Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA, 19140, USA.
Department of Sociology, College of Liberal Arts, Temple University, 1115 Polett Walk, Philadelphia, PA, 19122, USA.
J Behav Health Serv Res. 2021 Apr;48(2):199-212. doi: 10.1007/s11414-020-09704-6.
Compared with other ethnic groups, Asian Americans report the lowest rates of mental health treatment and service utilization. This is true even among Asian Americans with mental illness, which indicates that the underutilization of mental health services is not due to the low prevalence of mental health disorders in this population. This study examined which sociodemographic factors, types of mental health problems, and barriers to treatment were associated with the treatment receipt among 126 Asian Americans who reported perceived mental health problems. Among sociodemographic factors, Chinese ethnicity and advanced English proficiency were associated with increased treatment receipt. Controlling for demographic variables, mental health problems such as psychosis, depression, and a history of abuse or trauma significantly increased the likelihood of receiving treatment, whereas addiction showed a tendency of decreased treatment receipt. Among reported barriers, difficulty finding a culturally appropriate therapist appeared to be an important barrier among Asian Americans with perceived mental health problems.
与其他族裔群体相比，美籍亚裔报告的心理健康治疗和服务利用率最低。即使在有精神疾病的美籍亚裔人群中也是如此，这表明心理健康服务的利用率低并不是因为该人群中心理健康障碍的患病率低。本研究调查了哪些社会人口因素、心理健康问题类型和治疗障碍与 126 名报告有心理健康问题的美籍亚裔的治疗接受情况相关。在社会人口因素方面，族裔为中国人和英语水平较高与增加治疗接受度相关。在控制人口统计学变量的情况下，精神健康问题，如精神病、抑郁症和受虐待或创伤的病史，显著增加了接受治疗的可能性，而吸毒则显示出治疗接受度降低的趋势。在所报告的障碍中，对于美籍亚裔来说，难以找到一位文化适宜的治疗师似乎是一个重要的障碍。
