Lee Minsun, Takeuchi David, Gellis Zvi, Kendall Philip, Zhu Lin, Zhao Shanyang, Ma Grace X
Department of Clinical Sciences, Lewis Katz School of Medicine, Center for Asian Health, Temple University, Philadelphia, PA, USA.
Research in Social, Economic and Environmental Equity, School of Social Work, Boston College, Chestnut Hill, MA, USA.
J Community Health. 2017 Aug;42(4):688-700. doi: 10.1007/s10900-016-0305-4.
The present study examined generational differences in the patterns and predictors of formal and informal mental health service utilization among a nationally representative sample of 1850 Asian Americans from the National Latino and Asian American Study. We focused on the effects of perceived need and relational factors on service utilization among 1st-, 1.5-, and 2nd-generation Asian Americans. Results of hierarchical logistic regression showed significant intergenerational differences. Specifically, 1.5-generation Asian Americans exhibited distinctive pattern of service use, with perceived need being associated with a higher likelihood of using formal mental health services, but only for those with high level of social support. First- and second-generation Asian Americans, on the other hand, perceived need was independently associated with formal service use, and a significant predictor of informal service use for first generation. Greater family conflict was also associated with greater use of formal and informal services for both first- and second generations. However, family cohesion was associated with only informal service use among first -generation Asian Americans. Implications for mental health service policy were discussed.
本研究在来自全国拉丁裔和亚裔美国人研究的1850名亚裔美国人的全国代表性样本中，考察了正式和非正式心理健康服务利用模式及预测因素的代际差异。我们重点关注了感知需求和关系因素对第一代、1.5代和第二代亚裔美国人服务利用的影响。分层逻辑回归结果显示出显著的代际差异。具体而言，1.5代亚裔美国人呈现出独特的服务使用模式，感知需求与使用正式心理健康服务的较高可能性相关，但仅适用于那些具有高水平社会支持的人。另一方面，第一代和第二代亚裔美国人中，感知需求与正式服务使用独立相关，并且是第一代非正式服务使用的重要预测因素。更大的家庭冲突也与第一代和第二代使用更多正式和非正式服务相关。然而，家庭凝聚力仅与第一代亚裔美国人的非正式服务使用相关。文中讨论了对心理健康服务政策的启示。
