Mental health stigma and professional help-seeking behaviors among Asian American and Asian international students

Author(s):  
Lindsey S. Maeshima ◽  
Mike C. Parent
2021 ◽  
Vol 21 (2) ◽  
pp. 117-126
Author(s):  
Won-Tack Lim

"As globalization advances, the world's international student population has continuously risen. Among this enlarged population, numerous students face adjustment problems after realizing unfamiliarity with the host culture at certain points in their sojourns, which often trigger severe psychological distress. Previous studies conducted in the U.S. university settings have pointed to the underutilization of mental health resources by international students as one of the primary risk factors for the betterment of psychological health. Up to the present, however, there is very limited research carried out in places other than leading countries of North America and the British Commonwealth on the topics of international students’ mental health. Different from the predominant research settings of existing research, this article attempts to clarify the distinction in professional help-seeking willingness between Japanese domestic students and international students from other Asian regions who were enrolled in a Japanese university, performing an independent Two-sample Z-test analysis. The result of the findings showed that both Japanese domestic students and Asian international students scored below average in willingness to seek professional help from mental health providers. It also demonstrated that the degrees of local students’ help-seeking willingness did not significantly differ from those of international students. Implications, limitations, and recommendations for future research are also discussed."


2018 ◽  
Vol 5 (2) ◽  
pp. 1 ◽  
Author(s):  
Peter Nguyen ◽  
Rosalie Corona ◽  
Matthew Peter DeCarlo ◽  
Anna Yaros ◽  
Anh Thuy Le ◽  
...  

We sought to characterize the help-seeking behavior of Asian Americans living in a Southeastern community in the U.S. by examining different types of services sought, help-seeking preferences, and how demographic characteristics and mental health problems (including domestic violence) predicted these behaviors. 610 Asian Americans (mean age = 39.43 years; 59.6% female; 75% immigrants) completed an anonymous, community survey that included measures of different types of help-seeking behaviors and preferences, mental health symptoms, and exposure to domestic violence. The two most-frequently help-seeking behaviors included seeking advice from friends, family members, or relatives (66.7%), and visiting a medical doctor (46.4%).  In logistic regression models, older age, sex, immigrant status and symptomatic depression predicted different types of help-seeking behaviors and preferences. Neither domestic violence experience or symptomatic anxiety significantly predicted help-seeking.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246501
Author(s):  
Laura Nohr ◽  
Alexis Lorenzo Ruiz ◽  
Juan E. Sandoval Ferrer ◽  
Ulrike Buhlmann

Globally the burden due to mental disorders is continuously increasing. Still, professional help-seeking behavior is not fully understood. To conceive cultural determinants of help-seeking is crucial to reduce personal and social costs of (untreated) mental disorders. The current study investigates mental health stigma and help-seeking attitudes in a Cuban (n = 195) and a German (n = 165) sample. In a questionnaire survey we asked for attitudes towards mental illness and professional help-seeking in the general Cuban and German populations. The cultural context was associated with mental health stigma and professional help-seeking attitudes. Interestingly, Cuban participants reported stronger mental health stigma and more willingness to seek help. In multiple hierarchical regression analyses, community attitudes towards the mentally ill significantly predicted help-seeking attitudes, especially in the Cuban sample. Only in the German sample, more negative individual beliefs about mental illness predicted more self-stigma on help-seeking. Beyond that, cultural context moderated the association between mental health stigma and help-seeking attitudes with a stronger association between the measures in the German sample. However, gender did not predict help-seeking attitudes and self-stigma on help-seeking and no interactions between community attitudes, cultural context, and gender were found in the prediction of help-seeking attitudes. Similarities and differences between the samples are discussed in the light of the cultural contexts and peculiarities of the current samples. Concluding, implications of the current findings are reviewed.


2021 ◽  
Author(s):  
Xiang Zhou ◽  
Anne Q. Zhou ◽  
Xiaoning Sun

An estimated one million international students are enrolled in U.S. universities. However, little was known about the landscape of their mental health and help-seeking behaviors. Drawing from a large national university student sample (N = 228,421, 8.49% non-U.S. citizen) from the Healthy Minds Study, data indicated the rates of major depressive disorder, generalized anxiety disorder, eating disorder, non-suicidal self-injury, and suicidal ideation were 27.4%, 20.0%, 26.4%, 17.2%, and 8.8% respectively among international students, with high inter-country variabilities. Contrary to our expectations, there is no strong and consistent evidence suggesting international students were at higher risk for common mental health concerns compared to domestic students. However, among students who were screened positive for these mental health disorders (n = 96,567), there was a significant difference between service utilization rates for international students and domestic students (32.0% vs. 49.8%), even after controlling for gender, age, socioeconomic status, perceived need for help, mental health stigma, and using informal support. Our results highlight the urgency for addressing mental health concerns and equitable mental health care among international students.


2021 ◽  
Author(s):  
Nicola Cogan ◽  
Yvonne Chin-Van Chau ◽  
Xi Liu ◽  
Steve Kelly ◽  
Tony Anderson ◽  
...  

International students often face psychosocial, academic, financial and adaptation challenges within the Higher Education (HE) environment that may impact on their mental health. The current study explored the understandings and experiences of Asian international students (AISs) in terms of mental health, disclosure, help-seeking and adaptation specific to cultural relocation within Scotland. A sequential multi-method approach was adopted consisting of two studies: (1) a qualitative study using individual semi-structured interviews with AISs (n=10) (Study 1) and (2) a cross-section survey comparing AISs and non-AISs (n=172) in terms of mental health literacy and psychological adaptation within the Scottish context (Study 2). Qualitative data were audio-recorded, transcribed, and analysed using a thematic approach. Quantitative data were analysed using regression and mediation analysis. Study 1 revealed three themes: (1) Negative beliefs, stigma and fear of judgment impacting on understandings and disclosure of mental health issues, (2) Adaptation and acculturation difficulties (lack of sense of belonging), and (3) Barriers in communication and social disconnection. Study 2 showed that AISs reported lower levels of mental health literacy, which in turn resulted in poorer psychological adaption compared to non-AISs. Supporting AISs in HE institutions involves challenging negative judgements surrounding mental health, increasing mental health literacy and addressing barriers in overcoming adaptation, acculturation and communication difficulties that may inhibit disclosure and help-seeking behaviour. The importance of mental health policies, supports and services in embracing culturally diverse understandings of mental health, challenging stigma and having culturally competent staff supporting student mental health within a multicultural learning environment is emphasised.


2021 ◽  
pp. 1-9
Author(s):  
James J. McGuffin ◽  
Shelley A. Riggs ◽  
Emily M. Raiche ◽  
Daniel H. Romero

2021 ◽  
Vol 11 (1) ◽  
pp. 73-85
Author(s):  
Christian D. Chan ◽  
Stacey Diane Arañez Litam

The emergence and global spread of COVID-19 precipitated a massive public health crisis combined with multiple incidents of racial discrimination and violence toward Asian American and Pacific Islander (AAPI) communities. Although East Asian communities are more frequently targeted for instances of pandemic-related racial discrimination, multiple disparities converge upon Filipino communities that affect their access to mental health care in light of COVID-19. This article empowers professional counselors to support the Filipino community by addressing three main areas: (a) describing how COVID-19 contributes to racial microaggressions and institutional racism toward Filipino communities; (b) underscoring how COVID-19 exacerbates exposure to stressors and disparities that influence help-seeking behaviors and utilization of counseling among Filipinos; and (c) outlining how professional counselors can promote racial socialization, outreach, and mental health equity with Filipino communities to mitigate the effects of COVID-19.


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