Jiang Joy J, Adia Alexander C, Nazareno Jennifer, Operario Don, Ponce Ninez A, Shireman Theresa I
Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, USA.
Philippine Health Initiative for Research, Service, & Training, Brown University School of Public Health, Providence, RI, USA.
J Racial Ethn Health Disparities. 2022 Feb;9(1):227-235. doi: 10.1007/s40615-020-00946-w. Epub 2021 Jan 15.
A growing body of literature has indicated that disaggregated analyses using distinct Asian subgroups allow for identification of varying mental health challenges and health services utilization. In this study, we examined the associations between distress and health services utilization among five Asian subgroups: Chinese, Korean, Japanese, Filipino, and Vietnamese adults in California.
Using a combined dataset using the 2011-2018 cross-sectional cycles of the California Health Interview survey, we assessed moderate and serious distress and four health services utilization indicators in a set of disaggregated analyses among adults 18 years of age and older in five Asian subgroups. We performed bivariate and multivariable analyses.
The prevalence of and associations between moderate and serious distress and gaps in health services utilization varied among each Asian subgroup. Koreans had the highest prevalence of moderate and serious distress and the most gaps in health services utilization. Compared to those without moderate distress (p < .05), Japanese adults were more likely to delay care. Compared to those without serious distress (p < .05), Chinese adults who experienced serious distress were more likely to delay both medications and care, whereas Filipino and Vietnamese adults were more likely to delay medications.
Disaggregating health data elucidates the impact of mental distress on healthcare-seeking behaviors among specific Asian subgroups. Identifying these influences can facilitate future tailored interventions, yet fully understanding the mechanism linking mental distress and healthcare usage will necessitate a comprehensive assessment of structural influences and Asian American experiences without otherization.
越来越多的文献表明，对不同亚洲亚组进行分类分析有助于识别不同的心理健康挑战和医疗服务利用情况。在本研究中，我们调查了加利福尼亚州五个亚洲亚组（华裔、韩裔、日裔、菲律宾裔和越南裔成年人）的心理困扰与医疗服务利用之间的关联。
我们使用了加利福尼亚健康访谈调查2011 - 2018年横断面周期的合并数据集，在五个亚洲亚组18岁及以上的成年人中进行了一系列分类分析，评估了中度和重度心理困扰以及四个医疗服务利用指标。我们进行了双变量和多变量分析。
中度和重度心理困扰的患病率及其与医疗服务利用差距之间的关联在每个亚洲亚组中各不相同。韩裔成年人中度和重度心理困扰的患病率最高，医疗服务利用方面的差距也最大。与没有中度心理困扰的人相比（p < 0.05），日裔成年人更有可能推迟就医。与没有重度心理困扰的人相比（p < 0.05），经历重度心理困扰的华裔成年人更有可能推迟用药和就医，而菲律宾裔和越南裔成年人更有可能推迟用药。
对健康数据进行分类分析阐明了心理困扰对特定亚洲亚组寻求医疗行为的影响。识别这些影响有助于未来制定针对性的干预措施，但要全面理解心理困扰与医疗使用之间的联系机制，需要在不进行他者化的情况下对结构性影响和亚裔美国人的经历进行全面评估。
