nach oben

Community Mental Health Journal

Erschienen in:

05.02.2020 | Original Paper

Utilization of Mental Health Services Among Older Chinese Immigrants in New York City

verfasst von: Ying-Yu Chao, Jin Young Seo, Carina Katigbak, Yu-Ping Chang

Erschienen in: Community Mental Health Journal | Ausgabe 7/2020

Einloggen, um Zugang zu erhalten

Abstract

Older immigrants are at risk of developing mental illness. This study aims to examine mental health service utilization among older Chinese immigrants, using a mixed-method design. Andersen’s Behavioral Model of Health Services Use informed an examination of predictors of mental health services utilization, and semi-structured individual interviews were conducted to illuminate these findings. Participants who were younger, had less than a high school education, and had a higher level of depressive symptoms were more likely to use mental health services. Stressors of psychological distress included breakdown of support system, language barriers, and financial hardships. Factors influencing mental health services use included information from family/friends, referrals from primary care physicians, perceived needs for help, mental health stigma, and culturally competent mental health professionals. Understanding the factors associated with seeking mental health services for older Chinese immigrants could help health care providers to develop early screening programs and culturally sensitive interventions.

Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208–220.PubMedPubMedCentral

Alegría, M., Álvarez, K., & DiMarzio, K. (2017). Immigration and mental health. Current Epidemiology Reports, 4(2), 145–155. https://doi.org/10.1007/s40471-017-0111-2.CrossRefPubMedPubMedCentral

Al-Mandhari, A., Al-Adawi, S., Al-Zakwani, I., Al-Shafaee, M., & Eloul, L. (2008). Impact of geographical proximity on health care seeking behaviour in northern oman. Sultan Qaboos University Medical Journal, 8(3), 310–318.PubMedPubMedCentral

Andersen, R. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.CrossRef

Andersen, R. M., & Newman, J. F. (2005). Societal and individual determinants of medical care utilization in the United States. Milbank Quarterly, 83(4), 1–28. https://doi.org/10.1111/j.1468-0009.2005.00428.x.CrossRef

Augsberger, A., Yeung, A., Dougher, M., & Hahm, H. C. (2015). Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. BMC Health Services Research, 15(542), 1–11. https://doi.org/10.1186/s12913-015-1191-7.CrossRef

Babitsch, B., Gohl, D., & von Lengerke, T. (2012). Re-revisiting Andersen's Behavioral Model of Health Services Use: A systematic review of studies from 1998–2011. Psychosocial Medicine. https://doi.org/10.3205/psm000089.CrossRef

Bhui, K., Warfa, N., Edonya, P., McKenzie, K., & Bhugra, D. (2007). Cultural competence in mental health care: A review of model evaluations. BMC Health Services Research, 7, 15. https://doi.org/10.1186/1472-6963-7-15.CrossRefPubMedPubMedCentral

Centers for Disease Control and Prevention. (2017). Depression is not a normal part of growing older. Retrieved from https://www.cdc.gov/aging/mentalhealth/depression.htm

Chang, C. W., & Biegel, D. E. (2018). Factors affecting mental health service utilization among Latino Americans with mental health issues. Journal of Mental Health, 27(6), 552–559. https://doi.org/10.1080/09638237.2017.1385742.CrossRefPubMed

Chao, Y. Y., Katigbak, C., Zhang, N. J., & Dong, X. Q. (2018). Association between perceived social support and depressive symptoms among community-dwelling older Chinese Americans. Gerontology and Geriatric Medicine. https://doi.org/10.1177/2333721418778194.CrossRefPubMedPubMedCentral

Chen, F. P., Lai, G. Y., & Yang, L. (2013). Mental illness disclosure in Chinese immigrant communities. Journal of Counselling Psychology, 60(3), 379–391. https://doi.org/10.1037/a0032620.CrossRef

Chen, J. A., Hung, G. C., Parkin, S., Fava, M., & Yeung, A. S. (2015). Illness beliefs of Chinese American immigrants with major depressive disorder in a primary care setting. Asian Journal of Psychiatry, 13, 16–22. https://doi.org/10.1016/j.ajp.2014.12.005.CrossRefPubMed

Chu, J. P., & Sue, S. (2011). Asian American mental health: What we know and what we don't know. Online Readings in Psychology and Culture, 3(1), 1–18. https://doi.org/10.9707/2307-0919.1026.CrossRef

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155.CrossRef

Crabtree, B. F., & Miller, W. L. (Eds.). (1999). Doing qualitative research (2nd ed.). Thousand Oaks, California: Sage Publications Inc.

Creswell, J. W., & Clark, V. L. P. (2017). Designing and conducting mixed methods research (3rd ed.). London: SAGE publication Inc.

Dhingra, S. S., Zack, M., Strine, T., Pearson, W. S., & Balluz, L. (2010). Determining prevalence and correlates of psychiatric treatment with Andersen's behavioral model of health services use. Psychiatric Services, 61(5), 524–528. https://doi.org/10.1176/appi.ps.61.5.524.CrossRefPubMed

Dong, X., Wong, E., & Simon, M. A. (2014a). Study design and implementation of the PINE study. Journal of Aging and Health, 26(7), 1085–1099.CrossRef

Dong, X. Q., Chen, R., Li, C., & Simon, M. A. (2014b). Understanding depressive symptoms among community-dwelling Chinese older adults in the Greater Chicago area. Journal of Aging and Health, 26(7), 1155–1171. https://doi.org/10.1177/0898264314527611.CrossRefPubMed

Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs-principles and practices. Health Services Research, 48(6 Pt 2), 2134–2156. https://doi.org/10.1111/1475-6773.12117.CrossRefPubMedPubMedCentral

Friedman, B., Heisel, M. J., & Delavan, R. L. (2005). Psychometric properties of the 15-item geriatric depression scale in functionally impaired, cognitively intact, community-dwelling elderly primary care patients. Journal of the American Geriatrics Society, 53(9), 1570–1576. https://doi.org/10.1111/j.1532-5415.2005.53461.x.CrossRefPubMed

Kim, G., Jang, Y., Chiriboga, D. A., Ma, G. X., & Schonfeld, L. (2010). Factors associated with mental health service use in Latino and Asian immigrant elders. Aging & Mental Health, 14(5), 535–542. https://doi.org/10.1080/13607860903311758.CrossRef

Kim, W., Kang, S. Y., & Kim, I. (2015). Depression among Korean immigrant elders living in Canada and the United States: A comparative study. Journal of Gerontological Social Work, 58(1), 86–103. https://doi.org/10.1080/01634372.2014.919977.CrossRefPubMed

Kong, D., Li, M., Wang, J., Davitt, J. K., & Dong, X. (2019). The relationship between depressive symptoms and health services utilization in U.S. Chinese older adults. Gerontologist, 59(3), 447–455. https://doi.org/10.1093/geront/gny010.CrossRefPubMed

Lach, H. W., Chang, Y. P., & Edwards, D. (2010). Can older adults with dementia accurately report depression using brief forms? Reliability and validity of the Geriatric Depression Scale. Journal of Gerontological Nursing, 36(5), 30–37. https://doi.org/10.3928/00989134-20100303-01.CrossRefPubMed

Ladin, K., & Reinhold, S. (2013). Mental health of aging immigrants and native-born men across 11 European countries. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(2), 298–309. https://doi.org/10.1093/geronb/gbs163.CrossRef

Lai, D. W. (2000). Measuring depression in Canada's elderly Chinese population: Use of a community screening instrument. Canadian Journal of Psychiatry, 45(3), 279–284.CrossRef

Lai, Y. C., Lo, G., Ngo, H., Chou, Y., & Yang, L. (2013). Migration, sociocultural factors, and local cultural worlds among Fuzhounese Chinese immigrants: Implications for mental health interventions. International Journal of Culture and Mental Health, 6(2), 141–155. https://doi.org/10.1080/17542863.2012.674785.CrossRefPubMed

Lee, H. B., Han, H. R., Huh, B. Y., Kim, K. B., & Kim, M. T. (2014). Mental health service utilization among Korean elders in Korean churches: Preliminary findings from the Memory and Aging Study of Koreans in Maryland (MASK-MD). Aging & Mental Health, 18(1), 102–109. https://doi.org/10.1080/13607863.2013.814099.CrossRef

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. Newbury Park, CA: Sage.CrossRef

McCrudden, M. T., & McTigue, E. M. (2019). Implementing integration in an explanatory sequential mixed methods study of belief bias about climate change with high school students. Journal of Mixed Methods Research, 13(3), 381–400.CrossRef

Mui, A. C., & Kang, S. Y. (2006). Acculturation stress and depression among Asian immigrant elders. Social Work, 51(3), 243–255.CrossRef

National Asian Pacific Center on Aging. (2013). Asian Americans and Pacific Islanders in the United States Aged 65 years and older: Population, nativity, and language. Retrieved from https://www.napca.org/wp-content/uploads/2017/10/65-population-report-FINAL.pdf

Park, J., & Roh, S. (2013). Daily spiritual experiences, social support, and depression among elderly Korean immigrants. Aging & Mental Health, 17(1), 102–108. https://doi.org/10.1080/13607863.2012.715138.CrossRef

Park, S. Y., Cho, S., Park, Y., Bernstein, K. S., & Shin, J. K. (2013). Factors associated with mental health service utilization among Korean American immigrants. Community Mental Health Journal, 49(6), 765–773. https://doi.org/10.1007/s10597-013-9604-8.CrossRefPubMedPubMedCentral

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatrics Society, 23(10), 433–441.CrossRef

Saillant, S., Hudelson, P., Dominice Dao, M., & Junod Perron, N. (2016). The primary care physician/psychiatrist joint consultation: A paradigm shift in caring for patients with mental health problems? Patient Education and Counseling, 99(2), 279–283. https://doi.org/10.1016/j.pec.2015.08.028.CrossRefPubMed

Seo, J. Y., Bae, S. H., & Dickerson, S. S. (2016). Korean immigrant women's health care utilization in the United States: A systematic review of literature. Asia-Pacific Journal of Public Health, 28(2), 107–133. https://doi.org/10.1177/1010539515626266.CrossRefPubMed

Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5(1–2), 165–173.

Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705–714.CrossRef

Simon, M. A., Li, Y., & Dong, X. (2014). Levels of health literacy in a community-dwelling population of Chinese older adults. Journal of Gerontology Series A: Biomedical Sciences and Medical Sciences, 69(Suppl 2), S54–60. https://doi.org/10.1093/gerona/glu179.CrossRef

Spencer, M. S., & Chen, J. (2004). Effect of discrimination on mental health service utilization among Chinese Americans. American Journal of Public Health, 94(5), 809–814.CrossRef

Substance Abuse and Mental Health Services Administration (SAMHSA). (2015). Racial/ethnic differences in mental health service use among adults. (HHS Publication No. SMA-15-4906). Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/MHServicesUseAmongAdults.pdf.

Teng, E. J., & Friedman, L. C. (2009). Increasing mental health awareness and appropriate service use in older Chinese Americans: A pilot intervention. Patient Education and Counseling, 76(1), 143–146. https://doi.org/10.1016/j.pec.2008.11.008.CrossRefPubMed

Tieu, Y., & Konnert, C. A. (2014). Mental health help-seeking attitudes, utilization, and intentions among older Chinese immigrants in Canada. Aging & Mental Health, 18(2), 140–147. https://doi.org/10.1080/13607863.2013.814104.CrossRef

United States Census Bureau. (2014). American community survey. Retrieved from https://www.census.gov/programs-surveys/acs/

United States Census Bureau. (2017). QuickFacts: New York City, New York. Retrieved from https://www.census.gov/quickfacts/fact/table/newyorkcitynewyork/PST045217

Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., et al. (2017). Challenges and opportunities in global mental health: A research-to-practice perspective. Current Psychiatry Reports, 19(5), 28–28. https://doi.org/10.1007/s11920-017-0780-z.CrossRefPubMedPubMedCentral

Wang, W., Zheng, X., He, H. G., & Thompson, D. R. (2013). Psychometric testing of the Chinese Mandarin version of the Medical Outcomes Study Social Support Survey in patients with coronary heart disease in mainland China. Quality of Life Research, 22(8), 1965–1971. https://doi.org/10.1007/s11136-012-0345-x.CrossRefPubMed

Wu, B., Chi, I., Plassman, B. L., & Guo, M. (2010). Depressive symptoms and health problems among Chinese immigrant elders in the U.S. and Chinese elders in China. Aging & Mental Health, 14(6), 695–704. https://doi.org/10.1080/13607860802427994.CrossRef

Yang, L. H. (2007). Application of mental illness stigma theory to Chinese societies: Synthesis and new directions. Singapore Medical Journal, 48(11), 977–985.PubMed

Yang, L. H., & Wonpat-Borja, A. J. (2012). Causal beliefs and effects upon mental illness identification among Chinese immigrant relatives of individuals with psychosis. Community Mental Health Journal, 48(4), 471–476. https://doi.org/10.1007/s10597-011-9464-z.CrossRefPubMed

Yeung, A., Hails, K., Chang, T., Trinh, N. H., & Fava, M. (2011). A study of the effectiveness of telepsychiatry-based culturally sensitive collaborative treatment of depressed Chinese Americans. BMC Psychiatry, 11, 154. https://doi.org/10.1186/1471-244x-11-154.CrossRefPubMedPubMedCentral

Yeung, A., Martinson, M. A., Baer, L., Chen, J., Clain, A., Williams, A., et al. (2016). The effectiveness of telepsychiatry-based culturally sensitive collaborative treatment for depressed Chinese American immigrants: A randomized controlled trial. Journal of Clinical Psychiatry, 77(8), e996–e1002. https://doi.org/10.4088/JCP.15m09952.CrossRefPubMed

Yeung, A., Shyu, I., Fisher, L., Wu, S., Yang, H., & Fava, M. (2010). Culturally sensitive collaborative treatment for depressed Chinese Americans in primary care. American Journal of Public Health, 100(12), 2397–2402. https://doi.org/10.2105/ajph.2009.184911.CrossRefPubMedPubMedCentral

Zhang, J., Fang, L., Wu, Y.-W., & Wieczorek, W. (2013). Depression, anxiety, and suicidal ideation among Chinese Americans: A study of immigration-related factors. Journal of Nervous and Mental Disease, 201(1), 17–22. https://doi.org/10.1097/NMD.0b013e31827ab2e2.CrossRefPubMed

Zuvekas, S. H., & Fleishman, J. A. (2008). Self-rated mental health and racial/ethnic disparities in mental health service use. Medical Care, 46(9), 915–923. https://doi.org/10.1097/MLR.0b013e31817919e5.CrossRefPubMed

Titel: Utilization of Mental Health Services Among Older Chinese Immigrants in New York City
verfasst von: Ying-Yu Chao
Jin Young Seo
Carina Katigbak
Yu-Ping Chang
Publikationsdatum: 05.02.2020
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 7/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00570-2

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Utilization of Mental Health Services Among Older Chinese Immigrants in New York City

Abstract

Neu im Fachgebiet Psychiatrie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

ADHS-Medikation erhöht das kardiovaskuläre Risiko

Update Psychiatrie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2020

Factors Associated with Distress in Caregivers of People with Personality Disorders

Intimate Partnerships, Suicidal Ideation and Suicide-Related Hospitalization Among Young Kenyan Men

What Do Adults Think About Their Adverse Childhood Experiences (ACEs), and Does It Matter?

Integrating Psychosocial Support for Children in the Education Sector in Zambia: Lessons from the Programme Implementation Process

Promoting Resilience Among College Student Veterans Through an Acceptance-and-Commitment-Therapy App: An Intervention Refinement Study

The Effects of Clinical Experience on Early Career Psychiatrists’ Beliefs and Attitudes Towards Older Psychiatric Patients

Neu im Fachgebiet Psychiatrie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

So wirken verschiedene Alkoholika auf den Blutdruck

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

ADHS-Medikation erhöht das kardiovaskuläre Risiko

Update Psychiatrie