Xavier Rose Mary, Kaur Harjas, Kalidindi Ram N
School of Nursing, University of North Carolina at Chapel Hill, 211 Manning Dr, ITS Manning, Chapel Hill, NC, 27599-7460, USA.
Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Racial Ethn Health Disparities. 2025 May 27. doi: 10.1007/s40615-025-02488-5.
Asian Indians living in the United States (US) are severely underrepresented in mental health research. Though there are more studies on Asian Indian mental health now than there was a decade ago, much remains unknown including the experience and prevalence of mental health disorders, service utilization, impact of cultural influences, and barriers and facilitators in seeking mental health support and treatment. The purpose of this scoping review was to examine mental health and mental health service utilization among Asian Indians in the US.
We conducted a scoping review of published literature. Two reviewers independently screened 2965 articles for potential inclusion-2205 were excluded based on title and abstract review alone and 690 on full-text review. An additional 8 articles identified during full-text review resulted in a total of 45 articles included in the scoping review.
Of the 45 studies, 33 used a quantitative design, 4 studies used a multiple or mixed methods design, and 8 used a qualitative design. Given the broad theme of our research question and since the final list of studies included varied widely in their focus and methods, we present our results using descriptive, narrative synthesis.
Cultural values, familial roles and support, and stigma significantly impact both mental health and help-seeking behaviors of Asian Indians. There are major gaps in the literature surrounding child and youth mental health, mental health disorders, and pathways to mental health care. These findings are discussed in the context of relevance for practice, policy, and the need for high-quality research.
生活在美国的亚裔印度人在心理健康研究中的代表性严重不足。尽管现在关于亚裔印度人心理健康的研究比十年前更多，但仍有许多未知之处，包括心理健康障碍的经历和患病率、服务利用情况、文化影响的作用以及寻求心理健康支持和治疗的障碍与促进因素。本范围综述的目的是研究美国亚裔印度人的心理健康及心理健康服务利用情况。
我们对已发表的文献进行了范围综述。两名评审员独立筛选了2965篇文章以确定是否可能纳入——仅基于标题和摘要评审就排除了2205篇，基于全文评审又排除了690篇。在全文评审过程中另外确定的8篇文章使范围综述共纳入45篇文章。
在这45项研究中，33项采用了定量设计，4项采用了多种或混合方法设计，8项采用了定性设计。鉴于我们研究问题的宽泛主题，且由于最终纳入的研究列表在重点和方法上差异很大，我们采用描述性叙述性综合方法呈现结果。
文化价值观、家庭角色与支持以及污名化对亚裔印度人的心理健康和求助行为均有显著影响。围绕儿童和青少年心理健康、心理健康障碍以及心理健康护理途径的文献存在重大空白。我们将结合实践、政策的相关性以及高质量研究的必要性来讨论这些发现。
