good family function, depression knowledge, and higher stigma. Family function contributed a positive effect on depression knowledge directly (Beta = 0.145, p < 0.001) and a totally positive effect (0.033) on stigma.ConclusionThe PHSI toward depression is low among Chinese community residents. Professional help-seeking attitude, depression knowledge, and family functioning were facilitators of PHSI, and stigma and the severity of depression symptoms were barriers to PHSI. This study provides reference for the development of policies and guidelines to promote community residents to actively seek professional mental health help. Future policies can focus on multicollaboration among the government, mental health services, and families to increase the mental health resources, improve family functioning, enhance mental health literacy (MHL) of the public, and reduce depression stigma to ease the burden of this mental health issue.

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Willingness to Use Mental Health Services for Depression Among African Immigrants and White Canadian-Born People in the Province of Quebec, Canada

Cited by 7 publications

References 26 publications

Mental health service utilization among African immigrants in the United States

Mental health service utilization among African immigrants in the United States

“You Have to be Resilient”: A Qualitative Study Exploring Advice Newcomer Youth Have for Other Newcomer Youth

Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis

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