scholarly journals Mental Health Service Use and Perceived Unmet Needs for Mental Health Care in Asian Americans

2018 ◽  
Vol 55 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Yuri Jang ◽  
Hyunwoo Yoon ◽  
Nan Sook Park ◽  
Min-Kyoung Rhee ◽  
David A. Chiriboga
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Asian Americans ◽  
Service Use ◽  
Unmet Needs ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Factors Associated With Mental Health Service Use AmongBlack, Latinx, and Asian Older Adults in Community-Based Organizations

2021 ◽  
pp. 073346482110128
Author(s):  
Liao Zhang ◽  
Isabel O’Malley ◽  
Mario Cruz-Gonzalez ◽  
Mayra L. Sánchez González ◽  
Margarita Alegría
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Factors Associated

Objective: Older adults of color face systemic obstacles in seeking mental health care. Unaddressed late-life mental health issues can challenge independent living and increase disability and mortality risk. This study examined factors associated with mental health service use among community-dwelling older adults. Method: This cross-sectional analysis used data from the Positive Minds-Strong Bodies trial ( N= 1,013). Results: Higher anxiety, depressive, and posttraumatic stress disorder (PTSD) symptoms increased odds of service use (odds ratio [OR] = 1.05–2.11). Asian and Latinx, but not Black, older adults had lower odds of service use than Whites (OR = 0.15–0.35). Yet Asian and Latinx older adults with higher anxiety and depression symptoms and Asians with at least one PTSD symptom had higher odds of service use than Whites with the same symptomatology (OR = 1.16–2.88). Conclusion: White older adults might be more likely to seek mental health care at lower levels of need, while Asian and Latinx older adults might seek services when they perceive greater need.

The Impact of Perceived Need and Relational Factors on Mental Health Service Use Among Generations of Asian Americans

2016 ◽  
Vol 42 (4) ◽  
pp. 688-700 ◽  
Author(s):  
Minsun Lee ◽  
David Takeuchi ◽  
Zvi Gellis ◽  
Philip Kendall ◽  
Lin Zhu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Asian Americans ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Perceived Need ◽  
Relational Factors ◽  
The Impact

scholarly journals Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada

2018 ◽  
Vol 63 (7) ◽  
pp. 481-491 ◽  
Author(s):  
Maria Chiu ◽  
Abigail Amartey ◽  
Xuesong Wang ◽  
Paul Kurdyak
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
South Asian ◽  
Service Use ◽  
Unmet Needs ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Health Factors ◽  
Mental Health Factors

Background: The purpose of this study was to compare the prevalence of self-reported mental health factors, mental health service use, and unmet needs across the 4 largest ethnic groups in Ontario, Canada: white, South Asian, Chinese, and black groups. Methods: The study population was derived from the Canadian Community Health Survey, using a cross-sectional sample of 254,951 white, South Asian, Chinese, and black residents living in Ontario, Canada, between 2001 and 2014. Age- and sex-standardized prevalence estimates for mental health factors, mental health service use, and unmet needs were calculated for each of the 4 ethnic groups overall and by sociodemographic characteristics. Results: We found that self-reported physician-diagnosed mood and anxiety disorders and mental health service use were generally lower among South Asian, Chinese, and black respondents compared to white respondents. Chinese individuals reported the weakest sense of belonging to their local community and the poorest self-rated mental health and were nearly as likely to report suicidal thoughts in the past year as white respondents. Among those self-reporting fair or poor mental health, less than half sought help from a mental health professional, ranging from only 19.8% in the Chinese group to 50.8% in the white group. Conclusions: The prevalence of mental health factors and mental health service use varied widely across ethnic groups. Efforts are needed to better understand and address cultural and system-level barriers surrounding high unmet needs and to identify ethnically tailored and culturally appropriate clinical supports and practices to ensure equitable and timely mental health care.

scholarly journals Racial segregation and mental health service use by older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 957-958
Author(s):  
Kyeongmo Kim ◽  
Denise Burnette
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Racial Segregation ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Race Ethnicity

Abstract Older adults living in racially segregated neighborhoods often lack access to mental health care. This study assessed the role of racial segregation in mental health service use and examined whether the relationship between segregation and mental health service use differs by race/ethnicity. We linked residential segregation data from the National Neighborhood Change Database to the 2015 Medical Expenditure Panel Survey. The sample included 4,023 adults aged 65 and older. We measured mental health service use as visit(s) to a mental health professional and/or use of prescribed medication for mental health (1=yes, 0=no) during the past year. Residential segregation was assessed using a combined measure of isolation (level of interaction with the same racial and ethnic group members) and dissimilarity (evenness of distribution of racial groups). Indices ranged from 0 (integrated) to 1 (segregated). We adjusted for age, sex, race/ethnicity, marital status, education, income, attitude toward health care, health insurance, and mental health status. Multiple logistic regression analyses showed that older adults living in more segregated counties were less likely to use a mental health service than those living in more integrated counties (OR=0.77, p=.04). The relationship did not differ by race/ethnicity. As expected, Blacks and Hispanics underused mental health services compared to Whites. The findings highlight that racial segregation limits access to mental health care. Practitioners and policy-makers should identify mental health needs and service use patterns to target services effectively and efficiently. Future research should explore the intersection of income and mental health care resources in segregated neighborhoods.

Health Care Resources and Mental Health Service Use Among Suicidal Adolescents

2016 ◽  
Vol 44 (2) ◽  
pp. 195-212 ◽  
Author(s):  
Mary LeCloux ◽  
Peter Maramaldi ◽  
Kristie Thomas ◽  
Elizabeth Wharff
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Health Care Resources
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