TitleDiscrimination and mental health-related service use in a national study of Asian Americans.
Publication TypeJournal Article
Year of Publication2010
AuthorsSpencer MS, Chen J, Gee GC, Fabian CG, Takeuchi DT
JournalAm J Public Health
Date Published2010 Dec
KeywordsAdult, Asia, Asian Americans, Communication Barriers, Female, Health Care Surveys, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Perception, Prejudice, United States

OBJECTIVES: We examined the association between perceived discrimination and use of mental health services among a national sample of Asian Americans.

METHODS: Our data came from the National Latino and Asian American Study, the first national survey of Asian Americans. Our sample included 600 Chinese, 508 Filipinos, 520 Vietnamese, and 467 other Asians (n=2095). We used logistic regression to examine the association between discrimination and formal and informal service use and the interactive effect of discrimination and English language proficiency.

RESULTS: Perceived discrimination was associated with more use of informal services, but not with less use of formal services. Additionally, higher levels of perceived discrimination combined with lower English proficiency were associated with more use of informal services.

CONCLUSIONS: The effect of perceived discrimination and language proficiency on service use indicates a need for more bilingual services and more collaborations between formal service systems and community resources.

Alternate JournalAm J Public Health
PubMed ID20299649
PubMed Central IDPMC2978178
Grant ListR24 HD042828 / HD / NICHD NIH HHS / United States
R24 HD042828-10 / HD / NICHD NIH HHS / United States
U01 MH62207 / MH / NIMH NIH HHS / United States
U01 MH62209 / MH / NIMH NIH HHS / United States