Effect of Discrimination on Mental Health Service Utilization Among Chinese Americans

Michael S. Spencer · Juan Chen

149 citations0/0 files storedAmerican Journal of Public Health

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Mental Health Treatment and Access Racial and Ethnic Identity Research Migration, Health and Trauma

Abstract

OBJECTIVES: We examined the association between discrimination and mental health service use among a representative sample of Chinese Americans. METHODS: Our data were derived from the 2-wave Chinese American Psychiatric Epidemiological Survey, a strata-cluster survey conducted in 1993 and 1994 in a western American city. RESULTS: Language-based discrimination was associated with higher levels of use of informal services and seeking help from friends and relatives for emotional problems. Negative attitudes toward professional mental health services were associated with greater use of informal services. CONCLUSIONS: The findings suggest that language-based discrimination influences patterns of mental health service use among Chinese Americans. Implications for service providers and policymakers are discussed.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 2003Unequal treatment: confronting racial and ethnic disparities in health care 1997Racial Differences in Physical and Mental Health 1999The Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States 1990Racial and gender discrimination: Risk factors for high blood pressure?2000Perceived Discrimination and Depression among Mexican-Origin Adults in California 1995Asian Americans: Personality Patterns, Identity, and Mental Health.2003Paved With Good Intentions: Do Public Health and Human Service Providers Contribute to Racial/Ethnic Disparities in Health?

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2007Overt and Subtle Racial Discrimination and Mental Health: Preliminary Findings for Korean Immigrants 2010Discrimination and Mental Health–Related Service Use in a National Study of Asian Americans 2008Discrimination and health among Asian American immigrants: Disentangling racial from language discrimination 2006Mental Health Service Utilization by Ethiopian Immigrants and Refugees in Toronto

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