ORCID

0000-0003-1588-3929 (Galadima)

College

College of Health Sciences

Department

Health Services Research

Graduate Level

Doctoral

Publication Date

2023

DOI

10.25883/rm31-8w97

Abstract

Asian Americans represent both the fastest-growing population and the smallest group of consumers of mental health services (MHS) in the United States. The current study aimed to identify factors associated with MHS use and explore differences in MHS use by nativity among Asian Americans. Data from the 2015-2018 National Health and Nutrition Examination Survey (NHANES) were used to examine past-year MHS use among Asian Americans ages 18 and older. Weighted analyses were used to determine the distribution of the population by nativity and other covariates, and Rao-Scott Chi-Square tests were used to explore the association between past-year MHS use and these predictors of interest. Multiple logistic regression was used to examine the association between nativity and past-year use of mental health services while controlling for other covariates. Of the 1476 respondents, only 4.54%, 95% CI [3.60%, 5.45%] reported using MHS in the past year. After controlling for other factors, nativity was significantly associated with past-year MHS use, with individuals born outside of the US being 0.42, 95% CI [0.18, 0.98] times less likely to use MHS than those born in the US. Additionally, past-year MHS use was significantly associated with factors such as marital status, general health condition, having a routine source of care, and depression severity. Our findings suggest that nativity and other factors may impact access to and utilization of mental health services among Asian Americans. Future research may aim to improve MHS utilization in this population through mental health education or the development of culturally sensitive treatment.

Keywords

Mental health, Mental health services, Asian American

Disciplines

Health Services Research | Other Mental and Social Health

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Role of Nativity in Mental Health Service Utilization among Asian Americans: A Weighted Analysis of Complex Survey Data


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