Wen Yi-Ping, Brauer Eden R, Choi Kristen
School of Nursing, University of California, 700 Tiverton Ave, Los Angeles, CA, 90095, USA.
Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA.
J Racial Ethn Health Disparities. 2025 Jan 3. doi: 10.1007/s40615-024-02275-8.
The purpose of this review was to identify relationships between social determinants of mental health service utilization and outcomes among Asian American cancer survivors in the United States (U.S.).
We performed a systematic literature search in PubMed, PsycINFO, CINAHL, and Embase for peer-reviewed studies between January 2000 and May 2024. Based on the Healthy People 2023 framework, social determinants of health (SDOH) were categorized into five SDOH domains. We extracted data using a table of evidence, and we assessed study quality using the Johns Hopkins Evidence-Based Practice.
Ten non-experimental studies, with either "High" or "Good" quality, met eligibility criteria. Two examined mental health service utilization, and nine reported mental health outcomes. Seventy percent of the studies recruited samples from the health systems. The rest were from community settings. Seventy percent included the Asian American subgroup, mainly Chinese Americans. Higher education, English proficiency, more years residing in the U.S., and having social support correlated with better psychological quality of life. Higher-income and education levels were associated with more psychotropic medication use. However, zip code levels were used to estimate actual income and education.
We identified significant SDOH factors that influenced mental health outcomes among Asian American cancer survivors. More research is needed to understand the social determinants of mental health service utilization barriers in this population. Allocating more funding to health research tailored to Asian American cancer survivors, along with data disaggregation, standardizing socioeconomic status measures, and diversifying sampling sources, is essential to enhancing their mental health outcomes.
本综述的目的是确定美国亚裔美国癌症幸存者心理健康服务利用的社会决定因素与结果之间的关系。
我们在PubMed、PsycINFO、CINAHL和Embase中对2000年1月至2024年5月间的同行评审研究进行了系统的文献检索。基于《健康人民2023》框架，健康的社会决定因素（SDOH）被分为五个SDOH领域。我们使用证据表提取数据，并使用约翰霍普金斯循证实践评估研究质量。
十项质量为“高”或“良好”的非实验性研究符合纳入标准。两项研究考察了心理健康服务利用情况，九项报告了心理健康结果。70%的研究从卫生系统招募样本。其余的来自社区环境。70%的研究纳入了亚裔美国亚组，主要是华裔美国人。高等教育、英语水平、在美国居住的年限更长以及拥有社会支持与更好的心理生活质量相关。较高的收入和教育水平与更多使用精神药物有关。然而，邮政编码水平被用来估计实际收入和教育程度。
我们确定了影响亚裔美国癌症幸存者心理健康结果的重要SDOH因素。需要更多的研究来了解该人群心理健康服务利用障碍的社会决定因素。为针对亚裔美国癌症幸存者的健康研究分配更多资金，同时进行数据分类、标准化社会经济地位测量以及使抽样来源多样化，对于改善他们的心理健康结果至关重要。
