School of Social Work, University of Michigan, Ann Arbor, MI 48109-1106, USA.
Am J Public Health. 2010 Dec;100(12):2410-7. doi: 10.2105/AJPH.2009.176321. Epub 2010 Mar 18.
We examined the association between perceived discrimination and use of mental health services among a national sample of Asian Americans.
Our data came from the National Latino and Asian American Study, the first national survey of Asian Americans. Our sample included 600 Chinese, 508 Filipinos, 520 Vietnamese, and 467 other Asians (n=2095). We used logistic regression to examine the association between discrimination and formal and informal service use and the interactive effect of discrimination and English language proficiency.
Perceived discrimination was associated with more use of informal services, but not with less use of formal services. Additionally, higher levels of perceived discrimination combined with lower English proficiency were associated with more use of informal services.
The effect of perceived discrimination and language proficiency on service use indicates a need for more bilingual services and more collaborations between formal service systems and community resources.
我们考察了在全美亚裔人群样本中，感知歧视与心理健康服务使用之间的关系。
我们的数据来自于全国拉丁裔和亚裔美国人研究，这是首个全美亚裔美国人调查。我们的样本包括 600 名中国人、508 名菲律宾人、520 名越南人和 467 名其他亚裔人（共 2095 人）。我们使用逻辑回归检验了歧视与正规和非正规服务使用之间的关系，以及歧视和英语熟练程度的交互作用。
感知歧视与更多的非正规服务使用相关，但与正规服务使用减少无关。此外，较高水平的感知歧视与较低的英语熟练程度相结合，与更多的非正规服务使用相关。
感知歧视和语言熟练程度对服务使用的影响表明，需要更多的双语服务，以及正规服务系统与社区资源之间更多的合作。
