Office of Public Health Studies, University of Hawai'i at Manoa, HI, USA.
Am J Public Health. 2010 Jan;100(1):115-21. doi: 10.2105/AJPH.2009.160762.
We investigated the relative strengths of generational status and family cohesion effects on current use of mental health services (past 12 months) among Asian Americans.
We conducted a secondary data analysis with data from the National Latino and Asian American Study, 2002 to 2003, restricted to Asian American respondents (n=2087). The study's outcome was current use (past 12 months) of any mental health services. Respondents included Chinese, Filipino, Vietnamese, and other Asian Americans.
Multivariate analyses suggest no significant interaction exists between second- versus first-generation Asian Americans and family cohesion. The impact of generational status on mental health service use was significant for third- or later-generation Asian Americans (versus first-generation Asian Americans) and varied with family cohesion score.
Family cohesion and generational status both affect the likelihood of Asian Americans to seek mental health services. Our findings also highlight the need for primary care and other providers to consistently screen for mental health status particularly among first-generation Asian Americans. Mental health service programs should target recent immigrants and individuals lacking a strong family support system.
我们调查了代际地位和家庭凝聚力对亚裔美国人当前心理健康服务（过去 12 个月）使用的相对影响。
我们对 2002 年至 2003 年全国拉丁裔和亚裔美国人研究的数据进行了二次数据分析，仅限于亚裔美国人受访者（n=2087）。该研究的结果是当前使用（过去 12 个月）任何心理健康服务。受访者包括中国人、菲律宾人、越南人和其他亚裔美国人。
多变量分析表明，第二代与第一代亚裔美国人之间以及家庭凝聚力之间不存在显著的相互作用。代际地位对心理健康服务使用的影响在第三代及以后的亚裔美国人（与第一代亚裔美国人相比）中显著，并且随家庭凝聚力得分的不同而变化。
家庭凝聚力和代际地位都影响亚裔美国人寻求心理健康服务的可能性。我们的研究结果还强调了初级保健和其他提供者需要始终如一地对心理健康状况进行筛查，特别是在第一代亚裔美国人中。心理健康服务计划应针对新移民和缺乏强大家庭支持系统的个人。
